NPPES file of Aug 9, 2026

Paul Heermans Smith, M.D.

Internal Medicine Physician · San Antonio, TX

Paul Heermans Smith, M.D. is an internal medicine physician with a practice address in San Antonio, Texas, and NPI 1770585176, issued on Aug 15, 2005. Check the license (Texas G7003, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1770585176
Name
Paul Heermans Smith
Credential
M.D.
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
G7003 TX
Self-reported in NPPES; status is on the state search
Practice location
6402 N New Braunfels Ave, San Antonio, TX 78209
Phone
(210) 824-5392
Enumerated
Aug 15, 2005
Record last updated
Jan 31, 2017 (not updated in 9 years: call before relying on the address or phone)
Fax
(210) 824-3986
Medicare enrollment
Enrolled (PECOS I20100924000963); accepts Medicare assignment
Medical or professional school
Vanderbilt University School Of Medicine, 1981
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 6402 N New Braunfels Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Michelle Aliotta, M.D.Family Medicine Physician1972877785
  2. Curtis Horn, MDFamily Medicine Physician1558457358

Verify Paul Heermans Smith in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license G7003
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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4.2 times the Medicare Part D claims of the average internal medicine physician in 2024

13,494 Medicare Part D claims for 877 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 410 claims were for opioids.

  1. Paul Smith13,494
  2. Specialty average3,176

Most prescribed

  1. Levothyroxine Sodium751 claims
  2. Atorvastatin Calcium495 claims
  3. Losartan Potassium461 claims
  4. Amlodipine Besylate412 claims
  5. Pantoprazole Sodium333 claims
  6. Alprazolam329 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $79.80

4 payments; by number, the most common kind was food and beverage; the largest payer was Lilly USA, LLC. The 50,334 providers of this specialty with any payment received $1,303.06 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Paul Smith$79.80
  2. Specialty average$1,303.06

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Bhs Physicians Network, IncSan Antonio, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Paul Heermans Smith among 9,175 internal medicine physician records in Texas

Paul Heermans Smith, M.D. is one of 9,175 internal medicine physician records with a practice address in Texas. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.

  • NPI issued2005 · 0% of these records are older, 91% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 66% of these records are
  • Graduated1981 · median 2004 among the 6,088 with a school on file
  • Record last updated2017 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

657 internal medicine physician records list a practice address in San Antonio

They are 657 of the 37,749 NPPES records with a practice address in San Antonio, and 9,175 internal medicine physician records in Texas.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Karla Avila-Perez, MDSan Antonio, TX 782091124656442
  2. Heberto Garza, M.D.San Antonio, TX 782091487656427
  3. Dina Goytia-Leos, M.D.San Antonio, TX 782091275503526
  4. Elizabeth Lane, M.D.San Antonio, TX 782091649444035
  5. Melissa Medley, M.D.San Antonio, TX 782091750648895
  6. Uma Nair, M.D.San Antonio, TX 782091962475962
  7. Dennis Ruff, M.D.San Antonio, TX 782091003035718
  8. Bradley Shipman, M.D.San Antonio, TX 782091083616916

Common questions

What is Paul Heermans Smith, M.D.'s NPI number?

Paul Heermans Smith, M.D.'s National Provider Identifier (NPI) is 1770585176, issued on Aug 15, 2005. An NPI identifies a provider in billing; it is not a license.

Where is Paul Heermans Smith, M.D. located?

The NPPES record lists a practice address at 6402 N New Braunfels Ave, San Antonio, TX, 78209. Phone: (210) 824-5392. Providers update this record themselves, so call before visiting.

How can I verify Paul Heermans Smith, M.D.'s license?

NPPES lists Texas license number G7003, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Paul Heermans Smith, M.D. prescribe under Medicare Part D?

In 2024, Paul Heermans Smith, M.D. had 13,494 Medicare Part D claims for 877 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.