2026 NPPES data Addiction Medicine (Family Medicine) Physician NPI 1649226895 DO
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PAUL SMITH, DO

Addiction Medicine (Family Medicine) Physician in JACKSON, Kentucky. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
527
Medicare Part D claims · 228 beneficiaries · Addiction Medicine (Family Medicine) Physician avg: 1K
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
95.5077/100
▲ 12 pts above national avg 83.1 · [object Object]
What the federal data reveals: PAUL SMITH, DO is a Addiction Medicine (Family Medicine) Physician ([object Object]) practicing in JACKSON, Kentucky with a Medicare Part D prescribing footprint of 527 claims across 228 beneficiaries — 3% brand-name prescribing . Their CMS MIPS Final Score of 95.5077/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: PAUL SMITH, DO reported a CMS MIPS final score of 95.5077 out of 100, above the 83.1 national average, and filed 527 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PAUL SMITH, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PAUL SMITH, DO at a glance

High performer (top quartile)

NPI registry status

Active

Issued 05/26/2006

NPI 1649226895

Primary specialty

Addiction Medicine (Family Medicine) Physician

Niche

763 US NPIs in this specialty

Medicare Part D claims

527 54% vs specialty avg

2023 prescription claims

Specialty avg: 1,134

MIPS final score

95.5077/100 12.407700000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Kentucky

How Addiction Medicine (Family Medicine) Physician compares to other specialties among Kentucky providers

Kentucky providers

Addiction Medicine (Family Medicine) Physician share within Kentucky

1. Addiction Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Family Medicine) Physician share within Kentucky

Medicare quality performance — MIPS

PAUL SMITH, DO's 2023 MIPS final score plotted against the Addiction Medicine (Family Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
95.5077/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Addiction Medicine (Family Medicine) Physician) — 95.5077/100 vs national avg 83.1

0%100%National avg83%95.5%
MIPS final score (Addiction Medicine (Family Medicine) Physician) — 95.5077/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

PAUL SMITH, DO is a Addiction Medicine (Family Medicine) Physician provider practicing in JACKSON, Kentucky, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1649226895. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PAUL SMITH, DO appears in the CMS NPPES registry as a Addiction Medicine (Family Medicine) Physician provider holding DO credentials at 1550 HIGHWAY 15 S STE 200, JACKSON, KY, 41339, with a listed phone of (606) 666-8404. NPI 1649226895 was issued on 05/26/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SMITH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 527 prescription claims written by this provider, covering 228 Medicare beneficiaries and totaling roughly $15K in drug spend, split 3% brand-name and 97% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.5077/100 for the 2023 performance year (Quality 89.5953), compared with the national average of 83.1.

Addiction Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 763 enrolled providers across 48 states and an average of 1,134 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1550 HIGHWAY 15 S STE 200
JACKSON, KY 41339

Provider Details

NPI 1649226895
Specialty Addiction Medicine (Family Medicine) Physician
Credentials DO
Gender Male
NPI Issued 05/26/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

95.5077
Final Score
Avg: 83.1
89.5953
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where PAUL SMITH, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BAPTIST HEALTH MEDICAL GROUP INC
LEXINGTON, KY

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Brand vs generic prescribing mix · Generic-heavy

PAUL SMITH, DO — brand share 3.0%
Specialty average (est.)

3% brand-name claims vs 97% generic, on 527 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

527
Total Claims
$15K
Total Drug Cost
228
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
527
Total Day Supply
6,322
Brand vs Generic
3% brand / 97% generic
Brand Drug Cost
$1K
Generic Drug Cost
$13K
Antibiotic Claims
155

Patient Demographics

Average Patient Age
69.4 years
Avg HCC Risk Score
1.15
Gender Split
66% female / 34% male
Age Distribution
<65: 50, 65-74: 104, 75-84: 59, 85+: 15

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Buprenorphine-Naloxone
Buprenorphine Hcl/Naloxone Hcl
198
Cephalexin
56
Methylprednisolone
51
Prednisone
27
Azithromycin
20
Cefdinir
20
Amoxicillin
14
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
12
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
11
Doxycycline Monohydrate
11

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Addiction Medicine (Family Medicine) Physician Overview

How PAUL SMITH, DO fits within the Addiction Medicine (Family Medicine) Physician landscape nationally.

763
Addiction Medicine (Family Medicine) Physician Providers in US
48
States with Addiction Medicine (Family Medicine) Physician
1,134
Avg Claims per Provider

PAUL SMITH, DO's 527 claims are below the specialty average of 1,134.

Nearby Addiction Medicine (Family Medicine) Physician Providers in Kentucky

Other clinicians with the same primary specialty enrolled in Kentucky, drawn from the same CMS NPPES roster as SMITH.

Compare Addiction Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PAUL SMITH, DO's specialty?
PAUL SMITH, DO specializes in Addiction Medicine (Family Medicine) Physician and practices in JACKSON, Kentucky. Credentials: DO.
How much does PAUL SMITH, DO prescribe under Medicare Part D?
In 2023, PAUL SMITH, DO wrote 527 Medicare Part D claims totaling $15K in drug costs for 228 beneficiaries.
What is PAUL SMITH, DO's Medicare quality score?
PAUL SMITH, DO has a CMS MIPS Final Score of 95.5077/100 (Quality: 89.5953). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is PAUL SMITH, DO located?
PAUL SMITH, DO is located at 1550 HIGHWAY 15 S STE 200, JACKSON, KY, 41339. Phone: (606) 666-8404.
What is PAUL SMITH, DO's NPI number?
PAUL SMITH, DO's National Provider Identifier (NPI) is 1649226895, issued on 05/26/2006.
Does PAUL SMITH, DO prescribe more brand-name or generic drugs?
PAUL SMITH, DO's prescribing is 3% brand-name and 97% generic drugs by claim count, with $1K in brand drug costs.
How many Addiction Medicine (Family Medicine) Physician providers are there in the US?
There are 763 Addiction Medicine (Family Medicine) Physician providers across 48 states in the US. The average Addiction Medicine (Family Medicine) Physician provider writes 1,134 Medicare Part D claims per year.
What drugs does PAUL SMITH, DO prescribe most often?
Based on 2023 Medicare Part D data, PAUL SMITH, DO's most frequently prescribed drugs include Buprenorphine-Naloxone, Cephalexin, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL SMITH, DO accept Medicare?
PAUL SMITH, DO appears in CMS Medicare data with 527 Part D claims and 228 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL SMITH, DO's credentials?
PAUL SMITH, DO's NPI is 1649226895 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology