2026 NPPES data Orthopaedic Surgery of the Spine Physician NPI 1235125469 MD
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RAYMOND SMITH, MD

Orthopaedic Surgery of the Spine Physician in WORCESTER, Massachusetts. 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
24
Medicare Part D claims · 13 beneficiaries · Orthopaedic Surgery of the Spine Physician avg: 362
Industry payments
$43.6K
24 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: RAYMOND SMITH, MD is a Orthopaedic Surgery of the Spine Physician ([object Object]) practicing in WORCESTER, Massachusetts with a Medicare Part D prescribing footprint of 24 claims across 13 beneficiaries . Industry payments of $43.6K across 24 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: RAYMOND SMITH, MD filed 24 Medicare Part D claims in 2023 across WORCESTER, Massachusetts. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

RAYMOND SMITH, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 3 hospital affiliations — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

RAYMOND SMITH, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 09/22/2005

NPI 1235125469

Primary specialty

Orthopaedic Surgery of the Spine Physician

Niche

1,773 US NPIs in this specialty

Medicare Part D claims

24 93% vs specialty avg

2023 prescription claims

Specialty avg: 362

Specialty distribution in Massachusetts

How Orthopaedic Surgery of the Spine Physician compares to other specialties among Massachusetts providers

Massachusetts providers

Orthopaedic Surgery of the Spine Physician share within Massachusetts

1. Orthopaedic Surgery of the Spine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Orthopaedic Surgery of the Spine Physician share within Massachusetts

Specialty board-certification context

Estimated specialty board-certified rate — Orthopaedic Surgery of the Spine Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Orthopaedic Surgery of the Spine Physician ABMS/AOA estimate

Est. board-certified rate (Orthopaedic Surgery of the Spine Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Orthopaedic Surgery of the Spine Physician) — ABMS / AOA estimate

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).

RAYMOND SMITH, MD is a Orthopaedic Surgery of the Spine Physician provider practicing in WORCESTER, Massachusetts, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1235125469. 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.

RAYMOND SMITH, MD appears in the CMS NPPES registry as a Orthopaedic Surgery of the Spine Physician provider holding MD credentials at 55 LAKE AVE N, WORCESTER, MA, 01655, with a listed phone of (508) 334-3040. NPI 1235125469 was issued on 09/22/2005. 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 24 prescription claims written by this provider, covering 13 Medicare beneficiaries and totaling roughly $737 in drug spend, with an opioid prescribing rate of 50.0%. 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.

Orthopaedic Surgery of the Spine Physician is a narrow specialty nationwide, with 1,773 enrolled providers across 51 states and an average of 362 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

55 LAKE AVE N
WORCESTER, MA 01655

Provider Details

NPI 1235125469
Specialty Orthopaedic Surgery of the Spine Physician
Credentials MD
Gender Male
NPI Issued 09/22/2005

Hospital and facility affiliations

Facilities where RAYMOND SMITH, MD 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.

BMC AFFILIATED PHYSICIANS, INC.
BROCKTON, MA
SC ORTHOPEDICS OF NEW ENGLAND, PC.
SPRINGFIELD, MA
STEWARD MEDICAL GROUP INC
BRIGHTON, MA

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for RAYMOND SMITH, MD. Source: openpaymentsdata.cms.gov.

Total received

$43.6K

Largest payer

OsteoCentric Technologies, Inc.

Most common payment type

Royalty or License

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Massachusetts BORIM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~38K Massachusetts medical licensees in 2023 — they are NOT specific to RAYMOND SMITH, MD. To verify RAYMOND SMITH, MD's current license status, search the BORIM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

80
Total board actions, Massachusetts 2023
Across 78 cases
2.11
Actions per 1,000 licensees
Massachusetts statewide rate
probation
Most common action type
29 cases

BORIM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Massachusetts disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

24
Total Claims
$737
Total Drug Cost
13
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
24
Total Day Supply
252
Brand Drug Cost
$0
Generic Drug Cost
$737
Opioid Claims
12 (50.0% rate)

Patient Demographics

Average Patient Age
75.5 years
Avg HCC Risk Score
1.18
Age Distribution
<65: 0, 65-74: N/A, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Oxycodone Hcl
11

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

Orthopaedic Surgery of the Spine Physician Overview

How RAYMOND SMITH, MD fits within the Orthopaedic Surgery of the Spine Physician landscape nationally.

1,773
Orthopaedic Surgery of the Spine Physician Providers in US
51
States with Orthopaedic Surgery of the Spine Physician
362
Avg Claims per Provider

RAYMOND SMITH, MD's 24 claims are below the specialty average of 362.

Nearby Orthopaedic Surgery of the Spine Physician Providers in Massachusetts

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

Compare Orthopaedic Surgery of the Spine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is RAYMOND SMITH, MD's specialty?
RAYMOND SMITH, MD specializes in Orthopaedic Surgery of the Spine Physician and practices in WORCESTER, Massachusetts. Credentials: MD.
How much does RAYMOND SMITH, MD prescribe under Medicare Part D?
In 2023, RAYMOND SMITH, MD wrote 24 Medicare Part D claims totaling $737 in drug costs for 13 beneficiaries.
Where is RAYMOND SMITH, MD located?
RAYMOND SMITH, MD is located at 55 LAKE AVE N, WORCESTER, MA, 01655. Phone: (508) 334-3040.
What is RAYMOND SMITH, MD's NPI number?
RAYMOND SMITH, MD's National Provider Identifier (NPI) is 1235125469, issued on 09/22/2005.
Does RAYMOND SMITH, MD prescribe opioids?
Yes, RAYMOND SMITH, MD had 12 opioid claims in 2023 with an opioid prescribing rate of 50.0%.
How many Orthopaedic Surgery of the Spine Physician providers are there in the US?
There are 1,773 Orthopaedic Surgery of the Spine Physician providers across 51 states in the US. The average Orthopaedic Surgery of the Spine Physician provider writes 362 Medicare Part D claims per year.
What drugs does RAYMOND SMITH, MD prescribe most often?
Based on 2023 Medicare Part D data, RAYMOND SMITH, MD's most frequently prescribed drugs include Oxycodone Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does RAYMOND SMITH, MD accept Medicare?
RAYMOND SMITH, MD appears in CMS Medicare data with 24 Part D claims and 13 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify RAYMOND SMITH, MD's credentials?
RAYMOND SMITH, MD's NPI is 1235125469 with credentials MD. 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.
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