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2026 NPPES data Oral and Maxillofacial Surgery (Dentist) NPI 1386849446 DMD
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Ryan Smart, DMD

Oral and Maxillofacial Surgery (Dentist) in Fargo, North Dakota.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 7,769 in Oral and Maxillofacial Surgery (Dentist), and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
290
Medicare Part D claims · 103 beneficiaries · Oral and Maxillofacial Surgery (Dentist) avg: 407
MIPS score
83/100
▼ 1 pts below national avg 83.5 · Above neutral
Industry payments
$850.84
12 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Ryan Smart, DMD reported a CMS MIPS final score of 83/100 - below the 83.5 national average - and filed 290 Medicare Part D claims in 2024.

83/100
MIPS score · -1 vs avg
290
Part D claims, 2024
$850.84
industry payments (Sunshine Act)
≥36th
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Ryan Smart, DMD

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1386849446), first enumerated 06/19/2007.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 290 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 83/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $850.84 in reported industry payments (12 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

Compare Smart with other Oral and Maxillofacial Surgery (Dentist) providers

Same primary specialty, same federal CMS NPPES roster.

Also enrolled in North Dakota

Other specialties in Fargo: Case Manager/Care Coordinator (407) · Registered Nurse (371) · Personal Care Attendant (260) · Speech-Language Pathologist (258)

CMS NPPES provider registry desk

NPI 1386849446 · Oral and Maxillofacial Surgery (Dentist)

NPI-10 · ENUM-MID · TAX-MID · MIPS-INLINE · RX-LIGHT · BOOK-THIN · PHOTO-FINISH

  • NPI-10 1386849446
  • ENUM-MID 2007
  • TAX-MID 8K Oral and
  • MIPS-INLINE 83/100
  • RX-LIGHT 290
  • BOOK-THIN 23 in North Dakota
  • PHOTO-FINISH Karel Deleeuw, M.D. · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Ryan Smart, DMD's MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

83 ≥ 36th percentile 36% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). Below this entry. 50–60: 5,882 measured providers (1%). Below this entry. 60–70: 13,906 measured providers (3%). Below this entry. 70–80: 94,570 measured providers (21%). Below this entry. 80–90: 129,887 measured providers (29%). This entry sits in this band. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Ryan Smart, DMD sits

This provider among oral and maxillofacial surgery (dentist) peers

Across the 117 oral and maxillofacial surgery (dentist) providers who report both Medicare Part D prescribing and a MIPS quality score, Ryan Smart, DMD writes more Part D claims than 73% of them and scores higher on MIPS quality than 46% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 93Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 2Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 95Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 82Ryan Smart, DMD, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 46
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one oral and maxillofacial surgery (dentist) peer from a representative sample of 60; the gold marker is Ryan Smart, DMD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Ryan Smart, DMD?

Near national average

NPI registry status

Active

Issued 06/19/2007

NPI 1386849446

Primary specialty

Oral and Maxillofacial Surgery (Dentist)

Mid-sized

7,769 US NPIs in this specialty

Medicare Part D claims

290 29% vs specialty avg

2024 prescription claims

Specialty avg: 407

MIPS final score

83/100 0.5 pts vs avg

Above neutral band

vs 83.5 national avg

Specialty distribution in North Dakota

How Oral and Maxillofacial Surgery (Dentist) compares to other specialties among North Dakota providers

North Dakota providers
Personal Care Attendant8.1%Case Manager/Care Coordinator6.4%Physical Therapist4.6%Speech-Language Pathologist4.5%Registered Nurse4.1%Social Worker3.9%Oral and Maxillofacial Surge…0.1%
Largest specialties in North Dakota (% of in-state providers)

Medicare quality performance, MIPS

Ryan Smart, DMD's 2023 MIPS final score plotted against the Oral and Maxillofacial Surgery (Dentist) national average

Near national average
MIPS Final Score
83/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%83%
MIPS final score (Oral and Maxillofacial Surgery (Dentist)) - 83/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

2585 23RD AVE S UNIT A
Fargo, ND 58103
(701) 478-4404

Provider Details

NPI 1386849446
Specialty Oral and Maxillofacial Surgery (Dentist)
Credentials DMD
Gender Male
NPI Issued 06/19/2007

CMS Quality Score (MIPS)

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

82.9973
Final Score
Measured-score avg: 83.5
87.0681
Quality
57.0897
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Ryan Smart, DMD 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.

Sanford Medical Center Fargo
★★★★☆ 4/5
West Fargo, ND
Acute Care Hospitals
CMS CCN: 350011

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 Ryan Smart, DMD. Source: openpaymentsdata.cms.gov.

Total received

$851

Largest payer

Straumann USA LLC

Most common payment type

Food and Beverage

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

290
Total Claims
$2K
Total Drug Cost
103
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
290
Total Day Supply
1,825
Generic Drug Cost
$2K
Opioid Claims
79 (27.2% rate)
Antibiotic Claims
115

Patient Demographics

Average Patient Age
72.0 years
Avg HCC Risk Score
0.89
Gender Split
56% female / 44% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Ryan Smart, DMD prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
66
Amoxicillin
 65
Methylprednisolone
 41
Amoxicillin-Clavulanate Potass
Amoxicillin/Potassium Clav
20
Azithromycin
 12
Chlorhexidine Gluconate
 12
Lidocaine Hcl Viscous
Lidocaine Hcl
11

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

More Oral and Maxillofacial Surgery (Dentist) in ND → All providers in North Dakota → Compare specialties →

Oral and Maxillofacial Surgery (Dentist) Overview

How Ryan Smart, DMD fits within the Oral and Maxillofacial Surgery (Dentist) landscape nationally.

7,769
Oral and Maxillofacial Surgery (Dentist) Providers in US
52
States with Oral and Maxillofacial Surgery (Dentist)
407
Avg Claims per Provider

Ryan Smart, DMD's 290 claims are below the specialty average of 407.

Nationwide Oral and Maxillofacial Surgery (Dentist) peers with similar MIPS or enrollment year

Two federal-record peer sets for Smart, both outside North Dakota so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (83 here).

Karel Deleeuw 83 AZ Trent Filler 83 TX Paul Deitrick 83 NJ Bradford Jungels 83 NJ

Same NPPES enumeration year (2007)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

John Janulewicz Des Moines, IA Lena Alsabban New York, NY George Hatzigiannis Boxford, MA Patrick Carroll Chicago, IL

Nearby Oral and Maxillofacial Surgery (Dentist) Providers in North Dakota

Other clinicians with the same primary specialty enrolled in North Dakota, drawn from the same CMS NPPES roster as Smart.

One of 23 Oral and Maxillofacial Surgery (Dentist) providers enrolled in North Dakota, 11 are shown on this page.

Dr. Jonathan Gray
DDS
Fargo, ND
Dr. Paul Iverson
DDS
Fargo, ND
John Keaveny
DDS OMS
Dickinson, ND
Dr. Gerard Koorbusch
DDS, MBA
Bismarck, ND
Dr. Edward May
D.D.S.
West Fargo, ND

Compare Oral and Maxillofacial Surgery (Dentist) nationally: see state-by-state distribution →

Frequently Asked Questions

What is Ryan Smart, DMD's specialty? ▼
Ryan Smart, DMD specializes in Oral and Maxillofacial Surgery (Dentist) and practices in Fargo, North Dakota. Credentials: DMD.
How much does Ryan Smart, DMD prescribe under Medicare Part D? ▼
In 2024, Ryan Smart, DMD wrote 290 Medicare Part D claims totaling $2K in drug costs for 103 beneficiaries.
What is Ryan Smart, DMD's Medicare quality score? ▼
Ryan Smart, DMD has a CMS MIPS Final Score of 83/100 (Quality: 87.1, Cost: 57.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Ryan Smart, DMD located? ▼
Ryan Smart, DMD is located at 2585 23RD AVE S UNIT A, Fargo, ND, 58103. Phone: (701) 478-4404.
What is Ryan Smart, DMD's NPI number? ▼
Ryan Smart, DMD's National Provider Identifier (NPI) is 1386849446, issued on 06/19/2007.
Does Ryan Smart, DMD prescribe opioids? ▼
Yes, Ryan Smart, DMD had 79 opioid claims in 2024 with an opioid prescribing rate of 27.2%.
How many Oral and Maxillofacial Surgery (Dentist) providers are there in the US? ▼
There are 7,769 Oral and Maxillofacial Surgery (Dentist) providers across 52 states in the US. The average Oral and Maxillofacial Surgery (Dentist) provider writes 407 Medicare Part D claims per year.
What drugs does Ryan Smart, DMD prescribe most often? ▼
Based on 2024 Medicare Part D data, Ryan Smart, DMD's most frequently prescribed drugs include Hydrocodone-Acetaminophen, Amoxicillin, Methylprednisolone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Ryan Smart, DMD accept Medicare? ▼
Ryan Smart, DMD appears in CMS Medicare data with 290 Part D claims and 103 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Ryan Smart, DMD's credentials? ▼
Ryan Smart, DMD's NPI is 1386849446 with credentials DMD. 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.