NPI registry status
Active
2026 NPPES data Cardiovascular Disease Physician NPI 1952863797 MD
Verify on CMS → Sean Smith, MD
Cardiovascular Disease Physician in Provo, Utah.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,298 in Cardiovascular Disease Physician, 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
485
Medicare Part D claims · 81 beneficiaries · Cardiovascular Disease Physician avg: 3K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
78.6/100
▼ 5 pts below national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2024
What the federal data shows
Sean Smith, MD reported a CMS MIPS final score of 78.6/100 - below the 83.5 national average - and filed 485 Medicare Part D claims in 2024.
- 78.6/100
- MIPS score · -5 vs avg
- 485
- Part D claims, 2024
- 82%
- generic prescribing
- Likely
- board-certified (heuristic)
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 Sean Smith, MD
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 1952863797), first enumerated 04/02/2019.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 485 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 78.6/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- 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.
CMS NPPES provider registry desk
NPI 1952863797 · Cardiovascular Disease Physician
NPI-10 · ENUM-RECENT · TAX-MID · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1952863797
- ENUM-RECENT 2019
- TAX-MID 25K Cardiovascular Disease
- MIPS-BELOW 78.6/100
- RX-LIGHT 485
- BOOK-THIN 147 in Utah
- PHOTO-FINISH Michael Apolinario · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Smith · this pro…
Smith · this provider
78.6 MIPS pts
- Timothy Barry · …
Timothy Barry
78.6 MIPS pts
- Michael Apolinar…
Michael Apolinario
78.6 MIPS pts
- Christopher Appl…
Christopher Appleton
78.6 MIPS pts
- Reza Arsanjani ·…
Reza Arsanjani
78.6 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Sean Smith, MD'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.
79 ≥ 23rd percentile 23% of 454,083 measured providers are in lower value bands
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 Sean Smith, MD sits
This provider among cardiovascular disease physician peers
Across the 7,999 cardiovascular disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Sean Smith, MD writes more Part D claims than 15% of them and scores higher on MIPS quality than 23% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one cardiovascular disease physician peer from a representative sample of 60; the gold marker is Sean Smith, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Sean Smith, MD 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).
What does the federal data show about Sean Smith, MD?
Near national averagePrimary specialty
Cardiovascular Disease Physician
Medicare Part D claims
485 85% vs specialty avg
MIPS final score
78.6/100 4.9 pts vs avg
Specialty distribution in Utah
How Cardiovascular Disease Physician compares to other specialties among Utah providers
Medicare quality performance, MIPS
Sean Smith, MD's 2023 MIPS final score plotted against the Cardiovascular Disease Physician national average
- MIPS Final Score
- 78.6/100
- vs 83.5 national avg · 2023 performance year
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
Provider Details
| NPI | 1952863797 |
|---|---|
| Specialty | Cardiovascular Disease Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 04/02/2019 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
78.5864
Final Score
Measured-score avg: 83.5
69.056
Quality
59.5653
Cost
100
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Sean 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.
Ihc Health Services Inc
Provo, UT
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 · Typical
Sean Smith, MD - brand share 18.0%
Cardiovascular Disease Physician average
18% brand-name claims vs 82% generic, on 485 2024 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 2024.
485
Total Claims
$94K
Total Drug Cost
81
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 1,068.733
- Total Day Supply
- 31,960
- Brand vs Generic
- 18% brand / 82% generic
- Brand Drug Cost
- $89K
- Generic Drug Cost
- $5K
Patient Demographics
- Average Patient Age
- 75.6 years
- Avg HCC Risk Score
- 1.68
- Gender Split
- 35% female / 65% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.
What Sean Smith, MD prescribes most
Top Medicare Part D drugs by claim count, 2024
- Ezetimibe
Ezetimibe
54 claims
- Metoprolol Succinate
Metoprolol Succinate
52 claims
- Spironolactone
Spironolactone
39 claims
- Losartan Potassium
Losartan Potassium
34 claims
- Amlodipine Besylate
Amlodipine Besylate
33 claims
- Eliquis
Eliquis
31 claims
- Rosuvastatin Calcium
Rosuvastatin Calcium
31 claims
- Atorvastatin Calcium
Atorvastatin Calcium
30 claims
| Drug | Claims |
|---|---|
| Ezetimibe | 54 |
| Metoprolol Succinate | 52 |
| Spironolactone | 39 |
| Losartan Potassium | 34 |
| Amlodipine Besylate | 33 |
| Eliquis Apixaban | 31 |
| Rosuvastatin Calcium | 31 |
| Atorvastatin Calcium | 30 |
| Carvedilol | 21 |
| Furosemide | 18 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Cardiovascular Disease Physician Overview
How Sean Smith, MD fits within the Cardiovascular Disease Physician landscape nationally.
25,298
Cardiovascular Disease Physician Providers in US
54
States with Cardiovascular Disease Physician
3,149
Avg Claims per Provider
Sean Smith, MD's 485 claims are below the specialty average of 3,149.
Nationwide Cardiovascular Disease Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Smith, both outside Utah so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (78.6 here).
Same NPPES enumeration year (2019)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Cardiovascular Disease Physician Providers in Utah
Other clinicians with the same primary specialty enrolled in Utah, drawn from the same CMS NPPES roster as Smith.
One of 147 Cardiovascular Disease Physician providers enrolled in Utah, 5 are shown here.
Dr. Aleksandra Abrahamowicz
MD
Salt Lake City, UT
Dr. Kia Afshar
M.D.
Murray, UT
Dr. Mehmet Akkaya
M.D
Salt Lake City, UT
Dr. Rami Alharethi
MD
Murray, UT
Dr. Marvin Allen
MD
Provo, UT
Compare Cardiovascular Disease Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Sean Smith, MD's specialty? ▼
Sean Smith, MD specializes in Cardiovascular Disease Physician and practices in Provo, Utah. Credentials: MD.
How much does Sean Smith, MD prescribe under Medicare Part D? ▼
In 2024, Sean Smith, MD wrote 485 Medicare Part D claims totaling $94K in drug costs for 81 beneficiaries.
What is Sean Smith, MD's Medicare quality score? ▼
Sean Smith, MD has a CMS MIPS Final Score of 78.6/100 (Quality: 69.1, Cost: 59.6). 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 Sean Smith, MD located? ▼
Sean Smith, MD is located at 395 W BULLDOG BLVD, Provo, UT, 84604. Phone: (801) 357-7081.
What is Sean Smith, MD's NPI number? ▼
Sean Smith, MD's National Provider Identifier (NPI) is 1952863797, issued on 04/02/2019.
Does Sean Smith, MD prescribe more brand-name or generic drugs? ▼
Sean Smith, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $89K in brand drug costs.
How many Cardiovascular Disease Physician providers are there in the US? ▼
There are 25,298 Cardiovascular Disease Physician providers across 54 states in the US. The average Cardiovascular Disease Physician provider writes 3,149 Medicare Part D claims per year.
What drugs does Sean Smith, MD prescribe most often? ▼
Based on 2024 Medicare Part D data, Sean Smith, MD's most frequently prescribed drugs include Ezetimibe, Metoprolol Succinate, Spironolactone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sean Smith, MD accept Medicare? ▼
Sean Smith, MD appears in CMS Medicare data with 485 Part D claims and 81 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sean Smith, MD's credentials? ▼
Sean Smith, MD's NPI is 1952863797 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
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
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.