NPI registry status
Active
2026 NPPES data Pulmonary Disease Physician NPI 1972680627 M.D.
Verify on CMS → Timothy Smith, M.D.
Pulmonary Disease Physician in Kansas City, Missouri.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 9,271 in Pulmonary 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
4K
Medicare Part D claims · 580 beneficiaries · Pulmonary Disease Physician avg: 1K
Generic prescribing
0%
generic claims · 65% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
77.3/100
▼ 6 pts below national avg 83.1 · Above neutral
Industry payments
$5.8K
78 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Timothy Smith, M.D. reported a CMS MIPS final score of 77.3/100 - below the 83.1 national average - and filed 4,061 Medicare Part D claims in 2023.
- 77.3/100
- MIPS score · -6 vs avg
- 4K
- Part D claims, 2023
- 0%
- 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.
Timothy Smith, M.D.'s MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
77 24th percentile higher than 24% of 477,587 scored providers
Each bar is a band; taller bars hold more scored 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.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Timothy Smith, M.D. sits
This provider among pulmonary disease physician peers
Across the 2,676 pulmonary disease physician providers who report both Medicare Part D prescribing and a MIPS quality score, Timothy Smith, M.D. writes more Part D claims than 91% of them and scores higher on MIPS quality than 30% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pulmonary disease physician peer from a representative sample of 60; the gold marker is Timothy Smith, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Timothy Smith, M.D. 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 Timothy Smith, M.D.?
Below national averagePrimary specialty
Pulmonary Disease Physician
Medicare Part D claims
4,061 179% vs specialty avg
MIPS final score
77.3/100 5.8 pts vs avg
Specialty distribution in Missouri
How Pulmonary Disease Physician compares to other specialties among Missouri providers
Medicare quality performance, MIPS
Timothy Smith, M.D.'s 2023 MIPS final score plotted against the Pulmonary Disease Physician national average
- MIPS Final Score
- 77.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pulmonary Disease Physician) - 77.3/100 vs national avg 83.1
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).
Timothy Smith, M.D. appears in the CMS NPPES registry as a Pulmonary Disease Physician provider holding M.D. credentials at 1004 CARONDELET DR STE 300, Kansas City, MO, 64114, with a listed phone of (816) 942-4500. NPI 1972680627 was issued on 11/01/2006.
Medicare Part D records for calendar year 2023 show 4,061 prescription claims written by this provider, covering 580 Medicare beneficiaries and totaling roughly $2.1 million in drug spend, split 65% brand-name and 0% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 77.3/100 for the 2023 performance year (Quality 71.5, Cost 53.7), compared with the national average of 83.1.
Pulmonary Disease Physician is a mid-sized specialty nationwide, with 9,271 enrolled providers across 53 states and an average of 1,457 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
Provider Details
| NPI | 1972680627 |
|---|---|
| Specialty | Pulmonary Disease Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 11/01/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
77.3146
Final Score
Avg: 83.1
71.5104
Quality
53.7048
Cost
99
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Timothy Smith, M.D. 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.
Prime Healthcare Kansas City - Physician Services LLC
Kansas City, MO
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 Timothy Smith, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$5.8K
Largest payer
Mylan Specialty L.P.
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.
Brand vs generic prescribing mix · Brand-heavy
Timothy Smith, M.D. - brand share 65.0%
Pulmonary Disease Physician average
65% brand-name claims vs 0% generic, on 4,061 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.
4,061
Total Claims
$2.1M
Total Drug Cost
580
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 5,491
- Total Day Supply
- 152,974
- Brand vs Generic
- 65% brand / 0% generic
- Brand Drug Cost
- $2.0M
- Antibiotic Claims
- 274
Patient Demographics
- Average Patient Age
- 73.5 years
- Avg HCC Risk Score
- 1.87
- Gender Split
- 61% female / 39% male
- Age Distribution
- <65: 82, 65-74: 233, 75-84: 201, 85+: 64
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Timothy Smith, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Trelegy Ellipta
Trelegy Ellipta
674 claims
- Albuterol Sulfate …
Albuterol Sulfate Hfa
458 claims
- Prednisone
Prednisone
307 claims
- Anoro Ellipta 242
Anoro Ellipta
242 claims
- Spiriva Respimat 174
Spiriva Respimat
174 claims
- Montelukast Sodium 169
Montelukast Sodium
169 claims
- Breo Ellipta 164
Breo Ellipta
164 claims
- Breztri Aerosphere 162
Breztri Aerosphere
162 claims
| Drug | Claims |
|---|---|
| Trelegy Ellipta Fluticasone/Umeclidin/Vilanter | 674 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 458 |
| Prednisone | 307 |
| Anoro Ellipta Umeclidinium Brm/Vilanterol Tr | 242 |
| Spiriva Respimat Tiotropium Bromide | 174 |
| Montelukast Sodium | 169 |
| Breo Ellipta Fluticasone/Vilanterol | 164 |
| Breztri Aerosphere Budesonide/Glycopyr/Formoterol | 162 |
| Symbicort Budesonide/Formoterol Fumarate | 140 |
| Stiolto Respimat Tiotropium Br/Olodaterol Hcl | 130 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pulmonary Disease Physician Overview
How Timothy Smith, M.D. fits within the Pulmonary Disease Physician landscape nationally.
9,271
Pulmonary Disease Physician Providers in US
53
States with Pulmonary Disease Physician
1,457
Avg Claims per Provider
Timothy Smith, M.D.'s 4,061 claims are above the specialty average of 1,457.
Nearby Pulmonary Disease Physician Providers in Missouri
Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as Smith.
Dr. Asem Abdeljalil
M.D.
Kansas City, MO
Dr. Mohannad Abu Omar
M.D
Saint Joseph, MO
Dr. Tareq Abu Salah
M.D.
Columbia, MO
Dr. Adetayo Ademuyiwa
M.D.
St Louis, MO
Dr. Hamna Ahmad
M.D.
Kansas City, MO
Compare Pulmonary Disease Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Missouri medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pulmonary Disease Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Timothy Smith, M.D.'s specialty? ▼
Timothy Smith, M.D. specializes in Pulmonary Disease Physician and practices in Kansas City, Missouri. Credentials: M.D..
How much does Timothy Smith, M.D. prescribe under Medicare Part D? ▼
In 2023, Timothy Smith, M.D. wrote 4,061 Medicare Part D claims totaling $2.1M in drug costs for 580 beneficiaries.
What is Timothy Smith, M.D.'s Medicare quality score? ▼
Timothy Smith, M.D. has a CMS MIPS Final Score of 77.3/100 (Quality: 71.5, Cost: 53.7). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Timothy Smith, M.D. located? ▼
Timothy Smith, M.D. is located at 1004 CARONDELET DR STE 300, Kansas City, MO, 64114. Phone: (816) 942-4500.
What is Timothy Smith, M.D.'s NPI number? ▼
Timothy Smith, M.D.'s National Provider Identifier (NPI) is 1972680627, issued on 11/01/2006.
Does Timothy Smith, M.D. prescribe more brand-name or generic drugs? ▼
Timothy Smith, M.D.'s prescribing is 65% brand-name and 0% generic drugs by claim count, with $2.0M in brand drug costs.
How many Pulmonary Disease Physician providers are there in the US? ▼
There are 9,271 Pulmonary Disease Physician providers across 53 states in the US. The average Pulmonary Disease Physician provider writes 1,457 Medicare Part D claims per year.
What drugs does Timothy Smith, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Timothy Smith, M.D.'s most frequently prescribed drugs include Trelegy Ellipta, Albuterol Sulfate Hfa, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Timothy Smith, M.D. accept Medicare? ▼
Timothy Smith, M.D. appears in CMS Medicare data with 4,061 Part D claims and 580 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Timothy Smith, M.D.'s credentials? ▼
Timothy Smith, M.D.'s NPI is 1972680627 with credentials M.D.. 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 (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
Compiled from official public sources by the PlainDoctor editorial team.