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CMS public data · NPI 1528003548

Dr. Marsha S Smith: Medicare prescribing and billing data

CMS public files list billing, prescribing, location, and participation fields for this NPI. Current plan networks, appointment availability, clinical outcomes, and patient-specific medical advice require separate verification.

CMS display name

Marsha S Smith, MD

Specialty

Neurology

Credential

MD

NPI

1528003548

Primary source state

OH

Data retrieval date

July 26, 2026

Ohio doctorsState Doctor hubNeurologyState-specialty hubCincinnati, OHPrimary city link if this route exists

Where these numbers come from, and what they cannot tell you

Public CMS records, 2024 reporting year. These are historical Medicare fields, not proof of current coverage, appointment availability, quality, or what someone will pay.

How should you read this Doctor page?

This page shows Medicare billing and Part D prescribing data for Marsha S Smith, MD from CMS public files. It covers 2024 claims data: services billed, the beneficiary panel, and the most-prescribed Part D drugs. It does not show current coverage, appointment availability, or quality ratings.

A licensed agent, not a call center

Do your doctors and prescriptions fit before you enroll?

Peter Abilla, Licensed Medicare Insurance Sales Agent, NPN 22265186. Bring the doctors and prescriptions that matter to you, then check the details before you enroll.

What Medicare source indicators are listed for this NPI?

Medicare participating

Yes

Individual assignment

Yes

Group assignment

Yes

CMS opt-out records

0

Which practice locations appear in CMS files?

When CMS files list more than one address for the same NPI, each address stays tied to the CMS file that reported it.

Medicare billing address

CMS Medicare provider billing file

4805 Montgomery Rd Ste 410
Cincinnati, OH 45212

RIVERHILLS HEALTHCARE INC

CMS Doctors & Clinicians file

4805 Montgomery Rd
Suite 410
Cincinnati, OH 45212

(513) 241-2370

OXFORD PHYSICAL THERAPY AND REHABILITATION

CMS Doctors & Clinicians file

7567 Central Parke Blvd
Mason, OH 45040

OXFORD PHYSICAL THERAPY AND REHABILITATION

CMS Doctors & Clinicians file

7567 Central Parke Blvd
A
Mason, OH 45040

What does the Medicare billing file show?

In the 2024 CMS provider billing file, this NPI had 438 Medicare beneficiaries and 5,832 total services. The average beneficiary age was 76, and the average HCC risk score was 1.5.

Total Medicare allowed amount

$204,520.90

Total Medicare payment amount

$153,235.23

Medicare beneficiaries

438

Total services

5,832

Which patient-panel condition fields does CMS report?

These percentages describe the Medicare beneficiary panel in the CMS utilization file. They are not a diagnosis for any individual patient and are not a quality score.

Hyperlipidemia

75%

CMS beneficiary-panel share

Hypertension

75%

CMS beneficiary-panel share

Anxiety

41%

CMS beneficiary-panel share

Mood disorders

41%

CMS beneficiary-panel share

Depression

38%

CMS beneficiary-panel share

Ischemic heart disease

37%

CMS beneficiary-panel share

Where these service numbers come from, and what they cannot tell you

Amounts shown are average Medicare-approved amounts per billed unit in CMS records. What a person pays depends on current coverage and cannot be read from this table alone.

Which Medicare services appear most often?

Highest-volume Medicare services, 2024 reporting year
CMS service descriptionServicesAvg allowed
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more337$123.11
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more143$174.49
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more99$86.96
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more60$211.85
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more46$162.06
Measurement of brain wave activity (eeg), awake and drowsy40$54.29
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes29$168.68
Measurement of brain wave activity (eeg), awake and drowsy22$365.88
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes14$126.89

Where these Part D numbers come from, and what they cannot tell you

CMS data reports historical prescription drug events attributed to NPI 1528003548. Formularies, copays, prior authorization, and step therapy rules vary by current coverage.

Which drugs did Marsha S Smith, MD prescribe most often under Medicare Part D?

Top 10 Medicare Part D drugs for NPI 1528003548, ranked by total claims in the CMS 2024 provider-and-drug file
RankDrugGeneric nameTotal claims30-day fillsTotal drug cost
1Carbidopa-LevodopaCarbidopa/Levodopa5911,246.8$15,811.63
2Memantine HclMemantine Hcl257524$9,924.78
3PrimidonePrimidone242575.4$7,333.56
4Galantamine ErGalantamine Hbr240488.4$27,268.70
5GabapentinGabapentin216332.6$2,258.45
6LamotrigineLamotrigine121185.4$1,551.51
7Carbidopa-Levodopa ErCarbidopa/Levodopa107226.7$3,562.96
8Duloxetine HclDuloxetine Hcl105219$2,136.54
9Trihexyphenidyl HclTrihexyphenidyl Hcl94173.6$912.65
10Memantine Hcl ErMemantine Hcl92217.2$12,040.28

CMS Part D records are historical aggregate claims data. They do not include current formulary status, pharmacy price, prior-authorization rules, network-directory status, or clinical-outcome data.

What background fields does CMS report?

Medical school

Temple University School Of Medicine

Graduation year

1999

Group/practice field

Riverhills Healthcare Inc

Telehealth reported

Not reported

What can this data not tell us?

  • Billing data and prescribing data come from different CMS files. Neither one measures clinical outcomes, and neither one tells you whether this doctor is in a specific plan's network.
  • Part D records do not report current medication use, plan coverage, price, pharmacy availability, or plan-directory status.
  • Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.
  • CMS billing data does not list Medicare Advantage plan-directory status for this doctor.
  • CMS service and prescribing records are historical public-use aggregates; they do not report current appointment availability, clinical outcomes, or patient-specific medical advice.
  • Part D provider-and-drug records do not include current formulary status, copay amount, pharmacy price, prior-authorization rules, or step-therapy rules.

What should you verify separately?

Verify plan-directory status, drug formulary rules, pharmacy pricing, appointment availability, and clinical questions against current plan documents and the relevant provider or care team.

Which CMS sources support this page?

The numbers above come from CMS public-use files for this NPI. Each link identifies the CMS release used and the retrieval date.

What caveats apply to this page?
  • CMS billing and utilization files do not list Medicare Advantage plan networks, appointment availability, or clinical outcomes.
  • Part D provider-and-drug files are historical aggregate claims data; they do not report current medication lists, plan coverage, pharmacy price, or prior-authorization rules.
  • Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.