Physician

Edward Paul Smith, MD

According to 2025 Medicare claims, Edward Smith, MD (NPI: 1447216734) practices internal medicine in the Winchester, VA-WV market, with the plurality of this provider's patient population coming from Frederick, VA. This provider's primary affiliated billing organization is WINCHESTER INTERNAL MEDICINE, INC (NPI: 1730130667; TIN: 540952457) and primary practice location at 22601-2872. Smith is affiliated with the ACO West Virginia (ACO ID: A3563), Aledade 94 VA MSSP Enhanced (ACO ID: A4996), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Smith's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 554 traditional Medicare patients, billed 12,551 HCPCS/CPT codes, and received $416,465 in Medicare payments. The top billing code was 84443 (Blood test, thyroid stimulating hormone (tsh)). Part D data shows 11,745 prescription claims across 649 beneficiaries totaling $971,113 in drug costs, led by Eliquis (Apixaban). DME data shows 647 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Similarly, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and rose steadily, from $21,832 to $44,862.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	726	12,649	$360,165
2016	715	12,728	$370,464
2017	692	12,656	$351,352
2018	678	12,215	$329,239
2019	662	11,708	$335,085
2020	639	10,703	$303,562
2021	609	10,938	$356,892
2022	600	11,291	$373,420
2023	594	11,797	$405,572
2024	554	12,551	$416,465

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	567	11,774	$666,387
2016	582	12,364	$663,965
2017	581	11,709	$683,084
2018	585	11,044	$692,207
2019	593	10,127	$676,001
2020	581	9,561	$672,674
2021	561	9,395	$686,583
2022	588	9,442	$737,234
2023	628	10,199	$896,859
2024	649	11,745	$971,113

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	297	718	$20,458
2016	297	721	$15,307
2017	255	696	$13,424
2018	279	676	$13,140
2019	307	725	$15,916
2020	291	684	$18,185
2021	273	701	$23,296
2022	262	702	$30,311
2023	239	634	$33,130
2024	217	647	$41,698

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
84443	Blood test, thyroid stimulating hormone (tsh)	476	725	$16
80061	Blood test, lipids (cholesterol and triglycerides)	508	1,264	$13
80053	Blood test, comprehensive group of blood chemicals	517	1,353	$10
36415	Insertion of needle into vein for collection of blood sample	521	1,563	$8
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	493	816	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	201	9,180	$175,274
Trulicity	Dulaglutide	174	5,508	$168,038
Jardiance	Empagliflozin	157	6,742	$120,245
Ozempic	Semaglutide	87	3,548	$97,619
Repatha Sureclick	Evolocumab	49	2,333	$42,743

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	13	67	$19,611
A7031	Face mask interface, replacement for full face mask, each	N	19	62	$6,068
A7030	Full face mask used with positive airway pressure device, each	N	18	59	$5,151
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	19	50	$1,956
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	13	31	$1,625

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Edward Paul Smith, MD?

Tedicare shows public-source Medicare data for Edward Paul Smith, MD (NPI 1447216734), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Edward Paul Smith, MD have ACO affiliation data?

Edward Paul Smith, MD is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563), Aledade 94 VA MSSP Enhanced (MSSP, ACO ID A4996), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Edward Paul Smith, MD?

Edward Paul Smith, MD is linked to WINCHESTER INTERNAL MEDICINE, INC (billing NPI 1730130667) in the available physician profile data.

Does Edward Paul Smith, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.