Physician

Ellison Leon Smith, M.D.

According to 2025 Medicare claims, Ellison Smith, M.D. (NPI: 1538123989) practices rheumatology in the Asheville, NC market, with the plurality of this provider's patient population coming from Buncombe, NC. This provider's primary affiliated billing organization is ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER, P.A. (NPI: 1780647578; TIN: 56-1426545) and primary practice location at 28803-1700. Smith is affiliated with the Mission Health Partners, LLC (ACO ID: A2591), participating under the MSSP model.

Smith's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 451 traditional Medicare patients, billed 194,908 HCPCS/CPT codes, and received $2,156,062 in Medicare payments. The top billing code was G2211 (Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's). Part D data shows 3,284 prescription claims across 373 beneficiaries totaling $4,056,604 in drug costs, led by Enbrel Sureclick (Etanercept). 2019 DME data shows 11 claims. Open Payments data shows 10 records totaling $214. 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. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $1,682,153 to $4,056,604. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$1.4M$2.7M2015 Medicare payment: $1,684,770 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $2,180,256 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $2,578,707 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $2,738,655 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,504,328 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,438,579 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,441,398 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,063,035 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,125,049 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,156,062 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015576102,674$1,684,770
2016627155,549$2,180,256
2017608154,688$2,578,707
2018556139,647$2,738,655
2019566162,723$2,504,328
2020493169,726$2,438,579
2021472148,778$2,441,398
2022475144,250$2,063,035
2023469180,510$2,125,049
2024451194,908$2,156,062

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$2.1M$4.2M2015 Drug cost: $1,682,153 (USD; Tot_Drug_Cst)2016 Drug cost: $1,928,895 (USD; Tot_Drug_Cst)2017 Drug cost: $2,274,879 (USD; Tot_Drug_Cst)2018 Drug cost: $2,867,375 (USD; Tot_Drug_Cst)2019 Drug cost: $3,092,463 (USD; Tot_Drug_Cst)2020 Drug cost: $3,365,246 (USD; Tot_Drug_Cst)2021 Drug cost: $3,828,805 (USD; Tot_Drug_Cst)2022 Drug cost: $4,086,441 (USD; Tot_Drug_Cst)2023 Drug cost: $4,235,893 (USD; Tot_Drug_Cst)2024 Drug cost: $4,056,604 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154545,301$1,682,153
20164675,274$1,928,895
20174655,337$2,274,879
20184705,027$2,867,375
20194484,434$3,092,463
20204304,202$3,365,246
20214203,848$3,828,805
20224023,530$4,086,441
20233823,381$4,235,893
20243733,284$4,056,604

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$732$1.5K2019 Medicare payment: $1,463 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/R11$1,463
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's289540$12
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count279755$8
86140Measurement c-reactive protein for detection of infection or inflammation279755$5
82565Blood creatinine level301794$5
85652Red blood cell sedimentation rate, to detect inflammation, automated279754$3

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Enbrel SureclickEtanercept1012,920$845,038
Humira(Cf) PenAdalimumab661,848$601,026
SimponiGolimumab762,212$467,738
Xeljanz XrTofacitinib Citrate672,010$391,486
EnbrelEtanercept421,372$373,935

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.10$214Novartis Pharmaceuticals Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Ellison Leon Smith, M.D.?

Tedicare shows public-source Medicare data for Ellison Leon Smith, M.D. (NPI 1538123989), 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 Ellison Leon Smith, M.D. have ACO affiliation data?

Ellison Leon Smith, M.D. is shown with ACO affiliation data for Mission Health Partners, LLC (MSSP, ACO ID A2591).

What billing organization is linked to Ellison Leon Smith, M.D.?

Ellison Leon Smith, M.D. is linked to ASHEVILLE ARTHRITIS AND OSTEOPOROSIS CENTER, P.A. (billing NPI 1780647578) in the available physician profile data.

Does Ellison Leon Smith, M.D. have Open Payments data?

Ellison Leon Smith, M.D. has 10 connected Open Payments records in the available 2024 summary 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.