Physician

Ian R Smithson, MD

According to 2025 Medicare claims, Ian Smithson, MD (NPI: 1891014247) practices hand surgery in the Lynchburg, VA market, with the plurality of this provider's patient population coming from Lynchburg City, VA. This provider's primary affiliated billing organization is ORTHOVIRGINIA, INC. (NPI: 1265470645; TIN: 54-0885859) and primary practice location at 24501-2184.

Smithson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 932 traditional Medicare patients, billed 5,769 HCPCS/CPT codes, and received $274,971 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,106 prescription claims across 393 beneficiaries totaling $11,489 in drug costs, led by Diclofenac Sodium (Diclofenac Sodium). DME data shows 61 claims. Open Payments data shows 1 records totaling $86. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $1,836 to $11,489. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	258	995	$72,421
2017	767	3,066	$226,226
2018	730	2,980	$249,980
2019	817	3,460	$283,670
2020	721	3,109	$285,678
2021	717	3,519	$265,669
2022	816	4,719	$251,908
2023	856	5,181	$271,697
2024	932	5,769	$274,971

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	67	137	$1,836
2017	202	444	$6,700
2018	263	570	$7,048
2019	285	625	$8,001
2020	284	639	$6,902
2021	274	721	$13,655
2022	301	750	$9,159
2023	353	882	$10,686
2024	393	1,106	$11,489

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	18	18	$874
2017	87	98	$10,532
2018	132	136	$21,470
2019	131	135	$20,213
2020	107	108	$18,683
2021	95	109	$16,790
2022	80	80	$13,286
2023	46	46	$6,733
2024	61	61	$7,626

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	320	$89
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	332	458	$63
73130	X-ray of hand, minimum of 3 views	138	198	$25
73030	X-ray of shoulder, minimum of 2 views	147	211	$24
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	300	2,754	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Diclofenac Sodium	Diclofenac Sodium	151	4,918	$2,488
Celecoxib	Celecoxib	81	2,700	$1,819
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	169	1,083	$1,254
Ciclopirox	Ciclopirox	31	761	$1,114
Ondansetron Odt	Ondansetron	129	523	$802

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
L3808	Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment	N	12	12	$3,677
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	N	32	32	$2,092
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	N	17	17	$1,857

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$86	Fortis Surgical, LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Ian R. Smithson, MD?

Tedicare shows public-source Medicare data for Ian R. Smithson, MD (NPI 1891014247), 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 Ian R. Smithson, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Ian R. Smithson, MD?

Ian R. Smithson, MD is linked to ORTHOVIRGINIA, INC. (billing NPI 1265470645) in the available physician profile data.

Does Ian R. Smithson, MD have Open Payments data?

Ian R. Smithson, MD has 1 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.