Dr. Douglas Smith, M.D.
What this data tells you about Dr. Smith
Dr. Douglas Smith is a radiation oncology specialist in San Marcos, TX, with 19 years of NPI registration. Based on federal Medicare data, Dr. Smith performed 4,220 Medicare services across 3,892 unique beneficiaries.
Between the years covered by Open Payments, Dr. Smith received a total of $848 from 8 pharmaceutical and/or device companies across 15 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in radiation oncology. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Smith is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
Medicare Practice Summary
Medicare Utilization ↗Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Chest X-ray, 1 view | 830 | $6 | $50 |
| CT scan of head/brain, without contrast | 312 | $29 | $200 |
| Screening mammography | 292 | $35 | $84 |
| 3D screening mammography (tomosynthesis) | 291 | $28 | $95 |
| CT scan of abdomen and pelvis with contrast | 176 | $64 | $460 |
| Bone density scan (DEXA) | 146 | $9 | $110 |
| Knee X-ray, 3 views | 130 | $6 | $55 |
| X-ray of abdomen, 1 view | 91 | $6 | $40 |
| Imaging guidance for procedure, 60 minutes or less | 90 | $12 | $100 |
| X-ray of knee, 1-2 views | 77 | $6 | $45 |
| Chest X-ray, 2 views | 72 | $8 | $60 |
| X-ray of hand, minimum of 3 views | 72 | $6 | $41 |
| X-ray of wrist, minimum of 3 views | 71 | $6 | $40 |
| Complete ultrasound scan behind abdominal cavity | 70 | $25 | $175 |
| Ct scan of blood vessels of chest with contrast | 66 | $63 | $450 |
| Ultrasound study of arm and leg arteries | 62 | $9 | $50 |
| Ct scan of upper spine without contrast | 61 | $35 | $225 |
| Ultrasound of leg arteries or artery grafts | 61 | $26 | $150 |
| CT scan of chest, without contrast | 59 | $39 | $270 |
| X-ray of ankle, minimum of 3 views | 56 | $6 | $50 |
| Ultrasound study of one arm or leg veins with compression and maneuvers | 56 | $15 | $100 |
| Ultrasound of both sides of head and neck blood flow | 50 | $28 | $150 |
| Mri scan of brain without contrast | 45 | $51 | $350 |
| Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 45 | $22 | $35 |
| Mri scan of brain before and after contrast | 43 | $84 | $500 |
| Ct scan of blood vessels of neck with contrast | 42 | $62 | $450 |
| Ct scan of chest with contrast | 42 | $38 | $300 |
| Ct scan of blood vessels of head with contrast | 36 | $61 | $350 |
| Ultrasound study of arm or leg veins with compression and maneuvers | 36 | $24 | $130 |
| Limited ultrasound scan of abdomen | 34 | $20 | $150 |
| Ultrasound scan of head and neck soft tissue | 33 | $19 | $185 |
| X-ray of lower and sacral spine, minimum of 4 views | 32 | $9 | $90 |
| X-ray of lower leg, 2 views | 32 | $5 | $45 |
| X-ray of lower and sacral spine, 2-3 views | 28 | $7 | $60 |
| Low dose ct scan of chest for lung cancer screening | 27 | $50 | $200 |
| X-ray of ribs on side of body, minimum of 3 views | 25 | $9 | $70 |
| X-ray of upper arm, minimum of 2 views | 25 | $6 | $45 |
| Limited ultrasound scan of 1 breast | 25 | $24 | $140 |
| Diagnostic mammography of 1 breast | 25 | $26 | $75 |
| Ct scan of face without contrast | 23 | $26 | $200 |
| X-ray of both hips, 3-4 views | 23 | $10 | $65 |
| Ct scan of lower spine without contrast | 21 | $32 | $225 |
| Diagnostic mammography of both breasts | 21 | $35 | $84 |
| Complete ultrasound scan of abdomen | 20 | $24 | $175 |
| X-ray of upper spine, 2-3 views | 19 | $7 | $65 |
| X-ray of elbow, minimum of 3 views | 19 | $6 | $45 |
| X-ray of thigh bone, minimum 2 views | 19 | $6 | $40 |
| X-ray of middle spine, 3 views | 18 | $8 | $60 |
| Mri scan of upper spinal canal without contrast | 18 | $54 | $315 |
| Foot X-ray, 3+ views | 18 | $6 | $35 |
| Shoulder X-ray, 2+ views | 17 | $7 | $59 |
| X-ray of elbow, 2 views | 17 | $6 | $40 |
| Ct scan of leg without contrast | 17 | $36 | $200 |
| Nuclear medicine study of bone and/or joint whole body | 17 | $27 | $250 |
| X-ray of forearm, 2 views | 16 | $6 | $40 |
| Mri scan of leg joint without contrast | 16 | $45 | $300 |
| Ct scan of abdomen and pelvis without contrast | 15 | $60 | $430 |
| Ultrasound scan of abdominal aorta | 15 | $25 | $130 |
| X-ray of pelvis, 1-2 views | 14 | $6 | $55 |
| Limited ultrasound scan of joint or other extremity structure except blood vessels | 13 | $25 | $75 |
| Mri scan of lower spinal canal without contrast | 12 | $54 | $315 |
| X-ray lower and sacral spine, minimum of 6 views | 11 | $11 | $85 |
| X-ray of finger, minimum of 2 views | 11 | $5 | $31 |
| Hip X-ray, 2-3 views | 11 | $7 | $60 |
| X-ray of both knees while standing | 11 | $6 | $35 |
| Ct scan of abdomen and pelvis before and after contrast | 11 | $74 | $500 |
| Ultrasound scan of scrotum | 11 | $22 | $125 |
Industry Payment Transparency
Open Payments through 2024 ↗Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
Payments by company (2024)
Associated products mentioned in payments ›
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Smith is a mixed practice specialist, with above-average Medicare volume (top 22% in TX), with low-engagement industry engagement, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
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All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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