https://doctransparency.com/doctor/tx/texarkana/malcolm-smith-1174525174
Medicare Enrolled

Dr. Malcolm Smith, MD

Pulmonary Disease · Texarkana, TX
Practice pattern: Mixed Practice— Diverse clinical practice across multiple procedure types
Low-engagement
5002 COWHORN CREEK RD, Texarkana, TX 75503
9036143000
In practice since 2005 (20 years)
NPI: 1174525174 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Smith from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Smith? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Smith

Dr. Malcolm Smith is a pulmonary disease in Texarkana, TX, with 20 years in practice. Based on federal Medicare data, Dr. Smith performed 4,847 Medicare services across 4,149 unique beneficiaries.

Between the years covered by Open Payments, Dr. Smith received a total of $10,686 from 49 pharmaceutical and/or device companies across 404 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in pulmonary disease. 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.

✓ 20 years in practice▲ Top 5% volume in TX$ $10,686 industry payments

Medicare Practice Summary

Medicare Utilization ↗
4,847
Medicare services
Top 5% in TX for pulmonary disease
4,149
Unique beneficiaries
$66
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~242 Medicare services per year of practice

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.

ProcedureVolumeAvg. paidAvg. submitted
EKG interpretation and report1,578$6$38
Office visit, established patient (30-39 min)348$91$245
Test to determine lung volumes using sensors314$39$115
Test to examine how well the lungs exchange gases295$41$150
Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist291$6$10
Office visit, established patient (20-29 min)250$60$175
Test to measure expiratory airflow and volume changes before and after medication administration225$28$132
Sleep study in sleep lab with continuous airway pressure (6 years or older)225$465$1,829
Chest X-ray, 2 views184$15$44
Sleep study in sleep lab (6 years or older)154$446$1,673
Hospital follow-up visit, moderate complexity140$61$142
Therapy procedure using a positive pressure ventilator124$45$130
Test to measure expiratory airflow and volume105$19$107
Drainage of fluid from chest cavity with insertion of indwelling tube using imaging guidance73$117$1,190
Irrigation and suction of lung airways to obtain cells using an endoscope56$25$250
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes55$10$100
Exam of lung airways using an endoscope49$0$250
Blood draw (venipuncture)45$8$20
Biopsy of lobe of lung using an endoscope, 1 lobe40$76$1,090
Test to measure oxygen level in blood using ear or finger device multiple times39$2$79
Initial hospital admission, moderate complexity37$101$255
Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope25$138$1,345
Critical care, first 30-74 min24$166$525
Test to measure oxygen level in blood using ear or finger device continuously overnight23$17$80
New patient office visit (45-59 min)23$113$315
Evaluation of sleep-disordered breathing by examination of upper airway using an endoscope18$71$215
Computer-assisted image-guided navigation of lung airways using an endoscope17$68$200
Initial hospital admission, high complexity17$135$375
Sleep study including heart rate, breathing, airflow, and effort16$34$135
New patient office visit (30-44 min)16$79$215
Hospital follow-up visit, low complexity16$39$88
Complete blood count (CBC) with differential13$8$48
Delineation of thoracic targets for radiation therapy12$160$450
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.2% high complexity
2.8% medium
96.9% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$10,686
Total received (2018-2024)
Avg $1,527/year across 7 years
Top 19% in TX for pulmonary disease
49
Companies
404
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$10,196 (95.4%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$489 (4.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,409
2023
$4,657
2022
$1,440
2021
$767
2020
$295
2019
$517
2018
$602

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Inspire Medical Systems, Inc.
$1,716
ZOLL Respicardia, Inc.
$1,303
GlaxoSmithKline, LLC.
$1,284
Actelion Pharmaceuticals US, Inc.
$844
United Therapeutics Corporation
$814
Insmed, Inc.
$624
Boehringer Ingelheim Pharmaceuticals, Inc.
$530
AstraZeneca Pharmaceuticals LP
$459
Harmony Biosciences LLC
$292
Amgen Inc.
$184
GENZYME CORPORATION
$183
Astellas Pharma US Inc
$160
Takeda Pharmaceuticals U.S.A., Inc.
$156
Axsome Therapeutics, Inc.
$154
Mallinckrodt Hospital Products Inc.
$151
Inogen, Inc.
$150
HARMONY BIOSCIENCES LLC
$143
Sunovion Pharmaceuticals Inc.
$131
JAZZ PHARMACEUTICALS INC.
$108
Grifols USA, LLC
$105
Vifor Pharma, Inc.
$92
Fresenius USA Marketing, Inc.
$81
Jazz Pharmaceuticals Inc.
$78
Pulmonx Corporation
$78
Regeneron Healthcare Solutions, Inc.
$70
Mylan Specialty L.P.
$67
Genentech USA, Inc.
$66
Baxter Healthcare
$64
Avadel CNS Pharmaceuticals, LLC
$57
Merck Sharp & Dohme Corporation
$53
Pharming Healthcare, Inc.
$52
Philips Electronics North America Corporation
$48
Lilly USA, LLC
$43
INOGEN, INC.
$34
Otsuka America Pharmaceutical, Inc.
$33
IDORSIA PHARMACEUTICALS US INC
$32
Novartis Pharmaceuticals Corporation
$29
Vapotherm Inc
$27
Alnylam Pharmaceuticals Inc.
$25
Fisher & Paykel Healthcare Inc
$22
Janssen Pharmaceuticals, Inc
$22
Paratek Pharmaceuticals, Inc.
$18
Ultragenyx Pharmaceutical Inc.
$17
Medtronic, Inc.
$16
Alexion Pharmaceuticals, Inc.
$16
Advanced Respiratory, Inc
$14
Electromed, Inc.
$14
Allergan Inc.
$13
Harmony Biosciences Llc
$12
Top 3 companies account for 40.3% of total payments
Associated products mentioned in payments ›
(8874) inCourage · ACTHAR · AIRSUPRA · ANORO · ANORO ELLIPTA · AREXVY · ASMANEX · AVYCAZ · Alecensa · Arikayce · BEVESPI AEROSPHERE · BREZTRI · BROVANA · CHARTIS CATHETER · Cresemba · DIFICID · DUPIXENT · Dymista · Enbrel · Esbriet · FASENRA · FISHER & PAYKEL HEALTHCARE · FORTEO · GLASSIA · Hillrom - Life 2000 Ventilation System · Hillrom - Vest System Model 105 Home Care · ILLUMISITE · IMFINZI · INOGEN ONE G5 OXYGEN CONCENTRATOR - BLUETOOTH · INSPIRE · Inspire Upper Airway Stimulation System · JYNARQUE · LONHALA MAGNAIR · LUMRYZ · NUCALA · NUZYRA · OFEV · OPSUMIT · OPSUMIT MACITENTAN · ORENITRAM · OXLUMO · Parsabiv · Perforomist · Precision Flow · Prolastin-C Liquid · QUVIVIQ · SMARTVEST · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Sleep Therapy Modems · Sunosi · TALTZ · TEZSPIRE · TRELEGY ELLIPTA · TYVASO · Tavneos · The Vest System Model 105 Home Care · UPTRAVI · Ultomiris · Utibron · Velphoro · Veltassa · WAKIX · Wakix · XARELTO · XOLAIR · XYREM · XYWAV · Xolair · Yupelri · remede System
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (95%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $220 per 100 Medicare services performed
Looking for a pulmonary disease in Texarkana?
Compare pulmonary diseases in the Texarkana area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Pulmonary Diseases within 10 mi
6
Per 100K population
6.5
County median income
$59,295
Nearest hospital
CHRISTUS ST MICHAEL HEALTH SYSTEM
0.0 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/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 5% in TX), and high industry engagement (low-engagement, top 19%), with 20 years of practice experience.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Smith experienced with ekg interpretation and report?
Based on Medicare claims data, Dr. Smith performed 1,578 ekg interpretation and report services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Smith receive payments from pharmaceutical companies?
Yes. Dr. Smith received a total of $10,686 from 49 companies across 404 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Smith's costs compare to other pulmonary diseases in Texarkana?
Dr. Smith's average Medicare payment per service is $66. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Smith) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

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.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →