Dr. Paul Heermans Smith Jr., MD

  • San Antonio, TX
  • Internist
NPI1770585176PAC ID6406889450
Medicare services, 2024
4,032
Medicare patients, 2024
798
Part D claims, 2024
13,494
Publications
4
Hospital affiliations
1
Practice address
6402 N New Braunfels Ave, San Antonio, TX 78209
Practice phone
Call (207) 323-7336
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

BHS Physicians Network, Inc

San Antonio, Texas

See all 11 affiliations

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Dr. Paul Heermans Smith Jr. is an internist in San Antonio, Texas

Dr. Smith practices at BHS Physicians Network, Inc in San Antonio, Texas.

Dr. Smith's NPI, 1770585176, was assigned on August 15, 2005. Dr. Smith graduated from Vanderbilt University School Of Medicine in 1981. Dr. Smith holds Texas license G7003.

NPI and contact details
Medicare PAC ID
6406889450
NPI enumeration date
August 15, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Practice phone
(207) 323-7336
Professional email
Get email
Personal email
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Mobile number
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Sex
Male
Estimated age
71
Medical school graduation
1981

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Paul Heermans Smith Jr. practices at BHS Physicians Network, Inc in San Antonio, Texas

Dr. Smith's primary practice is BHS Physicians Network, Inc, at 6402 N New Braunfels Ave, San Antonio, TX 78209 in Bexar County. The practice phone is (207) 323-7336.

  • BHS Physicians Network, Inc
    6402 N New Braunfels Ave, San Antonio, TX 78209 · Bexar CountyPhone(207) 323-7336

Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data

Dr. Paul Heermans Smith Jr. is affiliated with 10 sites of care and 1 medical group

Dr. Smith's primary practice is BHS Physicians Network, Inc in San Antonio, Texas. Dr. Smith is also affiliated with Baptist Medical Center. The medical group on file is Surgical Oncology Associates of South Texas. Dmand AI also links Dr. Smith to 5 more home health agencies, 1 group practice or clinic, 1 hospice and 1 skilled nursing facility, each named with a free account.

See all 11 affiliations for Dr. Smith

Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Paul Heermans Smith Jr.'s practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Smith practices, 9 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
BHS Physicians Network, IncAvailable with a free account
+9 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Paul Heermans Smith Jr. is one of 8,437 internists in Texas

Internal medicine is Dr. Smith's primary specialty in the NPI Registry, under taxonomy code 207R00000X. Dr. Smith is board certified in internal medicine by the American Board of Internal Medicine. Dmand AI has Dr. Smith's licenses on file in 2 states: Texas and Tennessee.

Specialties and state licenses

  • Internal medicine, TexasPrimaryLicense G7003 · 1984 to 2027 · taxonomy 207R00000X
  • Tennessee license1983 to 1984

Clinical focus

Dmand AI lists acid reflux, acute kidney failure, acute sinusitis, acute skin infection, ADHD, alzheimer's disease, aneurysm and anxiety among the conditions Dr. Smith treats.

Internists near Dr. Smith

Counts of internists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Paul Heermans Smith Jr. billed Medicare for 4,032 services in 2024

CMS data shows 4,032 Medicare services from Dr. Smith across 19 procedure codes in 2024, for 798 Medicare patients. Medicare paid $197,643 for them.

Medicare services, 20244,032
Medicare patients798
Paid by Medicare$197,643
Procedure codes19

Dr. Smith's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 3,0502024: 2,8407%
Surgery
2023: 8032024: 8222%
Tests and treatments
2023: 2832024: 2579%
Other services
2023: 1072024: 1136%

Where Dr. Smith's Medicare services took place, 2024

  • In an office2,65366%
  • In a facility1,37934%

Dr. Smith compared with the Texas median for internists, 2024

  • Dr. Smith
  • Texas median
Medicare services
4,032vs 5397.5 times
Medicare patients
798vs 1904.2 times
Part D claims
12,538vs 28943.4 times

Medians across 7,794 internists in Texas with Dmand AI profiles that report each measure.

Dr. Smith's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Smith

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Paul Heermans Smith Jr. treated 798 Medicare patients in 2024, average age 79

CMS counts 798 Medicare patients who saw Dr. Smith in 2024. The largest group is 75 to 84, with 295 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 2% are also on Medicaid. Their average risk score is 1.28, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Smith's median patient age at 77, with 55% women.

Medicare patients, 2024798
Average age79
Average risk score1.28
Also on Medicaid2%

Dr. Smith's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Smith's Medicare patients by sex, 2024

  • Women45857%
  • Men34043%

Chronic conditions among Dr. Smith's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. Arthritis45%
  4. Ischemic heart disease32%
  5. Anxiety27%
  6. Mood disorders27%
  7. Depression24%
  8. Diabetes24%

Share of Medicare patients with each condition. A patient can have several.

Dr. Smith's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 77

Patient panel by sex, all payers

  • Women55%
  • Men43%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Paul Heermans Smith Jr. wrote 13,494 Medicare Part D claims in 2024

In 2024, Dr. Smith wrote 13,494 Medicare Part D claims for 877 patients. 89% of them were for generic drugs. CMS names the drug for 12,538 of them, across 190 drugs with 11 or more claims each, at $705,936 in total drug cost. In 2023, CMS named 11,595 claims across 183 drugs.

Part D claims, 202413,494
Drugs named by CMS190
Total drug cost$705,936
Part D patients877

Dr. Smith's Part D claims by kind of drug, 2024

  • Generic11,960 claims89%
  • Brand-name1,439 claims11%
  • Other95 claims1%

Dr. Smith's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Smith's Part D claims, 2024

  • Opioids3%410 of 13,494 claims
  • Antibiotics3%441 of 13,494 claims
  • Antipsychotics, patients 65 and over1%136 of 13,494 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 11,5952024: 12,5388%

Drugs named by CMS: 190 in 2024, 183 in 2023.

See all prescribing by Dr. Smith

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Paul Heermans Smith Jr. offers telehealth to Medicare patients

Dr. Smith accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Smith as offering telehealth.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Source: Doctors and Clinicians National Downloadable File (CMS)

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Dr. Paul Heermans Smith Jr. has 4 publications on record

Dmand AI links 4 papers to Dr. Smith in 2014. The most frequent topics are Kidney Neoplasms and Urology. Dr. Smith has published most often in Can J Urol. Dr. Smith's most frequent co-authors are Vanessa L. Elliott, MD, Ross M. Decter, MD and Lewis E. Harpster, MD.

Papers4

Topics Dr. Smith writes about most

  • Kidney Neoplasms
  • Urology

Dr. Smith's most frequent co-authors

Recent publications by Dr. Smith

See all 4 publications and co-authors

See who Dr. Smith researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Smith works with, so you can find a warm path to the right internists.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Paul Heermans Smith Jr. received $809 in industry payments from 2017 to 2024

CMS Open Payments shows 45 general payments to Dr. Smith from 20 drug and device companies from 2017 to 2024. Food and beverage make up the largest share, 100% of the total. Abbvie Inc. paid the most, $153.

General payments to Dr. Smith by program year, 2017 to 2024

Companies that paid Dr. Smith the most, 2017 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Smith

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Paul Heermans Smith Jr. graduated from Vanderbilt University School Of Medicine

Dr. Smith graduated from Vanderbilt University School Of Medicine in 1981.

  1. Medical schoolVanderbilt University School Of Medicine
  2. Board certified in internal medicineAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Paul Heermans Smith Jr. accepts plans from 22 insurance carriers

Dr. Smith is in network with 22 carriers, including Aetna, United Healthcare and Elevance. PPO plans come from the most carriers, 13. Check the plan with the practice before a visit.

Plan types Dr. Smith accepts, by number of carriers

  1. PPO13
  2. HMO12
  3. Medicare8
  4. POS5
  5. EPO4
  6. Medicaid1

Source: Dmand AI Insurance Network Data

Sources for Dr. Paul Heermans Smith Jr.'s profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data
Primary practice, affiliations and health systemNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Paul Heermans Smith Jr.

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Paul Heermans Smith Jr.'s NPI number?

Dr. Paul Heermans Smith Jr.'s NPI number is 1770585176. It was assigned on August 15, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Paul Heermans Smith Jr.?

Dr. Paul Heermans Smith Jr. is an internist in San Antonio, Texas. The primary specialty in the NPI Registry is Internal Medicine Physician (taxonomy code 207R00000X).

Where does Dr. Paul Heermans Smith Jr. practice?

Dr. Smith practices at 6402 N New Braunfels Ave, San Antonio, TX 78209. Dr. Smith's primary practice is BHS Physicians Network, Inc in San Antonio, Texas. Dmand AI also links Dr. Smith to 5 home health agencies, 1 group practice or clinic, 1 hospice and 1 skilled nursing facility.

What is Dr. Paul Heermans Smith Jr.'s office phone number?

The practice phone on file for Dr. Smith is (207) 323-7336.

What is Dr. Paul Heermans Smith Jr.'s medical license number?

Dr. Smith holds Texas license G7003, one of the licenses on file in 2 states.

Which states has Dr. Paul Heermans Smith Jr. been licensed in?

Dmand AI has state licenses on file for Dr. Smith in Texas (1984 to 2027) and Tennessee (1983 to 1984).

Which hospitals is Dr. Paul Heermans Smith Jr. affiliated with?

Dr. Smith is affiliated with Baptist Medical Center.

What medical group is Dr. Paul Heermans Smith Jr. part of?

Dr. Smith is linked to Surgical Oncology Associates of South Texas.

Does Dr. Paul Heermans Smith Jr. accept Medicare?

Yes. CMS data shows Dr. Smith billed Medicare for 4,032 services in 2024, and Dr. Smith accepts Medicare assignment.

Does Dr. Paul Heermans Smith Jr. offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Smith as offering telehealth services.

Show 10 more questionsShow fewer questions

How many Medicare patients does Dr. Paul Heermans Smith Jr. see?

CMS counts 798 Medicare patients who saw Dr. Smith in 2024, with an average age of 79.

Is Dr. Paul Heermans Smith Jr. board certified?

Yes. Dr. Smith is board certified in internal medicine by the American Board of Internal Medicine.

What services does Dr. Paul Heermans Smith Jr. bill to Medicare?

In 2024, Dr. Smith's most billed Medicare services were nursing facility care (99307), surgery: heart and blood vessels (36415) and office visit, established patient (99213).

Where did Dr. Paul Heermans Smith Jr. go to medical school?

Dr. Smith graduated from Vanderbilt University School Of Medicine in 1981.

What drugs does Dr. Paul Heermans Smith Jr. prescribe most?

In 2024 Medicare Part D data, Dr. Smith's most prescribed drugs by claims were Levothyroxine Sodium, Atorvastatin Calcium and Losartan Potassium.

Has Dr. Paul Heermans Smith Jr. received payments from drug or device companies?

CMS Open Payments shows $809 in general payments to Dr. Smith from 20 companies from 2017 to 2024. The largest total came from Abbvie Inc.

How long has Dr. Paul Heermans Smith Jr. been practicing?

Dr. Smith graduated from medical school in 1981, 45 years ago.

Does Dr. Paul Heermans Smith Jr. do research?

Dmand AI links 4 publications to Dr. Smith.

Who does Dr. Paul Heermans Smith Jr. publish with?

Dr. Smith's most frequent co-authors are Vanessa L. Elliott, MD (2 shared papers), Ross M. Decter, MD (1 shared paper) and Lewis E. Harpster, MD (1 shared paper).

What insurance does Dr. Paul Heermans Smith Jr. accept?

Dr. Smith is in network with 22 carriers, including Aetna, United Healthcare and Elevance. PPO plans come from the most carriers, 13. Check the plan with the practice before a visit.

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