Julian Shane Smith, M.D.

Psychiatry Psychiatry & Neurology

Julian Shane Smith is a Psychiatry Psychiatry & Neurology specialist based in Fresno, CA with over 22 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.

(559) 256-7600Fresno, CA
Telehealth Available
NPI Active per CMS — Q2 2026|Medicare Enrolled|Order & Refer

Julian Shane Smith, M.D. practices as part of a group psychiatry psychiatry & neurology specialist practice in Fresno, CA. Trained at University of California, San Diego School of Medicine (class of 2004), he has been practicing for over 22 years. Among his Medicare patients, common conditions include mood disorders, anxiety, and high cholesterol (per CMS data).

At a glance

  • Uses generic medications more than 88% of reporting doctors in California
  • Virtual visits available — no app or travel required
1 of 1,508 Psychiatry & Neurology providers in CASee all Psychiatry & Neurology in Fresno22+ years experienceNPI since 2006

Older · 1261dNPPES updated 2022-12-09 · verify NPI on CMS · Verify license at Medical Board of California

Contact & Location

Practice Location

1410 F St Ste 110, Fresno, CA 93706-1608

Fax: (559) 256-1081
CMS Clinical Data

How Does This Doctor Compare?

Based on Medicare data, this doctor favors affordable generic drugs over brand-name ones.

Generic Rx

↑ Higher = better

95.1%

California avg: 83.3 · US avg: 82.8

Higher than most doctors nationally(+12.3 pts)

Better than 88% of reporting doctors in California

How often this doctor prescribes affordable generic drugs instead of expensive brand-name ones.

Medicare Patients

69

Unique beneficiaries

Standard volume

Prescription Recipients

83

Patients prescribed

Prescriptions Written

1,719

Total claims

Total Medicare drug cost: $337k

Percentile rankings compared against 9,360 reporting peers in California.

Data Note: Sourced from CMS Medicare Provider Utilization & Payment Data. Percentile rankings compare this provider against all peers with reported data in the same state. Updated annually to reflect the latest federal reporting cycle.

Patient Condition Panel

What This Doctor Treats Most

Based on Medicare claims data — here's what patients commonly see this doctor for

Based on Medicare data, this doctor primarily manages Mood Disorders, Anxiety Disorders, and High Cholesterol.

Mood Disorders
72%

Conditions affecting emotional state, including depression and bipolar disorder

Anxiety Disorders
Higher than avg (+36%)70%

Excessive worry or fear that interferes with daily life

US avg: 34.1%

↑ More patients than average (+36%) — a focus area for this doctor

High Cholesterol
Lower than avg (-12%)58%

Elevated cholesterol or triglycerides that increase heart disease risk

US avg: 70.4%

↓ Fewer patients than average (-12%) — less common here

Hypertension
Lower than avg (-19%)51%

High blood pressure — a leading risk factor for heart disease and stroke

US avg: 70.2%

↓ Fewer patients than average (-19%) — less common here

Bipolar Disorder
46%

A condition with extreme mood swings between emotional highs and lows

Depression
Higher than avg (+13%)45%

A mood disorder causing persistent sadness and loss of interest in activities

US avg: 31.8%

↑ More patients than average (+13%) — a focus area for this doctor

Schizophrenia
41%

A serious mental disorder affecting thinking, emotions, and behavior

Arthritis
Lower than avg (-16%)33%

Joint inflammation causing pain, swelling, and stiffness

US avg: 49.3%

↓ Fewer patients than average (-16%) — less common here

GeneralBehavioralNational avg

Percentage of this provider's Medicare patients diagnosed with each condition. Source: CMS Utilization Data.

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Background & Specialty

Education, training, and specialty classification from CMS NPPES and Medicare records.

Career Journey
  1. Graduated medical school · 2004

    University of California, San Diego School of Medicine

  2. Board certified · Dec 8, 2022

    Self-reported via NPPES

  3. 22 years in practice

    Experienced

Psychiatry & NeurologyAllopathic & Osteopathic Physicians

Psychiatrists are physicians who diagnose and treat mental health conditions including depression, anxiety disorders, bipolar disorder, schizophrenia, PTSD, and substance use disorders. They can prescribe medications and provide psychotherapy.

Taxonomy: 2084P0800X

Education & Training

University of California, San Diego School of Medicine (Class of 2004)

Practice Footprint

Mailing address

Po Box 942030, Plano, TX 75094-2030

Differs from practice location

Primary hospital affiliation: Acute Care Hospitals

CMS Certification Number: 200020

View hospital on Medicare Care Compare

Virtual Psychiatry & Neurology Care With Julian Shane Smith

NPPES records indicate this provider offers telehealth services. Contact the office to confirm availability and scheduling.

Schedule a virtual visit with Julian Shane Smith for mood disorder follow-ups, anxiety counseling, cholesterol management — no travel to Fresno required. The office sends a secure video link before your appointment. Most visits take 15–30 minutes. Medicare enrolled per CMS records.

Frequently Asked Questions

Common questions about Julian Shane Smith

NPI records show Dr. Smith as active with telehealth listed in Fresno, CA. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (559) 256-7600.

Verified across 4 federal data sources

Sourced from CMS NPPES · OIG LEIE · CMS Medicare Part D · CMS Physician Comparator. See Data Methodology.

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Medical Disclaimer: NPI Telehealth is a provider directory for informational purposes only. This page does not constitute medical advice, diagnosis, or treatment recommendations. Provider data is sourced from the CMS NPPES federal registry and public Medicare datasets. NPI Telehealth does not verify clinical qualifications beyond federal records. Data may not reflect real-time availability — always contact the provider's office directly to confirm details before seeking care.

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