Paul Grayson Smith, D.O.

Family Medicine

Paul Grayson Smith is a Family Medicine specialist based in Cleveland, TN with over 22 years of clinical experience. Medicare-enrolled per CMS records and offers virtual telehealth visits.

(423) 472-6548Cleveland, TN
Telehealth Available
NPI Active per CMS — Q2 2026|Medicare Enrolled|Order & Refer

Paul Grayson Smith, D.O. has practiced family medicine for 22+ years, working in group practice. A At Still University of Health Sciences, College of Osteo Med, Kirksville graduate since 2004, he brings 22+ years of experience. He regularly sees Medicare patients with hypertension, high cholesterol, and arthritis (per CMS claims data). CMS MIPS quality score: 92.28/100 (2023).

At a glance

  • Uses generic medications more than 73% of reporting doctors in Tennessee
  • Federal MIPS score higher than 34% of MIPS-scored doctors in Tennessee
  • Virtual visits available — no app or travel required
1 of 263 Family Medicine providers in TNSee all Family Medicine in Cleveland22+ years experienceNPI since 2006

Older · 6760dNPPES updated 2007-11-19 · verify NPI on CMS · Verify license at Tennessee Board of Medical Examiners

Contact & Location

Practice Location

2121 N Ocoee St Suite 101, Cleveland, TN 37311-3953

Fax: (423) 472-8318
CMS Clinical Data

How Does This Doctor Compare?

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

MIPS Score

2023

92.28/100

Tennessee avg: 89 · US avg: 83.6

Higher than most doctors nationally(+8.7 pts)

How the government rates this doctor's Medicare care quality. Scores above 75 are considered good.

Generic Rx

↑ Higher = better

91%

Tennessee avg: 83.2 · US avg: 82.8

Higher than most doctors nationally(+8.2 pts)

Better than 73% of reporting doctors in Tennessee

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

Medicare Patients

411

Unique beneficiaries

Standard volume

Prescription Recipients

848

Patients prescribed

Prescriptions Written

12,847

Total claims

Total Medicare drug cost: $878k

Percentile rankings compared against 1,167 reporting peers in Tennessee.

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 Hypertension, High Cholesterol, and Arthritis.

Hypertension
Higher than avg (+5%)75%

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

US avg: 70.2%

↑ More patients than average (+5%) — a focus area for this doctor

High Cholesterol
Higher than avg (+5%)75%

Elevated cholesterol or triglycerides that increase heart disease risk

US avg: 70.4%

↑ More patients than average (+5%) — a focus area for this doctor

Arthritis
Lower than avg (-6%)43%

Joint inflammation causing pain, swelling, and stiffness

US avg: 49.3%

↓ Fewer patients than average (-6%) — less common here

Diabetes
Lower than avg (-1%)33%

A condition where the body cannot properly regulate blood sugar levels

US avg: 34.5%

↓ Fewer patients than average (-1%) — less common here

Chronic Kidney Disease
Lower than avg (-7%)23%

Gradual loss of kidney function over time, often linked to diabetes or hypertension

US avg: 29.6%

↓ Fewer patients than average (-7%) — less common here

Anxiety Disorders
Lower than avg (-12%)22%

Excessive worry or fear that interferes with daily life

US avg: 34.1%

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

GeneralBehavioralNational avg

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

Industry Payment Transparency

$242 received from industry

2 transactions reported in 2018 ·Low tier

View on CMS Open Payments →

Payments include consulting fees, speaking honoraria, food & beverage, travel, research support, and ownership interests from drug and medical device manufacturers. Disclosure is required by the federal Physician Payments Sunshine Act. These payments do not necessarily indicate conflicts of interest. National median: $338 across 136 000 tracked providers.

Tiers — Low: under $500 · Moderate: $500-5 000 · High: $5 000-25 000 · Very High: $25 000+. Source: CMS Open Payments 2018, attributed to Paul Grayson Smith's NPI.

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Background & Specialty

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

Career Journey
  1. Graduated medical school · 2004

    A.T. Still University Kirksville College of Osteopathic Medicine

  2. 22 years in practice

    Experienced

Family MedicineAllopathic & Osteopathic Physicians

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Taxonomy: 207Q00000X

Education & Training

At Still University of Health Sciences, College of Osteo Med, Kirksville (Class of 2004)

Practice Footprint

Mailing address

525 Hunt Cliff Dr Nw, Cleveland, TN 37311-1642

Differs from practice location

Virtual Family Medicine Care With Paul Grayson Smith

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

Schedule a virtual visit with Paul Grayson Smith for blood pressure monitoring, cholesterol management, arthritis follow-ups — no travel to Cleveland 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 Paul Grayson Smith

Dr. Smith is listed as active in the NPI registry with telehealth listed in Cleveland, TN. NPI status alone doesn't confirm open availability — call the office to confirm. Phone: (423) 472-6548.

Verified across 6 federal data sources

Sourced from CMS NPPES · OIG LEIE · CMS QPP 2023 · CMS Medicare Part D · CMS Open Payments 2018 · 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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