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Neil A Smith, DO

Psychiatry · Salinas

NPI 1578628053

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
3

Offices

3 locations · County of Monterey · Solomon Medical Inc

Looking this up.

Hospitals listed: Community Hospital of the Monterey Peninsula. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Smith’s office to ask if they take your plan before you enroll.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Community Hospital of the Monterey PeninsulaMonterey, CAAcute Care Hospital · Voluntary non-profit - Private · Has an emergency department · Birthing-friendlyPart of Montage HealthPatients rate it 4 of 5 · 84% would definitely recommend it
    Overall rating: 4 of 5 starsWorse than the national rate — CMS Medicare PSI 90: Patient safety and adverse events composite: 1.48 (1.22 to 1.74), Jul 2022 – Jun 2024Worse than the national rate — Postoperative acute kidney injury requiring dialysis rate: 3.12 (1.69 to 4.56) · 1,095 cases, Jul 2022 – Jun 2024Worse than the national rate — Postoperative respiratory failure rate: 19.24 (14.17 to 24.3) · 1,118 cases, Jul 2022 – Jun 2024Worse than the national rate — Postoperative sepsis rate: 9.62 (6.42 to 12.82) · 1,086 cases, Jul 2022 – Jun 2024Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.39, Oct 2024 – Sep 2025
See every measure and the patient survey for Community Hospital of the Monterey Peninsula

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 1 better, 5 the same, 1 worse of 7 measures. Readmissions: 0 better, 11 the same, 0 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Community Hospital of the Monterey Peninsula
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.48 (1.22 to 1.74)WorseJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths3.12 (1.69 to 4.56) · 1,095 casesWorseJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths19.24 (14.17 to 24.3) · 1,118 casesWorseJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths9.62 (6.42 to 12.82) · 1,086 casesWorseJul 2022 – Jun 2024
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.39BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.27 (0.39 to 2.16) · 1,873 casesNo differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths158.2 (110.65 to 205.75) · 140 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.3 · 74 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6.8 · 135 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10 · 184 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths9.7 · 686 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths16.4 · 1,072 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths8 · 328 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths2.8 · 3,300 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.29 (0.11 to 0.48) · 10,234 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.28 (0.1 to 0.46) · 10,572 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths3.25 (1.47 to 5.04) · 2,617 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.37 (1.04 to 3.7) · 2,519 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths2.21 (0.75 to 3.66) · 744 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.61 (0.06 to 1.17) · 8,715 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.2 · 156 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.28No differentOct 2024 – Sep 2025
MRSA BacteremiaInfections0.799No differentOct 2024 – Sep 2025
SSI - Colon SurgeryInfections0.732No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits13.7 · 152 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits20.6 · 625 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits6.3 · 193 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits-3.2 · 749 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits7 · 1,074 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits18.5 · 850 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits4 (2.7 to 5.8) · 224 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits13.5 (10.4 to 17.4) · 224 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.7 · 153 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.5 · 49 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits19.3 · 144 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits14.2 (10.9 to 18.6) · 711 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1.2 (1 to 1.5) · 746 casesNo differentJan 2024 – Dec 2024

What patients said (520 patients answered, 28% of those asked)

Patient survey stars by topic at Community Hospital of the Monterey Peninsula
Cleanliness4
Nurse communication4
Doctor communication4
Communication about medicines3
Discharge information3
Overall hospital rating5
Quietness3
Recommend hospital5
Share of patients giving the best answer at Community Hospital of the Monterey Peninsula
Room was "always" clean75%
Nurses "always" communicated well82%
Doctors "always" communicated well81%
Staff "always" explained62%
Yes, staff "did" give patients this information86%
Yes, staff "did" give patients information about help after discharge84%
Doctors "always" explained things so they could understand75%
Doctors "always" listened carefully79%
Doctors "always" treated them with courtesy and respect89%
Patients who gave a rating of "9" or "10" (high)82%
Staff "always" explained new medications79%
Nurses "always" explained things so they could understand79%
Nurses "always" listened carefully77%
Nurses "always" treated them with courtesy and respect89%
"Always" quiet at night54%
"YES", patients would definitely recommend the hospital84%
Staff "always" explained possible side effects46%
Yes, staff "did" give patients information about possible symptoms88%

Original Medicare doctor bills

$18,144

Medicare paid this office $18,144 for 23 people. Most of that is long return visits and Botox.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Long return visit (40+ min)23$18,144$112

Who their Medicare patients are

23 Original Medicare patients in 2024. Average age 72 · Also on Medicaid 100% · Health risk score 2.59. Sicker patients than 9 in 10 peers; the typical psychiatry clinician is at 1.35.

Conditions among them: High blood pressure 75% · COPD 52% · Diabetes 48%.

The office billed $191,763, Medicare allowed $23,832 and paid $18,144; for 162 services of 1 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
202423162722.59$191,763$18,144
202324148722.22$124,976$16,854
202221153712.00$136,199$18,508
202118103712.09$94,430$12,236
202018117722.71$87,884$10,958
20191788722.17$50,144$7,831
20181954732.52$31,440$4,614
20171745722.90$25,238$3,870
20161221602.10$7,514$1,677

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 1 service

Original Medicare services billed in 2023
Long return visit (40+ min)24$16,722$115

2022: 1 service

Original Medicare services billed in 2022
Long return visit (40+ min)21$18,508$121

2021: 1 service

Original Medicare services billed in 2021
Long return visit (40+ min)18$12,236$119

2020: 1 service

Original Medicare services billed in 2020
Long return visit (40+ min)18$10,958$94

2019: 1 service

Original Medicare services billed in 2019
Long return visit (40+ min)17$7,702$90

2018: 1 service

Original Medicare services billed in 2018
Long return visit (40+ min)19$4,553$86

2017: 1 service

Original Medicare services billed in 2017
Long return visit (40+ min)17$3,809$87

Drugs they prescribed that Part D paid

$124,580

Pharmacies billed $124,580 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 0% of their Part D prescriptions (0 of 1,309) in 2024. At or below the middle of the specialty; the typical psychiatry clinician is at 0%.

1,251 generic and 58 brand-name prescriptions · $124,580 in drug cost · 675 antipsychotic prescriptions to people over 65.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Invega Sustenna30$85,664$2,855
Vraylar12$15,963$1,330
Lurasidone12$5,348$446
Clozapine131$3,963$30
Clozapine Odt19$2,939$155
See all 29 drugs
Every Part D drug this clinician prescribed
Invega Sustenna30$85,664$2,855
Vraylar12$15,963$1,330
Lurasidone12$5,348$446
Clozapine131$3,963$30
Clozapine Odt19$2,939$155
Aripiprazole138$2,046$15
Quetiapine175$1,424$8
Olanzapine84$1,068$13
Divalproex Sodium Er84$1,059$13
Haloperidol37$548$15
Divalproex38$526$14
Olanzapine Odt17$520$31
Duloxetine36$475$13
Risperidone72$343$5
Perphenazine12$336$28
Trazodone58$302$5
Lorazepam69$216$3
Quetiapine Fumarate Er12$190$16
Venlafaxine Hcl Er22$171$8
Clonazepam44$170$4
Buspirone15$154$10
Fluoxetine46$154$3
Haloperidol Decanoate13$140$11
Benztropine Mesylate15$110$7
Lithium Carbonate22$104$5
Sertraline24$99$4
Escitalopram15$68$5
Lamotrigine21$68$3
Gabapentin13$48$4

Year by year

Part D prescribing by year
20241,309320% (0)4%$124,580
20231,469340% (0)5%$140,312
20221,224320% (0)7%$169,820
2021838220% (0)9%$133,343
2020977230% (0)11%$211,864
20191,121360% (0)12%$241,392
20181,003450% (0)12%$206,402
2017742200% (0)16%$141,547
201675180% (0)None$3,691

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 28 drugs

Part D drugs prescribed in 2023
Invega Sustenna17$45,108$2,653
Vraylar18$26,191$1,455
Aripiprazole116$19,141$165
Quetiapine229$5,697$25
Olanzapine91$4,995$55
Divalproex Sodium Er98$4,739$48
Clozapine135$4,630$34
Olanzapine Odt27$2,905$108
Divalproex44$1,511$34
Risperidone74$1,500$20
Duloxetine36$1,340$37
Clonazepam56$1,291$23
Lorazepam95$1,234$13
Buspirone16$1,056$66
Haloperidol30$985$33
Perphenazine12$968$81
Trazodone62$937$15
Fluoxetine60$596$10
Venlafaxine Hcl Er16$539$34
Lithium Carbonate42$499$12
Ziprasidone12$470$39
Quetiapine Fumarate Er17$462$27
Gabapentin12$445$37
Escitalopram16$416$26
Amitriptyline33$366$11
Benztropine Mesylate20$319$16
Sertraline24$177$7
Lamotrigine15$173$12

2022: 26 drugs

Part D drugs prescribed in 2022
Invega Sustenna27$74,215$2,749
Vraylar20$25,604$1,280
Latuda14$21,167$1,512
Aripiprazole60$9,104$152
Clozapine132$8,168$62
Olanzapine127$5,284$42
Quetiapine176$5,019$29
Olanzapine Odt19$3,571$188
Quetiapine Fumarate Er31$3,123$101
Divalproex Sodium Er64$3,072$48
Duloxetine36$3,049$85
Divalproex35$895$26
Atropine Sulfate17$736$43
Lorazepam86$630$7
Clonazepam56$582$10
Haloperidol24$564$23
Buspirone23$554$24
Risperidone30$466$16
Lithium Carbonate42$362$9
Trazodone42$255$6
Fluoxetine50$255$5
Sertraline20$160$8
Benztropine Mesylate12$97$8
Escitalopram15$76$5
Venlafaxine Hcl Er12$75$6
Gabapentin13$50$4

2021: 24 drugs

Part D drugs prescribed in 2021
Invega Sustenna34$72,427$2,130
Latuda13$18,106$1,393
Invega13$13,541$1,042
Clozapine87$5,560$64
Divalproex Sodium Er40$1,979$49
Aripiprazole15$1,957$130
Quetiapine124$1,799$15
Quetiapine Fumarate Er16$1,664$104
Duloxetine37$1,376$37
Olanzapine80$1,161$15
Risperidone36$580$16
Hydroxyzine15$415$28
Clonazepam50$312$6
Lorazepam34$291$9
Venlafaxine Hcl Er21$270$13
Buspirone12$256$21
Lithium Carbonate24$180$7
Fluoxetine32$177$6
Lamotrigine23$134$6
Tamsulosin11$112$10
Sertraline12$97$8
Benztropine Mesylate12$97$8
Escitalopram16$93$6
Trazodone20$90$4

2020: 28 drugs

Part D drugs prescribed in 2020
Invega Sustenna40$92,037$2,301
Fanapt31$42,237$1,362
Invega14$28,824$2,059
Latuda11$21,469$1,952
Clozapine98$2,666$27
Divalproex Sodium Er41$1,429$35
Risperidone Odt13$1,407$108
Olanzapine96$1,138$12
Quetiapine97$966$10
Quetiapine Fumarate Er13$736$57
Risperidone53$721$14
Olanzapine Odt20$667$33
Duloxetine30$606$20
Hydroxyzine15$478$32
Aripiprazole13$470$36
Clonazepam49$408$8
Venlafaxine Hcl Er18$372$21
Bupropion Xl22$350$16
Benztropine Mesylate33$298$9
Trazodone25$277$11
Fluoxetine54$250$5
Lorazepam43$189$4
Sertraline13$147$11
Buspirone13$130$10
Lamotrigine18$115$6
Hydroxyzine Pamoate15$110$7
Lithium Carbonate26$89$3
Escitalopram15$63$4

2019: 28 drugs

Part D drugs prescribed in 2019
Invega Sustenna44$98,593$2,241
Fanapt41$52,847$1,289
Invega12$28,780$2,398
Latuda13$23,581$1,814
Clozapine111$4,522$41
Olanzapine147$3,071$21
Fluphenazine Decanoate13$1,559$120
Divalproex Sodium Er35$1,226$35
Risperidone67$1,103$16
Duloxetine23$917$40
Olanzapine Odt22$904$41
Risperidone Odt12$828$69
Quetiapine87$815$9
Clonazepam69$728$11
Hydroxyzine18$518$29
Bupropion Xl20$413$21
Fluoxetine72$360$5
Benztropine Mesylate36$331$9
Trazodone44$294$7
Lorazepam39$209$5
Venlafaxine Hcl Er17$176$10
Sertraline21$157$7
Lamotrigine15$131$9
Buspirone11$113$10
Lithium Carbonate24$99$4
Trihexyphenidyl13$93$7
Escitalopram13$67$5
Citalopram Hbr12$47$4

2018: 26 drugs

Part D drugs prescribed in 2018
Invega Sustenna36$71,210$1,978
Fanapt41$49,447$1,206
Latuda19$30,710$1,616
Invega12$27,084$2,257
Olanzapine122$2,842$23
Clozapine55$2,662$48
Divalproex Sodium Er25$1,886$75
Fluphenazine Decanoate14$1,573$112
Risperidone Odt14$1,527$109
Clonazepam52$1,214$23
Risperidone58$845$15
Quetiapine58$786$14
Olanzapine Odt17$670$39
Haloperidol17$592$35
Fluoxetine79$472$6
Bupropion Xl15$465$31
Duloxetine17$370$22
Lorazepam54$370$7
Benztropine Mesylate25$301$12
Divalproex20$253$13
Sertraline38$191$5
Venlafaxine Hcl Er18$174$10
Trazodone36$150$4
Lithium Carbonate31$144$5
Lamotrigine12$115$10
Trihexyphenidyl14$73$5

2017: 21 drugs

Part D drugs prescribed in 2017
Latuda44$59,410$1,350
Fanapt29$28,792$993
Nuedexta12$9,374$781
Risperidone Odt23$5,492$239
Divalproex Sodium Er41$3,289$80
Clonazepam46$2,037$44
Olanzapine78$1,133$15
Quetiapine74$949$13
Aripiprazole13$536$41
Risperidone40$475$12
Bupropion Xl12$340$28
Fluoxetine49$322$7
Venlafaxine Hcl Er19$261$14
Divalproex22$169$8
Lamotrigine18$117$6
Trazodone30$114$4
Lithium Carbonate23$105$5
Citalopram Hbr12$76$6
Lorazepam12$63$5
Sertraline17$56$3
Trihexyphenidyl12$29$2

Professional record

NPI
1578628053
Licence
CA 2OA9199
Group
County of Monterey · Solomon Medical Inc
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Psychiatry (2084P0800X)
Mailing address
7797 N 1st St # 14, Fresno, CA, 93720
NPI first listed
2006-12-26
NPI last updated
2012-02-11

This is when the NPI record was last certified, not a medical board exam.