Doctor profile · Federal record

Dr. Richard Smalling, M.D.

Cardiovascular Disease Physician (CMS: Interventional Cardiology) · Internal Medicine Physician · Interventional Cardiology Physician · Houston, TX

  • NPI 1093733321
  • Accepts Medicare
  • MIPS 81.3 / 100 · 2023
  • 51 yrs in practice
  • Male
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
6400 Fannin St Ste 3000
Houston, TX 770301527
(713) 704-4300
fax (713) 704-5745
Mailing address
6431 Fannin St., Msb 1.246
Houston, TX 770301501

Credentials & registration

NPPES · NUCC
NPI registered
July 2006 — 20 yrs on file
Profile last updated
February 26, 2026
Year of graduation
1975 — 51 yrs since
Specialty taxonomy
207RC0000X — NUCC code
State license (1)
Texas #E4683
Medicaid
TX #134384002

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1093733321. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
704
Distinct HCPCS
10
Medicare allowed
$90,697
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 185 132 $131
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 116 90 $14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 114 28 $121
99215 Established patient office or other outpatient visit, 40-54 minutes 47 37 $184
99205 New patient office or other outpatient visit, 60-74 minutes 44 44 $226
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 38 17 $81
99239 Hospital discharge day management, more than 30 minutes 28 21 $114
99213 Established patient office or other outpatient visit, 20-29 minutes 27 23 $93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 21 18 $172
33361 Replacement of aortic valve through the skin and femoral artery 17 17 $776

In context: peer comparison

Among 118 peers in Houston Cardiovascular Disease Physician, average services per provider: 144. This provider delivers 4.9× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$1,994
Transactions
20
Manufacturers
5
Payer (manufacturer) Industry Txns Amount
Abbott Laboratories 12 $1,231.67
Edwards Lifesciences Corporation 5 $534.18
Boston Scientific Corporation 1 $166.34
Cardiva Medical, INC. 1 $37.47
Teleflex LLC 1 $24.50

By nature of payment

Food and Beverage
$1,113
Consulting Fee
$650
Travel and Lodging
$232

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,841
Patients
593
Total drug cost
$151,946
Drug Type Claims Patients Total cost
Metoprolol Succinate Generic 270 89 $7,874
Lisinopril Generic 234 77 $2,695
Torsemide Generic 181 58 $5,300
Atorvastatin Calcium Generic 152 48 $2,185
Spironolactone Generic 135 42 $1,033
Losartan Potassium Generic 115 35 $1,393
Clopidogrel (Clopidogrel Bisulfate) Brand 107 37 $1,965
Eliquis (Apixaban) Brand 106 30 $115,998
Nifedipine ER (Nifedipine) Brand 101 36 $4,620
Carvedilol Generic 98 28 $1,043

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Richard Smalling's medical specialty?
Dr. Richard Smalling practices Cardiovascular Disease Physician in Houston, TX.
Where does Dr. Richard Smalling practice?
Dr. Richard Smalling practices at 6400 Fannin St Ste 3000, Houston, TX 770301527. Office phone: 7137044300.
What is Dr. Richard Smalling's NPI?
Dr. Richard Smalling's National Provider Identifier (NPI) is 1093733321, issued by NPPES.
Does Dr. Richard Smalling accept Medicare assignment?
Yes. Dr. Richard Smalling accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Richard Smalling commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS 93000); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233). Source: CMS Medicare Physician & Other Practitioners file.