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Home > NC Providers > Family Physicians & Family Medicine Specialists

Dr. Kristi Martin Smith, MD

Specializes in: Family Medicine

Mercer University School of Medicine (2002)

1041 Kirkpatrick Road Suite 200
Burlington, NC 27215

(336) 584-3100

Dr. Kristi Martin Smith, MD is a family medicine practitioner in Burlington, NC specializing in family medicine. She graduated from Mercer University School of Medicine in 2002 and has 24 years of experience. Dr. Kristi Martin Smith, MD is affiliated with Duke Health.

Office Locations

1041 Kirkpatrick Road Suite 200
Burlington, NC 27215

(336) 584-3100

(336) 584-0696

open_in_new

Duke Health

267 S Churton Street
Hillsborough, NC 27278

(919) 732-8131

(919) 732-6802

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Noteworthy Medicare Patient Procedures Performed by Dr. Kristi Martin Smith, MD in 2024

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 25%

By Volume:

blood draw

flu shot

phlebotomy for lab tests

preventive care

By Affordability:

flu shot

flu vaccine

immunization

mental health screening

vaccines

In 2012, among providers in related specialties within North Carolina, Dr. Kristi Martin Smith, MD performed more blood draw, flu shot, phlebotomy for lab tests, and preventive care procedures for Medicare patients than 75% of them and she also had a list price for flu shot, flu vaccine, immunization (preventive vaccines), mental health screening, and vaccines that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Kristi Martin Smith, MD treated as a family medicine practitioner in Burlington, NC during 2012 were lab tests, preventive care, vaccines and breast exam.

Volume of procedures performed by Dr. Kristi Martin Smith, MD for Medicare patients.

breast exam	19
doctor visit	300
gynecologic procedures	19
lab tests	52
preventive care	40
vaccines	40

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Kristi Martin Smith, MD treated as a family medicine practitioner in Burlington, NC during 2013 were lab tests, breast exam and gynecologic procedures.

Volume of procedures performed by Dr. Kristi Martin Smith, MD for Medicare patients.

breast exam	12
doctor visit	155
gynecologic procedures	12
lab tests	37

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Kristi Martin Smith, MD.

**Gender**
Male	16
Female	90

**Ethnicity**
Non-Hispanic White	84
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	48
From 75 to 84	34
85 and over	13
Less than 65	11

Conditions of Medicare patients treated by Dr. Kristi Martin Smith, MD in 2013

Hypertension	61
High Cholesterol	62
Stroke	0
Ischemic Heart Disease	29
Depression	29
Chronic Kidney Disease	13
Asthma	0
Osteoperosis	0
Atrial Fibrilation	10
Heart Failure	0
Chronic Obstructive Pulmonary Disease	16
Diabetes	21
Dementia	10
Cancer	0

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Kristi Martin Smith, MD treated as a family medicine practitioner in Burlington, NC during 2014 were lab tests, blood draw, preventive care and vaccines.

Volume of procedures performed by Dr. Kristi Martin Smith, MD for Medicare patients.

blood draw	150
diabetes management	14
doctor visit	225
lab tests	178
preventive care	103
thoracic (chest) imaging	33
vaccines	89
X-rays	33

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Kristi Martin Smith, MD.

**Gender**
Male	92
Female	154

**Ethnicity**
Non-Hispanic White	190
Black	40
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	110
From 75 to 84	63
85 and over	35
Less than 65	38

Conditions of Medicare patients treated by Dr. Kristi Martin Smith, MD in 2014

Hypertension	63
High Cholesterol	51
Stroke	0
Ischemic Heart Disease	28
Depression	25
Chronic Kidney Disease	20
Asthma	0
Osteoperosis	0
Atrial Fibrilation	10
Heart Failure	11
Chronic Obstructive Pulmonary Disease	6
Diabetes	23
Dementia	7
Cancer	16

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Kristi Martin Smith, MD treated as a family medicine practitioner in Burlington, NC during 2015 were blood draw, preventive care, vaccines and lab tests.

Volume of procedures performed by Dr. Kristi Martin Smith, MD for Medicare patients.

blood draw	126
doctor visit	172
lab tests	89
preventive care	103
thoracic (chest) imaging	16
vaccines	103
X-rays	16

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Kristi Martin Smith, MD.

**Gender**
Male	184
Female	322

**Ethnicity**
Non-Hispanic White	362
Black	118
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	248
From 75 to 84	100
85 and over	70
Less than 65	88

Conditions of Medicare patients treated by Dr. Kristi Martin Smith, MD in 2015

Hypertension	56
High Cholesterol	42
Stroke	5
Ischemic Heart Disease	21
Depression	19
Chronic Kidney Disease	18
Asthma	8
Osteoperosis	6
Atrial Fibrilation	5
Heart Failure	11
Chronic Obstructive Pulmonary Disease	6
Diabetes	21
Dementia	7
Cancer	10

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Kristi Martin Smith, MD treated as a family medicine practitioner in Burlington, NC during 2016 were lab tests, blood draw, preventive care and vaccines.

Volume of procedures performed by Dr. Kristi Martin Smith, MD for Medicare patients.

blood draw	142
diabetes management	18
doctor visit	231
lab tests	145
preventive care	132
thoracic (chest) imaging	25
vaccines	114
X-rays	25

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Kristi Martin Smith, MD.

**Gender**
Male	95
Female	139

**Ethnicity**
Non-Hispanic White	166
Black	54
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	115
From 75 to 84	52
85 and over	29
Less than 65	38

Conditions of Medicare patients treated by Dr. Kristi Martin Smith, MD in 2016

Hypertension	59
High Cholesterol	43
Stroke	0
Ischemic Heart Disease	21
Depression	25
Chronic Kidney Disease	19
Asthma	15
Osteoperosis	5
Atrial Fibrilation	6
Heart Failure	12
Chronic Obstructive Pulmonary Disease	10
Diabetes	25
Dementia	7
Cancer	11

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Kristi Martin Smith, MD treated as a family medicine practitioner in Burlington, NC during 2017 were lab tests, blood draw, preventive care and vaccines.

Volume of procedures performed by Dr. Kristi Martin Smith, MD for Medicare patients.

blood draw	169
diabetes management	30
doctor visit	298
lab tests	226
preventive care	167
thoracic (chest) imaging	25
vaccines	137
X-rays	25

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Kristi Martin Smith, MD.

**Gender**
Male	99
Female	184

**Ethnicity**
Non-Hispanic White	196
Black	59
Hispanic	0
Asian	12
Other	0
Native American	0

**Age**
From 65 to 74	143
From 75 to 84	63
85 and over	26
Less than 65	51

Conditions of Medicare patients treated by Dr. Kristi Martin Smith, MD in 2017

Hypertension	55
High Cholesterol	31
Stroke	0
Ischemic Heart Disease	20
Depression	26
Chronic Kidney Disease	23
Asthma	11
Osteoperosis	6
Atrial Fibrilation	6
Heart Failure	11
Chronic Obstructive Pulmonary Disease	8
Diabetes	25
Dementia	10
Cancer	7

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Kristi Martin Smith, MD treated as a family medicine practitioner in Burlington, NC during 2018 were lab tests, preventive care, vaccines and diabetes management.

Volume of procedures performed by Dr. Kristi Martin Smith, MD for Medicare patients.

diabetes management	37
doctor visit	277
lab tests	173
preventive care	126
vaccines	89

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Kristi Martin Smith, MD.

**Gender**
Male	59
Female	112

**Ethnicity**
Non-Hispanic White	124
Black	29
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	101
From 75 to 84	41
85 and over	0
Less than 65	0

Conditions of Medicare patients treated by Dr. Kristi Martin Smith, MD in 2018

Hypertension	67
High Cholesterol	53
Stroke	0
Ischemic Heart Disease	26
Depression	28
Chronic Kidney Disease	24
Asthma	12
Osteoperosis	7
Atrial Fibrilation	0
Heart Failure	16
Chronic Obstructive Pulmonary Disease	15
Diabetes	30
Dementia	8
Cancer	10

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Kristi Martin Smith, MD treated as a family medicine practitioner in Burlington, NC during 2019 were lab tests, preventive care, blood draw and vaccines.

Volume of procedures performed by Dr. Kristi Martin Smith, MD for Medicare patients.

blood draw	128
diabetes management	68
doctor visit	325
lab tests	312
preventive care	171
vaccines	103

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Kristi Martin Smith, MD.

**Gender**
Male	57
Female	180

**Ethnicity**
Non-Hispanic White	194
Black	29
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	123
From 75 to 84	60
85 and over	27
Less than 65	27

Conditions of Medicare patients treated by Dr. Kristi Martin Smith, MD in 2019

Hypertension	59
High Cholesterol	49
Stroke	0
Ischemic Heart Disease	20
Depression	32
Chronic Kidney Disease	24
Asthma	9
Osteoperosis	5
Atrial Fibrilation	12
Heart Failure	14
Chronic Obstructive Pulmonary Disease	12
Diabetes	28
Dementia	8
Cancer	8

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Kristi Martin Smith, MD treated as a family medicine practitioner in Burlington, NC during 2020 were lab tests, blood draw, preventive care and vaccines.

Volume of procedures performed by Dr. Kristi Martin Smith, MD for Medicare patients.

blood draw	370
diabetes management	132
doctor visit	473
lab tests	614
preventive care	315
vaccines	183

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Kristi Martin Smith, MD.

**Gender**
Male	79
Female	238

**Ethnicity**
Non-Hispanic White	278
Black	25
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	178
From 75 to 84	72
85 and over	37
Less than 65	30

Conditions of Medicare patients treated by Dr. Kristi Martin Smith, MD in 2020

Hypertension	54
High Cholesterol	50
Stroke	0
Ischemic Heart Disease	18
Depression	29
Chronic Kidney Disease	18
Asthma	7
Osteoperosis	9
Atrial Fibrilation	8
Heart Failure	10
Chronic Obstructive Pulmonary Disease	10
Diabetes	21
Dementia	5
Cancer	8

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Kristi Martin Smith, MD treated as a family medicine practitioner in Burlington, NC during 2021 were lab tests, blood draw, preventive care and vaccines.

Volume of procedures performed by Dr. Kristi Martin Smith, MD for Medicare patients.

blood draw	420
diabetes management	142
doctor visit	555
lab tests	601
preventive care	350
spinal procedures	14
vaccines	208
X-rays	14

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Kristi Martin Smith, MD.

**Gender**
Male	208
Female	393

**Ethnicity**
Non-Hispanic White	525
Black	51
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	330
From 75 to 84	181
85 and over	58
Less than 65	32

Conditions of Medicare patients treated by Dr. Kristi Martin Smith, MD in 2021

Hypertension	45
High Cholesterol	40
Stroke	2
Ischemic Heart Disease	17
Depression	21
Chronic Kidney Disease	15
Asthma	6
Osteoperosis	7
Atrial Fibrilation	8
Heart Failure	9
Chronic Obstructive Pulmonary Disease	8
Diabetes	17
Dementia	6
Cancer	7

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Kristi Martin Smith, MD treated as a family medicine practitioner in Burlington, NC during 2022 were lab tests, blood draw, preventive care and diabetes management.

Volume of procedures performed by Dr. Kristi Martin Smith, MD for Medicare patients.

blood draw	322
diabetes management	139
doctor visit	534
lab tests	441
preventive care	139

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Kristi Martin Smith, MD.

**Gender**
Male	89
Female	205

**Ethnicity**
Non-Hispanic White	261
Black	18
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	151
From 75 to 84	97
85 and over	31
Less than 65	15

Conditions of Medicare patients treated by Dr. Kristi Martin Smith, MD in 2022

Hypertension	67
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	19
Depression	20
Chronic Kidney Disease	26
Asthma	7
Osteoperosis	15
Atrial Fibrilation	19
Heart Failure	12
Chronic Obstructive Pulmonary Disease	10
Diabetes	21
Dementia	0
Cancer	15

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Kristi Martin Smith, MD treated as a family medicine practitioner in Burlington, NC during 2023 were blood draw, preventive care, lab tests and diabetes management.

Volume of procedures performed by Dr. Kristi Martin Smith, MD for Medicare patients.

blood draw	323
diabetes management	99
doctor visit	468
lab tests	122
preventive care	130

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Kristi Martin Smith, MD.

**Gender**
Male	75
Female	197

**Ethnicity**
Non-Hispanic White	243
Black	17
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	146
From 75 to 84	90
85 and over	22
Less than 65	14

Conditions of Medicare patients treated by Dr. Kristi Martin Smith, MD in 2023

Hypertension	67
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	18
Depression	25
Chronic Kidney Disease	24
Asthma	7
Osteoperosis	14
Atrial Fibrilation	20
Heart Failure	11
Chronic Obstructive Pulmonary Disease	10
Diabetes	24
Dementia	0
Cancer	16

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

The top procedures that Dr. Kristi Martin Smith, MD treated as a family medicine practitioner in Burlington, NC during 2024 were blood draw, preventive care, lab tests and vaccines.

Volume of procedures performed by Dr. Kristi Martin Smith, MD for Medicare patients.

blood draw	324
diabetes management	62
doctor visit	446
lab tests	83
preventive care	177
vaccines	70

2024 Medicare Patient Data

Information about Medicare patients treated by Dr. Kristi Martin Smith, MD.

**Gender**
Male	80
Female	172

**Ethnicity**
Non-Hispanic White	228
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	131
From 75 to 84	82
85 and over	26
Less than 65	13

Conditions of Medicare patients treated by Dr. Kristi Martin Smith, MD in 2024

Hypertension	67
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	19
Depression	25
Chronic Kidney Disease	26
Asthma	9
Osteoperosis	18
Atrial Fibrilation	17
Heart Failure	11
Chronic Obstructive Pulmonary Disease	13
Diabetes	24
Dementia	0
Cancer	14

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Volume of procedures performed by Dr. Kristi Martin Smith, MD for Medicare patients.

The highest averages for the top procedures that Dr. Kristi Martin Smith, MD treated as a family medicine practitioner in Burlington, NC were blood draw, lab tests, preventive care and vaccines.

blood draw	247
breast exam	15
diabetes management	74
doctor visit	343
gynecologic procedures	15
lab tests	236
preventive care	162
spinal procedures	14
thoracic (chest) imaging	24
vaccines	113
X-rays	22

Average Medicare Patient Data From 2012 - 2024

Information about Medicare patients treated by Dr. Kristi Martin Smith, MD.

**Gender**
Male	87
Female	183

**Ethnicity**
Black / African American	33
Asian / Pacific Islander	0
Non-Hispanic White	219
Hispanic	0
Native American / Alaskan Native	0
Other	0

**Age**
75 to 84	71
85 and over	28
Less than 65	27
65 to 74	140

Average of Total of Conditions of Medicare patients treated by Dr. Kristi Martin Smith, MD From 2012 - 2024

The highest averages of the most common conditions of Medicare patients that Dr. Kristi Martin Smith, MD treated were hypertension, high cholesterol, depression and diabetes.

Hypertension	55
High Cholesterol	49
Stroke	1
Ischemic Heart Disease	19
Depression	23
Chronic Kidney Disease	19
Asthma	7
Osteoporosis	7
Heart Failure	9
Chronic Obstructive Pulmonary Disease	9
Diabetes	21
Atrial Fibrillation	9
Cancer	9
Dementia	5

Education & Training

Dr. Kristi Martin Smith, MD graduated from Mercer University School of Medicine in 2002. She completed residency at Moses Cone Health System. She is certified by the American Board of Family Medicine, Family Medicine and has a state license in North Carolina.

Medical School: Mercer University School of Medicine (2002)

Residency: Moses Cone Health System (2005)

Board Certification: American Board of Family Medicine, Family Medicine

Licensed In: North Carolina

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Kristi Martin Smith, MD appears to accept the following insurance providers: MedCost, Aetna Traditional Choice, Aetna Medicare PPO, BlueCross BlueShield of North Carolina, CIGNA Open Access Plus, WellCare, Medicare Part B, AmeriHealth, Medicare Advantage, AARP, CIGNA Open Access, United Healthcare PPO, United Healthcare POS, United Healthcare HMO, Aetna, Aetna Workers' Compensation, TRICARE Prime, TRICARE Prime Remote, United Healthcare, Aetna Open Choice PPO, Medicare, Medicaid, Humana, Cigna, TRICARE, Alliance Health, Harvard Pilgrim Health Care, Aetna Managed Choice POS, Gateway Health Alliance, Aetna HMO, Duke Employee Plans, Blue Options (123, PPO, HSA), Aetna Quality Point of Service (QPOS), Aetna Choice POS, Aetna Choice POS II, Aetna Medicare Value Plan (HMO), Blue Advantage (*Available in select counties only), Duke Basic, Trillium, Ambetter, Experience Health, Aetna Select HMO, Aetna PCP Coordinated POS Plan, Blue Select, Blue Medicare (HMO, PPO)*, Aetna Limited Benefit Insurance PPO, Healthy Blue, Aetna Health Network Only, Aetna Health Network Option, All Savers Fully Insured, Blue Value (*Duke Health Lake Norman and Kernodle Clinics only), First Medicare Direct, Carolina Complete Health, Duke Advantage, Healthgram, TRICARE Select, Partners, All Savers Alternate Funding, Aetna Medicare Assure Plan (HMO D-SNP), Duke USA, Aetna/CVS Health, Vaya Health, Aetna Elect Choice HMO, Aetna Open Access Elect Choice, Aetna Voluntary Indemnity Group Plan, Duke Select, Duke Options, Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Managed Choice, NC State Employees Health Plan, Ambetter of North Carolina and United Medical Resources (UMR).

Insurance Accepted by Provider includes:

According to our sources, Dr. Kristi Martin Smith, MD accepts the following insurance providers:

MedCost

Aetna Traditional Choice

Aetna Medicare PPO

BlueCross BlueShield of North Carolina

CIGNA Open Access Plus

WellCare

Medicare Part B

AmeriHealth

Medicare Advantage

AARP

CIGNA Open Access

United Healthcare PPO

United Healthcare POS

United Healthcare HMO

Aetna

Aetna Workers' Compensation

TRICARE Prime

TRICARE Prime Remote

United Healthcare

Aetna Open Choice PPO

Medicare

Medicaid

Humana

Cigna

TRICARE

Alliance Health

Harvard Pilgrim Health Care

Aetna Managed Choice POS

Gateway Health Alliance

Aetna HMO

Duke Employee Plans

Blue Options (123, PPO, HSA)

Aetna Quality Point of Service (QPOS)

Aetna Choice POS, Aetna Choice POS II

Aetna Medicare Value Plan (HMO)

Blue Advantage (*Available in select counties only)

Duke Basic

Trillium

Ambetter

Experience Health

Aetna Select HMO

Aetna PCP Coordinated POS Plan

Blue Select

Blue Medicare (HMO, PPO)*

Aetna Limited Benefit Insurance PPO

Healthy Blue

Aetna Health Network Only, Aetna Health Network Option

All Savers Fully Insured

Blue Value (*Duke Health Lake Norman and Kernodle Clinics only)

First Medicare Direct

Carolina Complete Health

Duke Advantage

Healthgram

TRICARE Select

Partners

All Savers Alternate Funding

Aetna Medicare Assure Plan (HMO D-SNP)

Duke USA

Aetna/CVS Health

Vaya Health

Aetna Elect Choice HMO, Aetna Open Access Elect Choice

Aetna Voluntary Indemnity Group Plan

Duke Select

Duke Options

Aetna Open Access HMO, Open Access Aetna Select, Aetna Open Access Managed Choice

NC State Employees Health Plan

Ambetter of North Carolina

United Medical Resources (UMR)

Ratings & Reviews

Dr. Kristi Martin Smith, MD has an exceptional overall rating with an average of 4.94 out of 5 stars based on 1128 ratings. We collect ratings and reviews of Dr. Kristi Martin Smith, MD from all over the web to help you find the right in Burlington, NC.

4.94

Overall Rating

(1128 Ratings)

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General Payments

These charts describe general payments received by Dr. Kristi Martin Smith, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
GlaxoSmithKline, LLC.	$102 BEXSERO $62	ADVAIR $14	Menveo $13	BREO $13
AstraZeneca Pharmaceuticals LP	$53 BEVESPI AEROSPHERE $23	FARXIGA $18	MOVANTIK $11
Janssen Pharmaceuticals, Inc	$52 XARELTO $29	INVOKANA $24
SANOFI-AVENTIS U.S. LLC	$33 TOUJEO $21	SOLIQUA $12
Reckitt Benckiser LLC	$32 Mucinex D $32
Other	$175 BASAGLAR $23	XIFAXAN $22	Xofluza $19	Overstitch and or LapBand $19	NEXPLANON $18	Other $74

**Types of Payments**
Food and Beverage	$447

Biography

Dr. Kristi Smith is a physician who specializes in family medicine. Dr. Smith is rated 5.0 stars (out of 5) by her patients. She seems to honor Blue California, CIGNA Plans, and TRICARE, as well as other insurance carriers. She graduated from Mercer University School of Medicine. She trained at Moses Cone Health System for residency. Dr. Smith is professionally affiliated with Duke Health. Unfortunately, according to Duke Health, she is not currently accepting new patients.