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Dr. Brian R. Smith, MD

(Dr. Brian Richard Smith, MD)

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Specializes in: Clinical Pathology and Adult Hematology

Harvard Medical School

Professional interests include: bone marrow transplant, thrombocytopenia (low platelet count), non-Hodgkin's lymphoma, and more.

20 York Street Ynhh, Clinic Building 407
New Haven, CT 06510

(203) 688-2286

Dr. Brian R. Smith, MD is a clinical pathologist in New Haven, CT specializing in clinical pathology and adult hematology. He graduated from Harvard Medical School. Dr. Brian R. Smith, MD is affiliated with Yale New Haven Health and Smilow Cancer Hospital, Yale Medicine.

Office Locations

20 York Street Ynhh, Clinic Building 407
New Haven, CT 06510

(203) 688-2286

(203) 688-4111

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Smilow Cancer Hospital, Yale Medicine

55 Park Street Room Ps 218
New Haven, CT 06510

(203) 688-7340

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Some issues Dr. Brian R. Smith, MD can help you with:

Musculoskeletal Problems

The musculoskeletal system refers collectively to the bones, joints, ligaments, muscles, and nerves. It is what gives the body structure and movement. Because this system encompasses so much of the body, musculoskeletal problems are extremely varied and can happen almost anywhere. There are musculoskeletal problems that affect only the joints, those that affect the bones, those that affect tendons and ligaments, and those that can happen in any area of the body but cause pain and numbness.

Joint problems include bursitis and arthritis. Bursitis is the inflammation of a fluid-filled sac cushion on the outside of a joint, causing symptoms including pain and swelling. Arthritis is the inflammation and damage of a joint due to wear and tear or disease. There are several treatments for arthritis, but if the damage progresses far enough, joint replacement may be necessary. In joint replacement, a metal or plastic implant is surgically placed within the joint to make movement easier.

Bone problems include scoliosis, fractures, and osteoporosis. Scoliosis is a curvature of the spine, making the normally straight spine look like a 'C' or 'S.' It is treated with braces or surgery. Osteoporosis is a disease that causes bones to weaken and break easily. It's most common in women, especially older women. Fully half of all women over 65 have osteoporosis. Fractures are any break in the bone. They can be a simple crack or a severe and complicated shatter. Osteoporosis causes fractures in people who have it, but other causes are trauma (such as a fall) or overuse.

Tendon and ligament problems most often result from injury or overuse. Two good examples are ligament tears and tendonitis. The most common ligament tear is the ACL tear in the knee. This ligament supports and stabilizes the knee and is most often torn during sports activities. Tendonitis happens when a tendon, which connects muscles and bones together, becomes irritated and inflamed. This happens most often in older patients who push their bodies too far, leading to pain and swelling. Treatment for both tendon and ligament problems usually includes rest, ice, and supporting the area to let it heal.

Pain and numbness problems can be caused by overuse, disease, an injury, or a compressed nerve. Lower back pain and carpal tunnel syndrome are two of the most common conditions patients encounter. Lower back pain may be caused by sore muscles that have been overworked, or an injury to the disks separating the vertebrae in the spine. Lower back pain usually goes away on its own within a few days, but it may require medical treatment depending on the cause. Carpal tunnel syndrome occurs when the nerve at the base of the palm becomes trapped or pinched. Symptoms include tingling, pain, numbness, or weakness in the hand. Treatment involves rest and sometimes steroid injections.

Because the musculoskeletal system involves so much of the body, problems here can be incredibly varied in their type and severity. Some musculoskeletal problems will go away on their own or only require rest, while others may require medication, physical therapy, or even surgery.

Thrombocytopenia (Low Platelet Count)

Thrombocytopenia is a disorder where people have too few platelets. With too few platelets in the bloodstream, the blood is unable to properly clot. People with thrombocytopenia may experience prolonged external and internal bleeding. Large purple bruises (ecchymoses) and small red skin spots (petechiae) in the skin and mouth are common in those with thrombocytopenia. Other symptoms of the disorder include bleeding gums, blood in bodily fluids, and fatigue. Thrombocytopenia most often arises from a different condition or treatment, such as alcoholism, autoimmune disease, cancer treatments, viruses (such as Hepatitis C and HIV), bone marrow diseases (such as leukemia and aplastic anemia), enlarged spleen, and exposure to toxic chemicals. In rare cases, thrombocytopenia is inherited.

If a doctor suspects a patient has a thrombocytopenia, a complete blood count (CBC) or platelet count test helps determine the concentration of platelets in a person's blood at a given time. Thrombocytopenia can be diagnosed by hematologists using advanced tests on platelet samples. Flow cytometry tests detect abnormalities by evaluating the characteristics of a platelet sample using targeted lasers and lights.

Treatments for low platelet counts include steroids like Prednisone, that can assist with platelet production. If a patient's low platelet count is caused by spleen problems, spleen removal (splenectomy) may be recommended. To treat the prolonged bleeding caused by thrombocytopenia, doctors frequently prescribe Dempressin, a hormone that promotes blood clotting. Antifibrinolytic medications such as tranexamic acid may also aid in the promotion of clotting and the prevention of bleeding. For patients with severe platelet disorders (either low platelet count and dysfunctional platelets), blood transfusions may be prescribed. Platelet blood transfusions deliver donated platelets to patients intravenously, replenishing the volume of functioning platelets.

Patients can also modify their lifestyle to better manage their disorder and minimize complications. Patients with low blood counts should avoid blood-thinning medications, alcohol, and activities that could lead to injury. Many people with thrombocytopenia can live healthy and fulfilling lives with proper treatment and precautions.

In The News

“Her role was split into three separate positions this July with the appointment of rheumatology professor Linda Bockenstedt as deputy dean for faculty affairs, professor of neuroscience and...”—"Med school welcomes three new deans", Yale News, August 2017

Noteworthy Medicare Patient Procedures Performed by Dr. Brian R. Smith, MD in 2023

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

Top 5%

By Volume:

non-gynecologic cytology

By Affordability:

cytology of non-gynecologic brushing

In 2023, among providers in related specialties within Connecticut, Dr. Brian R. Smith, MD performed more non-gynecologic cytology procedures for Medicare patients than 95% of them and he also had a list price for cytology of non-gynecologic brushing that was lower than the list prices billed to Medicare by 95% 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.

Top 25%

By Affordability:

cytology of non-gynecologic fluid

In 2012, Dr. Brian R. Smith, MD had a list price for cytology of non-gynecologic fluid that was lower than the list prices billed to Medicare by 75% of providers in related specialties within Connecticut. 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. Brian R. Smith, MD treated as a clinical pathologist in New Haven, CT during 2012 were lab tests and cytology.

Volume of procedures performed by Dr. Brian R. Smith, MD for Medicare patients.

cytology	18
lab tests	321

Medicare Procedure and Patient Information

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian R. Smith, MD.

**Gender**
Male	215
Female	214

**Ethnicity**
Non-Hispanic White	325
Black	53
Hispanic	39
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	158
From 75 to 84	115
85 and over	53
Less than 65	103

Conditions of Medicare patients treated by Dr. Brian R. Smith, MD in 2013

Hypertension	75
High Cholesterol	55
Stroke	6
Ischemic Heart Disease	44
Depression	29
Chronic Kidney Disease	47
Asthma	13
Osteoperosis	11
Atrial Fibrilation	22
Heart Failure	37
Chronic Obstructive Pulmonary Disease	24
Diabetes	37
Dementia	14
Cancer	15

Medicare Procedure and Patient Information

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian R. Smith, MD.

**Gender**
Male	161
Female	173

**Ethnicity**
Non-Hispanic White	257
Black	48
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	128
From 75 to 84	92
85 and over	36
Less than 65	78

Conditions of Medicare patients treated by Dr. Brian R. Smith, MD in 2014

Hypertension	75
High Cholesterol	57
Stroke	7
Ischemic Heart Disease	39
Depression	34
Chronic Kidney Disease	45
Asthma	16
Osteoperosis	9
Atrial Fibrilation	19
Heart Failure	34
Chronic Obstructive Pulmonary Disease	21
Diabetes	34
Dementia	11
Cancer	17

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Brian R. Smith, MD treated as a clinical pathologist in New Haven, CT during 2015 were cytology.

Volume of procedures performed by Dr. Brian R. Smith, MD for Medicare patients.

cytology	13

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian R. Smith, MD.

**Gender**
Male	464
Female	422

**Ethnicity**
Non-Hispanic White	710
Black	84
Hispanic	56
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	320
From 75 to 84	254
85 and over	96
Less than 65	216

Conditions of Medicare patients treated by Dr. Brian R. Smith, MD in 2015

Hypertension	71
High Cholesterol	55
Stroke	10
Ischemic Heart Disease	34
Depression	31
Chronic Kidney Disease	46
Asthma	17
Osteoperosis	10
Atrial Fibrilation	16
Heart Failure	30
Chronic Obstructive Pulmonary Disease	19
Diabetes	34
Dementia	13
Cancer	17

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Brian R. Smith, MD treated as a clinical pathologist in New Haven, CT during 2016 were cytology.

Volume of procedures performed by Dr. Brian R. Smith, MD for Medicare patients.

cytology	23

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian R. Smith, MD.

**Gender**
Male	212
Female	203

**Ethnicity**
Non-Hispanic White	332
Black	34
Hispanic	26
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	163
From 75 to 84	126
85 and over	54
Less than 65	72

Conditions of Medicare patients treated by Dr. Brian R. Smith, MD in 2016

Hypertension	75
High Cholesterol	58
Stroke	7
Ischemic Heart Disease	45
Depression	28
Chronic Kidney Disease	46
Asthma	32
Osteoperosis	9
Atrial Fibrilation	21
Heart Failure	35
Chronic Obstructive Pulmonary Disease	28
Diabetes	33
Dementia	16
Cancer	20

Medicare Procedure and Patient Information

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian R. Smith, MD.

**Gender**
Male	78
Female	81

**Ethnicity**
Non-Hispanic White	128
Black	14
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	63
From 75 to 84	54
85 and over	15
Less than 65	27

Conditions of Medicare patients treated by Dr. Brian R. Smith, MD in 2017

Hypertension	74
High Cholesterol	48
Stroke	9
Ischemic Heart Disease	43
Depression	28
Chronic Kidney Disease	55
Asthma	13
Osteoperosis	13
Atrial Fibrilation	19
Heart Failure	39
Chronic Obstructive Pulmonary Disease	23
Diabetes	34
Dementia	19
Cancer	16

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Brian R. Smith, MD treated as a clinical pathologist in New Haven, CT during 2018 were cytology.

Volume of procedures performed by Dr. Brian R. Smith, MD for Medicare patients.

cytology	23

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian R. Smith, MD.

**Gender**
Male	156
Female	133

**Ethnicity**
Non-Hispanic White	209
Black	43
Hispanic	21
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	96
From 75 to 84	93
85 and over	45
Less than 65	55

Conditions of Medicare patients treated by Dr. Brian R. Smith, MD in 2018

Hypertension	75
High Cholesterol	66
Stroke	16
Ischemic Heart Disease	57
Depression	43
Chronic Kidney Disease	75
Asthma	15
Osteoperosis	14
Atrial Fibrilation	25
Heart Failure	51
Chronic Obstructive Pulmonary Disease	32
Diabetes	44
Dementia	30
Cancer	25

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Brian R. Smith, MD treated as a clinical pathologist in New Haven, CT during 2019 were cytology.

Volume of procedures performed by Dr. Brian R. Smith, MD for Medicare patients.

cytology	23

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian R. Smith, MD.

**Gender**
Male	77
Female	79

**Ethnicity**
Non-Hispanic White	102
Black	25
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	50
From 75 to 84	28
85 and over	29
Less than 65	49

Conditions of Medicare patients treated by Dr. Brian R. Smith, MD in 2019

Hypertension	75
High Cholesterol	70
Stroke	19
Ischemic Heart Disease	65
Depression	53
Chronic Kidney Disease	75
Asthma	14
Osteoperosis	7
Atrial Fibrilation	23
Heart Failure	58
Chronic Obstructive Pulmonary Disease	32
Diabetes	46
Dementia	39
Cancer	16

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Brian R. Smith, MD treated as a clinical pathologist in New Haven, CT during 2020 were cytology.

Volume of procedures performed by Dr. Brian R. Smith, MD for Medicare patients.

cytology	27

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian R. Smith, MD.

**Gender**
Male	141
Female	124

**Ethnicity**
Non-Hispanic White	196
Black	37
Hispanic	20
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	109
From 75 to 84	64
85 and over	41
Less than 65	51

Conditions of Medicare patients treated by Dr. Brian R. Smith, MD in 2020

Hypertension	75
High Cholesterol	64
Stroke	19
Ischemic Heart Disease	56
Depression	45
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	9
Atrial Fibrilation	25
Heart Failure	62
Chronic Obstructive Pulmonary Disease	32
Diabetes	49
Dementia	34
Cancer	25

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Brian R. Smith, MD treated as a clinical pathologist in New Haven, CT during 2021 were cytology.

Volume of procedures performed by Dr. Brian R. Smith, MD for Medicare patients.

cytology	32

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian R. Smith, MD.

**Gender**
Male	160
Female	158

**Ethnicity**
Non-Hispanic White	227
Black	44
Hispanic	30
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	105
From 75 to 84	89
85 and over	62
Less than 65	62

Conditions of Medicare patients treated by Dr. Brian R. Smith, MD in 2021

Hypertension	75
High Cholesterol	74
Stroke	18
Ischemic Heart Disease	61
Depression	43
Chronic Kidney Disease	75
Asthma	14
Osteoperosis	9
Atrial Fibrilation	29
Heart Failure	58
Chronic Obstructive Pulmonary Disease	25
Diabetes	51
Dementia	36
Cancer	23

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Brian R. Smith, MD treated as a clinical pathologist in New Haven, CT during 2022 were cytology.

Volume of procedures performed by Dr. Brian R. Smith, MD for Medicare patients.

cytology	27

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Brian R. Smith, MD.

**Gender**
Male	159
Female	154

**Ethnicity**
Non-Hispanic White	216
Black	50
Hispanic	20
Asian	11
Other	16
Native American	0

**Age**
From 65 to 74	111
From 75 to 84	88
85 and over	51
Less than 65	63

Conditions of Medicare patients treated by Dr. Brian R. Smith, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	25
Ischemic Heart Disease	51
Depression	42
Chronic Kidney Disease	51
Asthma	14
Osteoperosis	18
Atrial Fibrilation	42
Heart Failure	53
Chronic Obstructive Pulmonary Disease	35
Diabetes	43
Dementia	29
Cancer	26

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Brian R. Smith, MD for Medicare patients.

The highest averages for the top procedures that Dr. Brian R. Smith, MD treated as a clinical pathologist in New Haven, CT were lab tests and cytology.

cytology	23
lab tests	321

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Brian R. Smith, MD.

**Gender**
Male	165
Female	158

**Ethnicity**
Black / African American	39
Asian / Pacific Islander	1
Non-Hispanic White	245
Native American / Alaskan Native	0
Hispanic	19
Other	1

**Age**
75 to 84	91
85 and over	43
Less than 65	70
65 to 74	118

Average of Total of Conditions of Medicare patients treated by Dr. Brian R. Smith, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Brian R. Smith, MD treated were hypertension, high cholesterol, chronic kidney disease and ischemic heart disease.

Hypertension	67
High Cholesterol	56
Stroke	12
Ischemic Heart Disease	45
Depression	34
Chronic Kidney Disease	53
Asthma	14
Osteoporosis	9
Heart Failure	41
Chronic Obstructive Pulmonary Disease	24
Diabetes	36
Atrial Fibrillation	21
Dementia	21
Cancer	18

Education & Training

Dr. Brian R. Smith, MD graduated from Harvard Medical School. He completed residency at Brigham and Women's Hospital. He has a state license in Connecticut.

Medical School: Harvard Medical School

Residency: Brigham and Women's Hospital

Licensed In: Connecticut

Affiliations & Hospitals

Dr. Brian R. Smith, MD is associated with these hospitals and organizations:

Yale New Haven Health

Smilow Cancer Hospital, Yale Medicine

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. Brian R. Smith, MD appears to accept the following insurance providers: CorVel, Great-West Healthcare, WellCare, MultiPlan, Community Care Network (CCN), United Healthcare, Aetna, Oxford Health Plans, Medicare, Consumer Health Network, Medicaid, Humana, Cigna, Anthem, ConnectiCare, Focus Health Solutions, Prime Health, First Health, Private Healthcare Systems (PHCS), TRICARE - HEALTH NET FEDERAL, COMPWORKS, HEALTHCARE VALUE MANAGEMENT, MANAGED COMP, TRICARE/CHAMPUS, HUSKY and PREFERRED HEALTH WORKS.

Insurance Accepted by Provider includes:

According to our sources, Dr. Brian R. Smith, MD accepts the following insurance providers:

CorVel

Great-West Healthcare

WellCare

MultiPlan

Community Care Network (CCN)

United Healthcare

Aetna

Oxford Health Plans

Medicare

Consumer Health Network

Medicaid

Humana

Cigna

Anthem

ConnectiCare

Focus Health Solutions

Prime Health

First Health

Private Healthcare Systems (PHCS)

TRICARE - HEALTH NET FEDERAL

COMPWORKS

HEALTHCARE VALUE MANAGEMENT

MANAGED COMP

TRICARE/CHAMPUS

HUSKY

PREFERRED HEALTH WORKS

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General Payments

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

**Payments by Company**
Boehringer Ingelheim Pharma GmbH & Co.KG	$16,490 $16,490
Boehringer Ingelheim Pharmaceuticals, Inc.	$26 $26

**Types of Payments**
Honoraria	$16,490
Food and Beverage	$26

Research Payments

Dr. Brian R. Smith, MD has received 12 research payments totaling $260,207.

Biography

Dr. Brian Smith is a specialist in clinical pathology and adult hematology. Dr. Smith's areas of expertise include hodgkin's lymphoma, non-hodgkin's lymphoma, and musculoskeletal problems. He appears to be an in-network provider for Anthem, ConnectiCare, Blue California, and more. Before completing his residency at Brigham and Women's Hospital, Dr. Smith attended medical school at Harvard Medical School. He is professionally affiliated with Yale New Haven Health. Unfortunately, according to Yale New Haven Health, Dr. Smith is not currently accepting new patients.