KELLY SMITH (M.D.) – Diagnostic Radiology Physician, NPI 1144201799
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
988 DIAGNOSTIC RADIOLOGY in AZ
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Provider Addresses for KELLY SMITH (M.D.)
Mayo Clinic Hospital Scottsdale Campus, 13400, East Shea Boulevard, Scottsdale, Maricopa County, Arizona, 85259, United States
SCOTTSDALE, AZ 852595452
Phone: (480) 301-8000
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $67.
Total Amount is formed as General ($67) + Research ($0) + Ownership ($0) = $67.
Last reported payment date: 2023-12-15 • Largest payer in this snapshot: Organogenesis Inc. ($44).
Total Amount
$67
General + Research + Ownership
Payments
3
Total payment records
General Amount
$67
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $44 |
| Pacira Pharmaceuticals Incorporated | $22 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-12-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090926000079 | I | Diagnostic Radiology | CA | TBD |
| I20221208002943 | I | Diagnostic Radiology | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 274 | 240 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 247 | 240 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 97 | 92 | $0 |
| 76000 | Imaging guidance for procedure, 60 minutes or less | 95 | 92 | $0 |
| 71260 | Ct scan of chest with contrast | 91 | 90 | $0 |
Insurance plans in this area (ZIP 85259)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | CA | |
| Diagnostic Radiology | CA | |
| Physician Assistant | CA | |
| Cardiovascular Disease (Cardiology) | CA | |
| Interventional Radiology, Diagnostic Radiology | HI | |
| - | CA | |
| Interventional Radiology, Diagnostic Radiology | CA |
Reviews
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