DR. KEVIN A SMITH (M.D.) – Family Medicine Physician, NPI 1386630895

DR. KEVIN A SMITH (M.D.) is a healthcare provider. based in Barstow, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. CAG77804 (CA). The NPI Number for DR. KEVIN A SMITH (M.D.) is 1386630895

Main info

Male
Sole Proprietor
36 Years Of Experience
Name
DR. KEVIN A SMITH (M.D.)
NPI
1386630895
Phone
(760) 255-2400
Address
525 MELISSA AVE STE A
Enumeration Date
21 September 2005
Last Update Date
24 August 2010

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1990 (36 years ago)
PAC ID
9537124607
Professional Enrollment ID
I20041130001055
Address ID
CA923113002Ba525XXAXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for DR. KEVIN A SMITH (M.D.)

  • 525 MELISSA AVE STE A

    BARSTOW, CA 923113002

    Phone: (760) 255-2400

    Fax: (760) 588-4990

    Type: Location

  • Barstow Post Office, 2nd Avenue, Barstow, San Bernardino County, California, 92311, United States

    BARSTOW, CA 923121946

    Phone: (760) 255-2400

    Fax: (760) 588-4990

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $467.

Total Amount is formed as General ($467) + Research ($0) + Ownership ($0) = $467.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($156).

Total Amount

$467

General + Research + Ownership

Payments

20

Total payment records

General Amount

$467

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-11-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041130001055IFamily PracticeCATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes445138$0
99214Established patient office or other outpatient visit, 30-39 minutes311135$0
99212Established patient office or other outpatient visit, 10-19 minutes8120$0
99215Established patient office or other outpatient visit, 40-54 minutes5843$0
99203New patient office or other outpatient visit, 30-44 minutes1414$0
View full utilization report →

Insurance plans in this area (ZIP 92311)

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Reviews

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Frequently asked questions

What number should I use to identify DR. KEVIN A SMITH (M.D.) for billing?
Administrative and clinical systems typically use NPI 1386630895 for DR. KEVIN A SMITH (M.D.).
Should I treat DR. KEVIN A SMITH (M.D.) as an active provider?
Patients and plans typically see DR. KEVIN A SMITH (M.D.) as active in the national extract.
What services align with DR. KEVIN A SMITH (M.D.)'s listing?
DR. KEVIN A SMITH (M.D.)'s public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. KEVIN A SMITH (M.D.)?
DR. KEVIN A SMITH (M.D.) shows a connection to Barstow, California in registry-derived data.
Why is information missing for DR. KEVIN A SMITH (M.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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