DR. KIMBERLY IVY SMITH (M.D.) – Family Medicine Physician, NPI 1588720973
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DR. KIMBERLY IVY SMITH (M.D.)
178 LASALLE LEFALL DR
QUINCY, FL 323515278
Phone: (850) 875-3600
Fax: (850) 627-7277
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 16 Open Payments records for all available years, with a total value of $292.
Total Amount is formed as General ($292) + Research ($0) + Ownership ($0) = $292.
Last reported payment date: 2024-10-17 • Largest payer in this snapshot: PFIZER INC. ($45).
Total Amount
$292
General + Research + Ownership
Payments
16
Total payment records
General Amount
$292
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $45 |
| SANOFI-AVENTIS U.S. LLC | $43 |
| Novo Nordisk Inc | $43 |
| Lilly USA, LLC | $31 |
| SANOFI PASTEUR INC. | $21 |
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: 2023-10-11
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 |
|---|---|---|---|---|
| I20151120002729 | I | Family Practice | FL | TBD |
| I20231011001571 | I | Family Practice | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32351)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | PA | |
| Emergency Medicine, Hospitalist, Family Practice, Osteopathic Manipulative Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Family Practice | FL | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| - | TX |
Reviews
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