DR. KAREN DOROTHY LOUISE SMITH (M.D.) – Rheumatology Physician, NPI 1154317378
Rheumatology Physician
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
126 RHEUMATOLOGY in SC
Provider Addresses for DR. KAREN DOROTHY LOUISE SMITH (M.D.)
PO BOX 743070
ATLANTA, GA 303743070
Phone:
Type: Mailing
1330 BOILING SPRINGS RD STE 1700
SPARTANBURG, SC 293034208
Phone: (864) 560-6844
Fax: (864) 560-7015
Type: Location
850 Enterprise Pkwy Ste 2000
Hampton, VA 236666252
Phone: (757) 534-6109
Fax: (757) 534-6096
Type: Location
120 KINGS WAY STE 2200
WILLIAMSBURG, VA 231852507
Phone: (757) 645-3460
Fax: (757) 645-3481
Type: Location
856 J CLYDE MORRIS BLVD STE A
NEWPORT NEWS, VA 236011318
Phone: (757) 316-5800
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2023-11-14 • Largest payer in this snapshot: ABBVIE INC. ($64).
Total Amount
$128
General + Research + Ownership
Payments
6
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $64 |
| GlaxoSmithKline, LLC. | $24 |
| PFIZER INC. | $20 |
| Lilly USA, LLC | $20 |
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: 2023-07-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230712002584 | I | Rheumatology | VA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 79 | 57 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 52 | 52 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 50 | 41 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $0 |
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| - | VA | |
| Family Practice | VA | |
| - | VA | |
| H O S P I T A L I S T | WV | |
| - | PA | |
| G A S T R O E N T E R O L O G Y | VA | |
| General Surgery | VA | |
| Internal Medicine | VA | |
| Internal Medicine | VA |
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