KELLY SCHMIDT – Otolaryngology Physician, NPI 1659998441

KELLY SCHMIDT is a healthcare provider. based in Champaign, Illinois. specializing in OTOLARYNGOLOGY. They hold a License No. 036174533 (IL). The NPI Number for KELLY SCHMIDT is 1659998441

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
KELLY SCHMIDT
NPI
1659998441
Phone
(217) 366-1243
Address
101 W UNIVERSITY AVE
Enumeration Date
29 June 2020
Last Update Date
19 August 2025

Doctor Profile

Medical School Name
SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2173664000
Graduation Year
2020 (6 years ago)
PAC ID
2567837578
Group Practice PAC ID
7719899319
Professional Enrollment ID
I20250818001460
Address ID
IL618223743CH3101XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness85
Years active:5State licenses:1Digital endpointsOther names

320 OTOLARYNGOLOGY in MO

Provider Addresses for KELLY SCHMIDT

  • 101 W UNIVERSITY AVE

    CHAMPAIGN, IL 618203981

    Phone: (217) 366-1243

    Fax: (217) 366-1220

    Type: Mailing

  • 1 HOSPITAL DR # MA314

    COLUMBIA, MO 652121000

    Phone: (573) 882-7935

    Type: Mailing

  • 3101 FIELDS SOUTH DR

    CHAMPAIGN, IL 618223743

    Phone: (217) 366-1243

    Fax: (217) 366-1220

    Type: Location

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 $1,905.

Total Amount is formed as General ($1,905) + Research ($0) + Ownership ($0) = $1,905.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Stryker Corporation ($1,857).

Total Amount

$1,905

General + Research + Ownership

Payments

20

Total payment records

General Amount

$1,905

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-08-18

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
I20250818001460IOtolaryngologyILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61820)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719899319View full group profile

Reviews

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Frequently asked questions

What number should I use to identify KELLY SCHMIDT for billing?
Administrative and clinical systems typically use NPI 1659998441 for KELLY SCHMIDT.
Should I treat KELLY SCHMIDT as an active provider?
Patients and plans typically see KELLY SCHMIDT as active in the national extract.
How should patients interpret KELLY SCHMIDT's specialty?
The extract shows Otolaryngology Physician for KELLY SCHMIDT. Clinical services aligned with this taxonomy classification.
What city is tied to KELLY SCHMIDT?
The directory associates KELLY SCHMIDT with Champaign, Illinois. Check all listed addresses for suites or satellite offices.
Can I export KELLY SCHMIDT's record?
You can download the official NPPES record; we summarize key fields for readability.

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