DR. KATRINA A. SMITH (MD) – Dermatology Physician, NPI 1104859040
Dermatology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
125 DERMATOLOGY in IA
Provider Addresses for DR. KATRINA A. SMITH (MD)
974 73rd St Unit 3940
West Des Moines, IA 502651024
Phone: (833) 432-3376
Fax: (515) 257-6977
Type: Location
Lincoln Way, Ames, Story County, Iowa, 50014, United States
AMES, IA 500103014
Phone: (515) 239-4492
Fax: (515) 663-4836
Type: Mailing
1002 NE 23RD CT
ANKENY, IA 500219056
Phone: (715) 581-5713
Fax: (515) 630-0278
Type: Mailing
2675 N ANKENY BLVD STE 101
ANKENY, IA 500234719
Phone: (515) 217-4807
Fax: (515) 630-0278
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 181 Open Payments records for all available years, with a total value of $2,995.
Total Amount is formed as General ($2,995) + Research ($0) + Ownership ($0) = $2,995.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($509).
Total Amount
$2,995
General + Research + Ownership
Payments
181
Total payment records
General Amount
$2,995
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $509 |
| Lilly USA, LLC | $251 |
| Janssen Biotech, Inc. | $195 |
| Sun Pharmaceutical Industries Inc. | $182 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $181 |
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: 2014-10-31
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 |
|---|---|---|---|---|
| I20141031001082 | I | Dermatology | IA | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,052 | 220 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 688 | 538 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 444 | 331 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 260 | 222 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 208 | 180 | $0 |
Insurance plans in this area (ZIP 50265)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | IA | |
| D E R M A T O L O G Y | IA |
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