DR. KRISTY MARIE SMITH (M.D.) – Sports Medicine (Emergency Medicine) Physician, NPI 1174752547

DR. KRISTY MARIE SMITH (M.D.) is a healthcare provider. based in Warren, Michigan. specializing in EMERGENCY MEDICINE. They hold the professional credentials M.D.. They hold a License No. 4301095192 (MI). The NPI Number for DR. KRISTY MARIE SMITH (M.D.) is 1174752547

Main info

Female
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. KRISTY MARIE SMITH (M.D.)
NPI
1174752547
Phone
(586) 558-2860
Address
28800 RYAN RD
Enumeration Date
7 July 2009
Last Update Date
30 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5179757500
Graduation Year
2009 (17 years ago)
PAC ID
8921257486
Group Practice PAC ID
2365968351
Professional Enrollment ID
I20120927000607
Address ID
MI489108394LA2900XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

3,158 EMERGENCY MEDICINE in MI

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Provider Addresses for DR. KRISTY MARIE SMITH (M.D.)

  • 28800, Ryan Road, Warren, Macomb County, Michigan, 48092, United States

    SUITE 120

    WARREN, MI 480924272

    Phone: (586) 558-2860

    Fax: (586) 558-4624

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-11-07

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120927000607IEmergency MedicineMITBD
I20241107001879IEmergency MedicineINTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg7211$0
99285Emergency department visit with high level of medical decision making3938$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only2727$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance1612$0
99213Established patient office or other outpatient visit, 20-29 minutes1412$0
View full utilization report →

Insurance plans in this area (ZIP 48092)

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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: 2365968351View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Internal MedicineMI
Internal MedicineMI
Physician AssistantMI
Emergency MedicineOH
Emergency MedicineMI
Nurse PractitionerMI
Diagnostic RadiologyMI
Radiation Oncology, Diagnostic RadiologyMI
Physician AssistantMI

Reviews

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Frequently asked questions

What is DR. KRISTY MARIE SMITH (M.D.)'s NPI number?
DR. KRISTY MARIE SMITH (M.D.)'s NPI is 1174752547 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. KRISTY MARIE SMITH (M.D.)?
For scheduling context, DR. KRISTY MARIE SMITH (M.D.) is shown as active in the registry.
What expertise is attributed to DR. KRISTY MARIE SMITH (M.D.)?
DR. KRISTY MARIE SMITH (M.D.)'s specialty line reads Sports Medicine (Emergency Medicine) Physician. Clinical services aligned with this taxonomy classification.
Is DR. KRISTY MARIE SMITH (M.D.) located near Warren?
DR. KRISTY MARIE SMITH (M.D.) currently maps to Warren, Michigan in this extract.
Does DR. KRISTY MARIE SMITH (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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