WENDELL ROBERT SMITH – Surgery Physician, NPI 1568480879
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
730 GENERAL SURGERY in MN
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Provider Addresses for WENDELL ROBERT SMITH
1101, 9th Street North, Virginia, Saint Louis County, Minnesota, 55792, United States
VIRGINIA, MN 557922329
Phone: (218) 749-7953
Fax: (218) 749-7952
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: 2004-07-21
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 |
|---|---|---|---|---|
| I20040721000957 | I | General Surgery | MN | 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 |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 18 | 17 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 17 | 17 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 16 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 16 | 14 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 11 | 11 | $0 |
Insurance plans in this area (ZIP 55792)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | MN | 45378 | Diagnostic examination of large bowel using an endoscope | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | WI | |
| - | MN | |
| Family Practice, Emergency Medicine | MN | |
| - | MN | |
| Nurse Practitioner | MN | |
| - | AL | |
| P A T H O L O G Y | ND | |
| - | CA | |
| - | MN | |
| - | OK |
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