REBECCA J. SMITH (PA-C) – Physician Assistant, NPI 1013030949
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for REBECCA J. SMITH (PA-C)
1800 Wentzville Pkwy
Wentzville, MO 633853817
Phone: (636) 200-9220
Fax: (636) 590-7659
Type: Location
801 YORK ST
MANITOWOC, WI 542204630
Phone: (920) 663-7190
Fax: (920) 684-1439
Type: Mailing
9209 PHOENIX VILLAGE PKWY
O FALLON, MO 633684280
Phone: (636) 561-4630
Fax: (636) 561-4610
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 357 Open Payments records for all available years, with a total value of $5,462.
Total Amount is formed as General ($5,462) + Research ($0) + Ownership ($0) = $5,462.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Janssen Biotech, Inc. ($782).
Total Amount
$5,462
General + Research + Ownership
Payments
357
Total payment records
General Amount
$5,462
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $782 |
| E.R. Squibb & Sons, L.L.C. | $595 |
| Dermavant Sciences, Inc. | $567 |
| LEO Pharma Inc. | $405 |
| Arcutis Biotherapeutics, Inc. | $362 |
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: 2016-05-12
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 |
|---|---|---|---|---|
| I20160512001709 | I | Physician Assistant | MO | 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 | 643 | 124 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 382 | 307 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 247 | 180 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 163 | 140 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 95 | 83 | $0 |
Insurance plans in this area (ZIP 63385)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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