AARON SMITH (PA) – Physician Assistant, NPI 1104200609

AARON SMITH (PA) is a healthcare provider. based in Saint louis, Missouri. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for AARON SMITH (PA) is 1104200609

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
AARON SMITH (PA)
NPI
1104200609
Phone
(314) 849-0311
Address
12639 OLD TESSON RD
Enumeration Date
14 July 2015
Last Update Date
14 July 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9133815225
Graduation Year
2015 (11 years ago)
PAC ID
1557676038
Group Practice PAC ID
7618144056
Professional Enrollment ID
I20150828000426
Address ID
MO640647880LE2737XDRXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:10State licenses:0Digital endpointsOther names

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for AARON SMITH (PA)

  • 12639 OLD TESSON RD

    SUITE 100

    SAINT LOUIS, MO 631282786

    Phone: (314) 849-0311

    Fax: (314) 849-4423

    Type: Mailing

  • 10701 NALL AVE

    SUITE 200

    OVERLAND PARK, KS 662111363

    Phone: (913) 381-5225

    Fax: (913) 901-0186

    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 $1,144.

Total Amount is formed as General ($1,144) + Research ($0) + Ownership ($0) = $1,144.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($712).

Total Amount

$1,144

General + Research + Ownership

Payments

20

Total payment records

General Amount

$1,144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

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: 2015-08-28

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
I20150812008135IPhysician AssistantKSTBD
I20150828000426IPhysician AssistantMOTBD

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 mg1,503163$0
20610Aspiration and/or injection of fluid from large joint284154$0
73502X-ray of hip, 2-3 views168145$0
73564X-ray of knee, 4 or more views11691$0
J7323Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose11631$0
View full utilization report →

Insurance plans in this area (ZIP 63128)

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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: 7618144056View full group profile
NameSpecialtyState
Nurse PractitionerKS
Physician AssistantKS
Physician AssistantMO
Orthopedic Surgery, Sports MedicineKS
-MO
Nurse PractitionerMO
Orthopedic SurgeryKS
Physician AssistantKS
Physical Medicine And RehabilitationMO
-MO

Reviews

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Frequently asked questions

How do payers reference AARON SMITH (PA)?
For AARON SMITH (PA), use NPI 1104200609 as the unique 10-digit identifier.
Would AARON SMITH (PA) appear as active to a payer?
You can treat AARON SMITH (PA) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe AARON SMITH (PA)'s focus?
For AARON SMITH (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is AARON SMITH (PA) located near Saint Louis?
AARON SMITH (PA) currently maps to Saint Louis, Missouri in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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