DR. KENNETH GERALD SMITH (M.D.) – Surgery Physician, NPI 1154327534
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
785 GENERAL SURGERY in MO
Provider Addresses for DR. KENNETH GERALD SMITH (M.D.)
12639 OLD TESSON RD
STE 115
SAINT LOUIS, MO 631282786
Phone: (314) 849-0311
Fax: (314) 849-4423
Type: Mailing
10012 KENNERLY RD STE 406
SAINT LOUIS, MO 631282197
Phone: (314) 525-1224
Fax: (314) 525-4957
Type: Mailing
12122, Tesson Ferry Road, Concord, Saint Louis County, Missouri, 63128, United States
SUITE 101
SAINT LOUIS, MO 631281772
Phone: (314) 842-6183
Fax: (314) 842-6184
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $460.
Total Amount is formed as General ($460) + Research ($0) + Ownership ($0) = $460.
Last reported payment date: 2024-07-31 • Largest payer in this snapshot: Davol Inc. ($426).
Total Amount
$460
General + Research + Ownership
Payments
4
Total payment records
General Amount
$460
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $426 |
| Elite Orthopedics, LLC | $34 |
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: 2005-01-04
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 |
|---|---|---|---|---|
| I20050104000629 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 70 | 70 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 24 | 24 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 20 | $0 |
| 47563 | Removal of gallbladder with x-ray study of bile ducts using an endoscope | 19 | 19 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 14 | 11 | $0 |
Insurance plans in this area (ZIP 63128)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| General Surgery, Surgical Oncology | IL | |
| Orthopedic Surgery | CO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| General Surgery | MO | |
| N E U R O S U R G E R Y | MO |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.