DR. NICHOLAS JAMES SMITH (D.O.) – Emergency Medicine Physician, NPI 1215317540
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,354 EMERGENCY MEDICINE in MO
Provider Addresses for DR. NICHOLAS JAMES SMITH (D.O.)
615 S NEW BALLAS RD
SAINT LOUIS, MO 631418221
Phone: (314) 251-6090
Type: Mailing
1400 US Highway 61
Festus, MO 630284100
Phone: (636) 933-1111
Type: Location
901 E 5th St
Washington, MO 630903127
Phone: (636) 239-8011
Type: Location
10010 Kennerly Rd
Saint Louis, MO 631282106
Phone: (314) 525-1906
Type: Location
434 N West St
Perryville, MO 637751359
Phone: (573) 547-2536
Type: Location
2301 HOLMES ST
KANSAS CITY, MO 641082640
Phone: (816) 404-5075
Type: Mailing
1400 US HIGHWAY 61
FESTUS, MO 630284100
Phone: (636) 933-1111
Type: Mailing
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: 2017-12-26
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 |
|---|---|---|---|---|
| I20171226000546 | I | Emergency Medicine | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 267 | 259 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 122 | 115 | $0 |
| 99291 | Critical care, first 30-74 minutes | 53 | 53 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 24 | 24 | $0 |
Insurance plans in this area (ZIP 63141)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gastroenterology, Internal Medicine | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Emergency Medicine | MO | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Gastroenterology, Internal Medicine | MO | |
| Internal Medicine | MO | |
| Allergy/Immunology, Internal Medicine | MO | |
| Physician Assistant | IL |
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