KENNETH D SMITH (MD) – Diagnostic Radiology Physician, NPI 1316958531
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KENNETH D SMITH (MD)
PO BOX 629
SMITH IMAGING INC
FARMINGTON, MO 63640
Phone: (573) 760-8075
Fax: (314) 821-2180
Type: Mailing
Parkland Health Center - Farmington, 1101, West Liberty Street, Farmington, Saint Francois County, Missouri, 63640, United States
PARKLAND HEALTH CENTER DEPT OF RADIOLOGY
FARMINGTON, MO 63640
Phone: (573) 760-8075
Fax: (573) 760-8358
Type: Location
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: 2006-12-20
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 |
|---|---|---|---|---|
| I20061220000281 | I | Diagnostic Radiology | 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 |
|---|---|---|---|---|
| 71046 | X-ray of chest, 2 views | 87 | 83 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 68 | 68 | $0 |
| 73564 | X-ray of knee, 4 or more views | 34 | 32 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 28 | 26 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 26 | 25 | $0 |
Insurance plans in this area (ZIP 63640)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Certified Nurse Midwife (Cnm), Nurse Practitioner | MO | |
| Physical Medicine And Rehabilitation, Pain Management | MO | |
| Internal Medicine | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Family Practice | MO |
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