DAPHENE SMITH (PA) – Emergency Medicine Physician, NPI 1497869689
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
Provider Addresses for DAPHENE SMITH (PA)
PO BOX 24848
SAINT LOUIS, MO 631150748
Phone: (314) 983-0478
Type: Mailing
1835 Kingshighway
East Saint Louis, IL 622042135
Phone: (618) 482-7922
Type: Location
1825 HIGHWAY 34 E STE 1200
NEWNAN, GA 302656416
Phone:
Type: Mailing
101 REGENCY PARK DR STE 110
MCDONOUGH, GA 302537076
Phone: (404) 996-0126
Type: Location
North Kingshighway, East St. Louis, Saint Clair County, Illinois, 62203, United States
EAST SAINT LOUIS, IL 622042135
Phone: (618) 482-7922
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-02-07 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-02-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $125 |
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: 2019-08-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080728000338 | I | Physician Assistant | MO | TBD |
| I20190822002269 | I | Physician Assistant | GA | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 180 | 18 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 100 | 50 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 90 | 88 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 64 | 64 | $0 |
| U0002 | 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc | 52 | 52 | $0 |
Insurance plans in this area (ZIP 63115)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| Physician Assistant | GA | |
| Nurse Practitioner | FL | |
| Emergency Medicine, Family Practice | GA | |
| - | GA | |
| Family Practice | GA | |
| Physician Assistant | GA | |
| Family Practice | NJ | |
| - | GA | |
| Physician Assistant | GA |
Reviews
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