KATIE GRACE SMYTH (PA-C) – Physician Assistant, NPI 1104459718
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
903 PHYSICIAN ASSISTANT in MT
Provider Addresses for KATIE GRACE SMYTH (PA-C)
1401 25TH ST S
GREAT FALLS, MT 594055183
Phone:
Type: Mailing
801 5TH ST
SIOUX CITY, IA 511011326
Phone: (712) 279-2010
Type: Mailing
770 KENMOOR AVE SE STE 301
GRAND RAPIDS, MI 495468621
Phone: (616) 290-1876
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $119.
Total Amount is formed as General ($119) + Research ($0) + Ownership ($0) = $119.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: ABBVIE INC. ($64).
Total Amount
$119
General + Research + Ownership
Payments
5
Total payment records
General Amount
$119
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $64 |
| Merck Sharp & Dohme LLC | $30 |
| E.R. Squibb & Sons, L.L.C. | $25 |
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: 2021-11-05
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 |
|---|---|---|---|---|
| I20211105001583 | I | Physician Assistant | MI | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 29 | 19 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 59405)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist | IL | |
| Osteopathic Manipulative Medicine, Emergency Medicine | TX | |
| Hospitalist, Internal Medicine | MI | |
| Clinical Psychologist | CA | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Osteopathic Manipulative Medicine | MI |
Reviews
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