KIMBERLY SMITH – Physician Assistant, NPI 1134593601
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,032 PHYSICIAN ASSISTANT in OH
Provider Addresses for KIMBERLY SMITH
4535 DRESSLER RD NW
CANTON, OH 447182545
Phone:
Type: Mailing
100 MEDICAL CENTER DR
SPRINGFIELD, OH 455042687
Phone: (937) 523-1000
Type: Location
120 E OLENTANGY ST
POWELL, OH 430659069
Phone: (614) 898-1211
Fax: (614) 961-1096
Type: Mailing
655 AFRICA RD
WESTERVILLE, OH 430829808
Phone: (614) 326-2672
Fax: (614) 326-3293
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $337.
Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Lilly USA, LLC ($87).
Total Amount
$337
General + Research + Ownership
Payments
18
Total payment records
General Amount
$337
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-03-07
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 |
|---|---|---|---|---|
| I20160307000243 | I | Physician Assistant | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44718)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pediatric Medicine, Internal Medicine | OH | |
| Endocrinology, Internal Medicine | OH | |
| - | OH | |
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| Family Practice | OH | |
| Internal Medicine | OH | |
| Family Practice | OH | |
| Internal Medicine | OH | |
| Family Practice | OH |
Reviews
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