KELLEY R SMITH (DO) – Surgery Physician, NPI 1336157676
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,999 GENERAL SURGERY in PA
Provider Addresses for KELLEY R SMITH (DO)
240 Allegheny Blvd Ste A
Brookville, PA 158252324
Phone: (814) 375-4000
Fax: (814) 375-4011
Type: Location
Du Bois, Pawnee County, Nebraska, United States
DU BOIS, PA 158011462
Phone: (814) 375-4000
Fax: (814) 375-4011
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $410.
Total Amount is formed as General ($410) + Research ($0) + Ownership ($0) = $410.
Last reported payment date: 2024-10-07 • Largest payer in this snapshot: TACTILE SYSTEMS TECHNOLOGY INC ($173).
Total Amount
$410
General + Research + Ownership
Payments
10
Total payment records
General Amount
$410
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TACTILE SYSTEMS TECHNOLOGY INC | $173 |
| Daiichi Sankyo Inc. | $118 |
| Smith+Nephew, Inc. | $35 |
| Organogenesis Inc. | $28 |
| Hologic Sales and Service, LLC | $23 |
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: 2004-08-30
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 |
|---|---|---|---|---|
| I20040830000275 | I | General Surgery | PA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 77 | 67 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 31 | 31 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 26 | 23 | $0 |
| 19301 | Partial removal of breast | 25 | 25 | $0 |
| 38525 | Biopsy or removal of deep lymph nodes of underarm | 22 | 22 | $0 |
Insurance plans in this area (ZIP 15825)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | PA | |
| - | PA | |
| - | PA | |
| - | PA | |
| Internal Medicine | MD | |
| Nurse Practitioner | PA | |
| - | PA | |
| Diagnostic Radiology | TX | |
| Physician Assistant | PA | |
| Internal Medicine | PA |
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