DR. BENNETT WALKER JR. SMITH (MD) – Anesthesiology Physician, NPI 1407801095

DR. BENNETT WALKER JR. SMITH (MD) is a healthcare provider. based in Largo, Florida. specializing in Anesthesiology Physician. They hold the professional credentials MD. They hold a License No. ME88402 (FL). The NPI Number for DR. BENNETT WALKER JR. SMITH (MD) is 1407801095

Main info

Male
Name
DR. BENNETT WALKER JR. SMITH (MD)
NPI
1407801095
Phone
(727) 397-4795
Address
9651 MAYPAN PL
Enumeration Date
23 May 2006
Last Update Date
29 May 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for DR. BENNETT WALKER JR. SMITH (MD)

  • 9651 MAYPAN PL

    LARGO, FL 337774906

    Phone: (727) 397-4795

    Mailing address matches the actual address.

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: 2004-01-08

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040108000265IAnesthesiologyFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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 33777)

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Reviews

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Frequently asked questions

Is there an official ID for DR. BENNETT WALKER JR. SMITH (MD) in U.S. healthcare records?
The official identifier for DR. BENNETT WALKER JR. SMITH (MD) is NPI 1407801095.
Would DR. BENNETT WALKER JR. SMITH (MD) appear as active to a payer?
You can treat DR. BENNETT WALKER JR. SMITH (MD) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to DR. BENNETT WALKER JR. SMITH (MD)?
DR. BENNETT WALKER JR. SMITH (MD)'s specialty line reads Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. BENNETT WALKER JR. SMITH (MD) located near Largo?
DR. BENNETT WALKER JR. SMITH (MD) currently maps to Largo, Florida in this extract.
Does DR. BENNETT WALKER JR. SMITH (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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