DR. KELLY ANN SMITH D.O.
NPI 1104960400
Emergency Medicine in Aurora, IL

Active since February 19, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2000 OGDEN AVE, AURORA, IL 60504(630) 978-4810 Get Directions Write a Review

NPPES record last updated: January 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kelly Ann Smith D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KELLY ANN SMITH D.O. (NPI 1104960400) is an individual emergency medicine provider in Aurora, Illinois, licensed in Illinois (036119988) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Copley Memorial Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1104960400
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. KELLY ANN SMITHCredential: D.O.
Location Address2000 OGDEN AVEAurora, IL 60504-7222
Mailing Address2000 Ogden AveAurora, IL 60504-7222 · (630) 978-4810
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 19, 2007
Last NPPES UpdateJanuary 20, 2016
NPI 1104960400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IL · 036119988
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2000 OGDEN AVE, Aurora, IL 60504

Other Names 1

Former Name (1)Dr. Kelly Ann Stanichuk D.o.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Kelly Ann Smith D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072684893
PECOS Enrollment IDI20080620000429
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
50 services49 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
43 services42 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Copley Memorial Hospital

Acute Care Hospitals · Aurora, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140029
Location2000 Ogden AvenueAurora, IL 60504 · Kane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.9
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2000 OGDEN AVE
AURORA, IL 60504
Nurse Anesthetist, Certified Registered
2000 OGDEN AVE, RUSH COPLEY MEMORIAL HOSPITAL
AURORA, IL 60504
Nurse Anesthetist, Certified Registered
2000 OGDEN AVE
AURORA, IL 60504
Emergency Medicine
2000 OGDEN AVE, RUSH-COPLEY MEDICAL CENTER, DEPT. OF EMERGENCY SERVICES
AURORA, IL 60504
Student in an Organized Health Care Education/Training Program
2000 OGDEN AVE
AURORA, IL 60504
Anesthesiology
2000 OGDEN AVE, RUSH COPLEY MEDICAL CENTER
AURORA, IL 60504
Emergency Medicine
2000 OGDEN AVE
AURORA, IL 60504
Emergency Medicine
2000 OGDEN AVE
AURORA, IL 60504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Smith's NPI number?

The NPI number for Kelly Smith is 1104960400. It was assigned to this individual provider in the NPPES registry on February 19, 2007. The provider is also known as Dr. Kelly Ann Stanichuk D.O..

Where is Kelly Smith located?

Kelly Smith practices at 2000 Ogden Ave, Aurora, IL 60504. The listed phone number is (630) 978-4810.

What is Kelly Smith's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kelly Smith enrolled in Medicare?

Yes. Kelly Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kelly Smith affiliated with any hospitals?

According to CMS data, Kelly Smith is affiliated with Copley Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Smith was last updated on January 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.