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DR. KENTON OSBORNE SMITHERMAN M.D.
NPI 1205888724
Hospitalist in San Diego, CA

Active since May 16, 2006PECOS Enrolled
200 W ARBOR DR, MAIL CODE 8201, SAN DIEGO, CA 92103(888) 309-8273(619) 543-3183 Get Directions Write a Review

NPPES record last updated: September 25, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Kenton Osborne Smitherman M.d. NPPES

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

DR. KENTON OSBORNE SMITHERMAN M.D. (NPI 1205888724) is an individual hospitalist provider in San Diego, California, licensed in California (G84563) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205888724
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. KENTON OSBORNE SMITHERMANCredential: M.D.
Location Address200 W ARBOR DR, MAIL CODE 8201San Diego, CA 92103-9000
Mailing AddressPo Box 232410San Diego, CA 92193-2410 · (858) 249-6748
Phone(888) 309-8273
Fax(619) 543-3183
Sole ProprietorNo
Enumeration DateMay 16, 2006
Last NPPES UpdateSeptember 25, 2017
✔ NPI 1205888724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CA · G84563
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License G84563 (CA)
200 W ARBOR DR, San Diego, CA 92103
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING74219CA
Medicare ID-Type UnspecifiedWG84563LCA
Medicaid00G845630CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenton Osborne Smitherman M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kenton Smitherman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Regents Of The University Of California
0.1 mi
Allergy & Immunology
200 W ARBOR DR
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 1,051 clinicians in this Medicare group
NPI 1487772380 (800) 926-8273

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

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.

DR. RAMIN MOTARJEMI M.D.
Internal Medicine (Geriatric Medicine)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (858) 249-2500
DR. KYLE PALMER EDMONDS M.D., FAAHPM
Hospice, Inpatient
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
SHAWN RAVEENTH VEDAMANI MD
Anesthesiology
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DALE MICHAEL TRUJILLO NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
DR. EUGENE THOMAS RICHARDSON IV MD
Internal Medicine (Infectious Disease)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
KAYLEE PETERSEN ARNP
Nurse Practitioner (Psychiatric/Mental Health)
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
IRENE NEVAREZ NP
Nurse Practitioner
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (800) 926-8273
WILLIAM JAMES MOSS M.D.
Student in an Organized Health Care Education/Training Program
200 W ARBOR DR
SAN DIEGO, CA 92103
San Diego County (508) 395-4189

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 Kenton Smitherman's NPI number?

The NPI number for Kenton Smitherman is 1205888724. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Kenton Smitherman located?

Kenton Smitherman practices at 200 W Arbor Dr Mail Code 8201, San Diego, CA 92103. The listed phone number is (888) 309-8273.

What is Kenton Smitherman's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Kenton Smitherman enrolled in Medicare?

Yes. Kenton Smitherman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenton Smitherman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenton Smitherman reassigns Medicare benefits to Regents Of The University Of California (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenton Smitherman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenton Smitherman was last updated on September 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.