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KIMBERLY ROUSE SMITH M.D.
NPI 1225265366
Emergency Medicine in Washington, NC

Active since June 16, 2009PECOS EnrolledAccepts Medicare Assignment
98.33/100
CMS Quality Rating
628 E 12TH ST, WASHINGTON, NC 27889(252) 975-4319(252) 948-4826 Get Directions Write a Review

NPPES record last updated: March 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 6, 2024, Dec 1, 2020 (2 updates tracked since 2020).

About Kimberly Rouse Smith M.d. NPPES

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

KIMBERLY ROUSE SMITH M.D. (NPI 1225265366) is an individual emergency medicine provider in Washington, North Carolina, licensed in North Carolina (2013-01261) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Ecu Health Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1225265366
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKIMBERLY ROUSE SMITHCredential: M.D.
Location Address628 E 12TH STWashington, NC 27889-3409
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Phone(252) 975-4319
Fax(252) 948-4826
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 16, 2009
Last NPPES UpdateMarch 6, 20242 updates tracked since enumeration
NPPES CertifiedMarch 6, 2024
✔ NPI 1225265366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NC · 2013-01261✔ Licensed in KY · 45421
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.
628 E 12TH ST, Washington, NC 27889
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Other Identifiers 2

Medicaid1225265366NC
Other179U4NC · Bcbsnc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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

Kimberly Rouse Smith M.d. 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 ID9133384464
PECOS Enrollment IDI20130819000461
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 4

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.
112 services111 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.
92 services91 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
30 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Ecu Health Medical Center

Acute Care Hospitals · Greenville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340040
Location2100 Stantonsburg RdGreenville, NC 27834 · Pitt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27889 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

98.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.93
Promoting Interoperability100
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.

MR. ROBERT L POSTON
Nurse Anesthetist, Certified Registered
628 E 12TH ST
WASHINGTON, NC 27889
Beaufort County (252) 975-4100
LISA A ULMER
Nurse Anesthetist, Certified Registered
628 E 12TH ST
WASHINGTON, NC 27889
Beaufort County (252) 975-4100
JESSICA RISPOLI
Nurse Practitioner (Family)
628 E 12TH ST
WASHINGTON, NC 27889
Beaufort County (252) 975-4100
ALBERT FOSTER HUNT PA-C
Physician Assistant
628 E 12TH ST
WASHINGTON, NC 27889
Beaufort County (252) 975-4319
BEAUFORT COUNTY HOSPITAL ASSOCIATION INC
Home Health
628 E 12TH ST
WASHINGTON, NC 27889
Beaufort County (252) 975-4204
BEAUFORT COUNTY EMERGENCY PHYSICIANS PLLC
Emergency Medicine
628 E 12TH ST, EMERGENCY DEPARTMENT
WASHINGTON, NC 27889
Beaufort County (877) 693-5700
DR. AMY MICHELLE MODLIN DO
Family Medicine
628 E 12TH ST
WASHINGTON, NC 27889
Beaufort County (252) 975-4100
BEAUFORT COUNTY HOSPITAL ASSOCIATION INC
Clinic/Center (Multi-Specialty)
628 E 12TH ST
WASHINGTON, NC 27889
Beaufort County (252) 975-4100

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 Kimberly Smith's NPI number?

The NPI number for Kimberly Smith is 1225265366. It was assigned to this individual provider in the NPPES registry on June 16, 2009.

Where is Kimberly Smith located?

Kimberly Smith practices at 628 E 12th St, Washington, NC 27889. The listed phone number is (252) 975-4319.

What is Kimberly Smith's specialty?

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

Is Kimberly Smith enrolled in Medicare?

Yes. Kimberly 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.

What insurance does Kimberly Smith accept?

Health plans from Blue Cross and Blue Shield of NC list Kimberly Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kimberly Smith affiliated with any hospitals?

According to CMS data, Kimberly Smith is affiliated with Ecu Health Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Smith was last updated on March 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.