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PHILIP G SMITH MD
NPI 1508966581
Surgery in Richland, WA

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
83.05/100
CMS Quality Rating
1100 GOETHALS DRIVE 2ND FLOOR, KADLEC CLINIC GENERAL & COLORECTAL SURGERY, RICHLAND, WA 99352(509) 942-3185(509) 946-1850 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Philip G Smith Md NPPES

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

PHILIP G SMITH MD (NPI 1508966581) is an individual surgery provider in Richland, Washington, licensed in Washington (MD60119652) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Kadlec Regional Medical Center, and is a graduate of Loma Linda University School Of Medicine (1988).

NPPES Registry Identity

NPI1508966581
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePHILIP G SMITHCredential: MD
Location Address1100 GOETHALS DRIVE 2ND FLOOR, KADLEC CLINIC GENERAL & COLORECTAL SURGERYRichland, WA 99352-3304
Mailing Address3900 S Zintel WayKennewick, WA 99338 · (509) 942-3627 · Fax (509) 942-2268
Phone(509) 942-3185
Fax(509) 946-1850
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 1988
Enumeration DateSeptember 22, 2006
Last NPPES UpdateApril 1, 2021
NPPES CertifiedApril 1, 2021
✔ NPI 1508966581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in WA · MD60119652
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1100 GOETHALS DRIVE 2ND FLOOR, Richland, WA 99352
Open in Google Maps ↗

Other Identifiers 3

Medicaid00G848590CA
Other258395WA · Labor & Industries
Medicaid8563785WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Philip G Smith Md 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 ID1658445671
PECOS Enrollment IDI20100226000869
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 7

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
67 services67 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
27 services27 patients
Creation of muscle graft to trunk 15734
The creation of a muscle graft to the trunk is a surgical procedure where healthy muscle tissue is moved from one part of the body to another. This helps to repair damaged areas, improve function, and enhance appearance. It's a common procedure in reconstructive surgery.
22 services12 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.
21 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Kadlec Regional Medical Center

Acute Care Hospitals · Richland, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500058
Location888 Swift BlvdRichland, WA 99352 · Benton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99352 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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.

83.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.47
Promoting Interoperability100
Improvement Activities40
Cost67.03

Other Providers at the Same Location NPPES 2

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

DR. RODNEY ALLAN GRAVES D.P.M.
Podiatrist (Foot & Ankle Surgery)
1100 GOETHALS DRIVE 2ND FLOOR, KADLEC CLINIC FOOT & ANKLE
RICHLAND, WA 99352
Benton County (509) 942-3627
DR. BRANDON BLAINE BUNNAGE D.O.
Surgery
1100 GOETHALS DRIVE 2ND FLOOR, KADLEC CLINIC GENERAL & COLORECTAL SURGERY
RICHLAND, WA 99352
Benton County (509) 942-3185

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 Philip Smith's NPI number?

The NPI number for Philip Smith is 1508966581. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Philip Smith located?

Philip Smith practices at 1100 Goethals Drive 2nd Floor Kadlec Clinic General & Colorectal Surgery, Richland, WA 99352. The listed phone number is (509) 942-3185.

What is Philip Smith's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Philip Smith enrolled in Medicare?

Yes. Philip 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 Philip Smith accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Philip 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 Philip Smith affiliated with any hospitals?

According to CMS data, Philip Smith is affiliated with Kadlec Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Philip Smith was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.