DR. KENNETH RONALD SMITH MD
NPI 1508979477
Orthopaedic Surgery in Bolivar, MO

Active since August 16, 2006PECOS EnrolledAccepts Medicare Assignment
1155 W PARKVIEW ST, SUITE 2D, BOLIVAR, MO 65613(417) 777-2663(417) 777-2666 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Ronald Smith Md NPPES

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

DR. KENNETH RONALD SMITH MD (NPI 1508979477) is an individual orthopaedic surgery provider in Bolivar, Missouri, licensed in Missouri (MDR3K38) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (1985).

NPPES Registry Identity

NPI1508979477
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. KENNETH RONALD SMITHCredential: MD
Location Address1155 W PARKVIEW ST, SUITE 2DBolivar, MO 65613-8279
Mailing Address1500 N Oakland AveBolivar, MO 65613-3011 · (417) 326-6000 · Fax (417) 328-6338
Fax(417) 777-2666
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 1985
Enumeration DateAugust 16, 2006
Last NPPES UpdateDecember 10, 2015
NPI 1508979477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MO · MDR3K38
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1155 W PARKVIEW ST, Bolivar, MO 65613

Other Identifiers 2

Medicare UPINE83226MO
Medicare OSCAR/certification005013888

Accepted 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

Dr. Kenneth Ronald 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 ID4082741749
PECOS Enrollment IDI20100428000942
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 13

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
1,104 services15 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.
57 services51 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
48 services37 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
45 services39 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
37 services28 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.
34 services34 patients

Hospital Affiliations CMS Care Compare

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

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number260195
Location1500 N OaklandBolivar, MO 65613 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65613 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Other Providers at the Same Location NPPES 10

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

Orthopaedic Surgery
1155 W PARKVIEW ST, SUITE 2D
BOLIVAR, MO 65613
Durable Medical Equipment & Medical Supplies
1155 W PARKVIEW ST, SUITE 2D
BOLIVAR, MO 65613
Physician Assistant
1155 W PARKVIEW ST, SUITE 2D
BOLIVAR, MO 65613
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1155 W PARKVIEW ST, SUITE 2J
BOLIVAR, MO 65613
Specialist/Technologist (Athletic Trainer)
1155 W PARKVIEW ST
BOLIVAR, MO 65613
Surgery
1155 W PARKVIEW ST, SUITE 1F
BOLIVAR, MO 65613
Nurse Practitioner (Family)
1155 W PARKVIEW ST
BOLIVAR, MO 65613
Nurse Practitioner
1155 W PARKVIEW ST
BOLIVAR, MO 65613

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 Kenneth Smith's NPI number?

The NPI number for Kenneth Smith is 1508979477. It was assigned to this individual provider in the NPPES registry on August 16, 2006.

Where is Kenneth Smith located?

Kenneth Smith practices at 1155 W Parkview St Suite 2D, Bolivar, MO 65613. The listed phone number is (417) 777-2663.

What is Kenneth Smith's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Kenneth Smith enrolled in Medicare?

Yes. Kenneth 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 Kenneth Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 5 other insurers list Kenneth 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 Kenneth Smith affiliated with any hospitals?

According to CMS data, Kenneth Smith is affiliated with Citizens Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Smith was last updated on December 10, 2015. 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.