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KHERCIE SMITH MD
NPI 1629563747
Pediatrics in Manchester, KY

Active since June 30, 2018PECOS Enrolled
56 MARIE LANGDON DR, MANCHESTER, KY 40962(606) 599-4080 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 25, 2021, Jun 30, 2018 (2 updates tracked since 2018).

About Khercie Smith Md NPPES

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

KHERCIE SMITH MD (NPI 1629563747) is an individual pediatrics provider in Manchester, Kentucky, licensed in Michigan (4301116055) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629563747
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKHERCIE SMITHCredential: MD
Location Address56 MARIE LANGDON DRManchester, KY 40962-6329
Mailing Address330 Barclay Ave NeGrand Rapids, MI 49503-2556
Phone(606) 599-4080
Sole ProprietorNo
Enumeration DateJune 30, 2018
Last NPPES UpdateJune 25, 20212 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1629563747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MI · 4301116055
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
56 MARIE LANGDON DR, Manchester, KY 40962
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Khercie Smith Md 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 Khercie Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Memorial Hospital Inc.
Same address
Rural Health
56 MARIE LANGDON DR
Manchester, KY 40962
  • Reassigned Medicare billing, Kentucky enrollment
  • Also billed through NPI 1881112134 (Kentucky), NPI 1558665752 (Kentucky)
  • 123 clinicians in this Medicare group
NPI 1255471827 (606) 598-5104

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 40962 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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. KESHIA BREANNE WAGERS PH.D.
Psychologist
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Clay County (606) 598-4539
SUVAS GHELABHAI DESAI MD
Urology
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Clay County (606) 598-5104
POLLY JEAN HATFIELD
Peer Specialist
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Clay County (606) 599-4080
ANTHONY GILBERT PSS
Peer Specialist
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Clay County (606) 598-4538
AMBER HENSON APRN
Nurse Practitioner (Family)
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Clay County (606) 598-5104
HOLLY REANNAN CONRAD APRN
Nurse Practitioner (Family)
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Clay County (606) 599-4080
MEMORIAL HOSPITAL INC.
Clinic/Center (Rural Health)
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Clay County (606) 598-5104
MOLLY CAITLIN HISEL CSW
Social Worker (Clinical)
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Clay County (606) 599-4080

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 Khercie Smith's NPI number?

The NPI number for Khercie Smith is 1629563747. It was assigned to this individual provider in the NPPES registry on June 30, 2018.

Where is Khercie Smith located?

Khercie Smith practices at 56 Marie Langdon Dr, Manchester, KY 40962. The listed phone number is (606) 599-4080.

What is Khercie Smith's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Khercie Smith enrolled in Medicare?

Yes. Khercie Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Khercie Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khercie Smith reassigns Medicare benefits to Memorial Hospital Inc. (Manchester, KY). 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 Khercie Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Khercie Smith accept?

Health plans from Anthem Blue Cross and Blue Shield list Khercie 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.

When was this NPI record last updated?

The NPPES record for Khercie Smith was last updated on June 25, 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.