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KYLE GLENN SMITH PA
NPI 1710720552
Physician Assistant in Idaho Falls, ID

Active since June 18, 2024PECOS Enrolled
4161 HILLBILLY WAY, IDAHO FALLS, ID 83401(208) 559-0883 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 10, 2026, Jun 18, 2024 (2 updates tracked since 2024).

About Kyle Glenn Smith Pa NPPES

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

KYLE GLENN SMITH PA (NPI 1710720552) is an individual physician assistant in Idaho Falls, Idaho and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710720552
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKYLE GLENN SMITHCredential: PA
Location Address4161 HILLBILLY WAYIdaho Falls, ID 83401-6920
Mailing Address4161 Hillbilly WayIdaho Falls, ID 83401-6920 · (208) 559-0883
Phone(208) 559-0883
Sole ProprietorNo
Enumeration DateJune 18, 2024
Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration
NPPES CertifiedAugust 10, 2026
✔ NPI 1710720552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4161 HILLBILLY WAY, Idaho Falls, ID 83401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyle Glenn Smith Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83401 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

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 Kyle Smith's NPI number?

The NPI number for Kyle Smith is 1710720552. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Where is Kyle Smith located?

Kyle Smith practices at 4161 Hillbilly Way, Idaho Falls, ID 83401. The listed phone number is (208) 559-0883.

What is Kyle Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kyle Smith enrolled in Medicare?

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

What insurance does Kyle Smith accept?

Health plans from University of Utah Health Plans list Kyle 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 Kyle Smith was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.