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KIRK ELLIS SMITH DO
NPI 1730199985
Family Medicine in Middletown, OH

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
5005 KILKERRY DR, MIDDLETOWN, OH 45042(937) 641-0447 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2023, Aug 4, 2022, Nov 12, 2018 and 1 more (4 updates tracked since 2018).

About Kirk Ellis Smith Do NPPES

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

KIRK ELLIS SMITH DO (NPI 1730199985) is an individual family medicine provider in Middletown, Ohio, licensed in Ohio (34004607) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Ohio University, College Of Osteopathic Medicine (1987).

NPPES Registry Identity

NPI1730199985
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKIRK ELLIS SMITHCredential: DO
Location Address5005 KILKERRY DRMiddletown, OH 45042-3004
Mailing Address5005 Kilkerry DrMiddletown, OH 45042-3004
Phone(937) 641-0447
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1987
Enumeration DateAugust 9, 2006
Last NPPES UpdateSeptember 5, 20234 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2023
✔ NPI 1730199985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34004607
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5005 KILKERRY DR, Middletown, OH 45042
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Secondary Practice Locations 2

Location 12403 Central Ave.Middletown, OH 45044 · Phone (513) 423-1211 · Fax (513) 423-5845
Location 2200 Medical Center Dr Ste 300Middletown, OH 45005 · Phone (513) 423-1211 · Fax (513) 423-5845

Other Identifiers 3

Medicaid0764801OH
Other0120017OH · Uhc
Other000000016049OH · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Kirk Ellis Smith Do 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 ID7618046178
PECOS Enrollment IDI20080523000239
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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
401 services76 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
80 services74 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
69 services60 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
23 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45042 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers13 claims36 services$5.19 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier14 claims480 services$5.99 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
1 supplier14 claims240 services$3.46 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier14 claims240 services$2.61 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier21 claims310 services$2.63 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier28 claims422 services$4.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kirk Smith's NPI number?

The NPI number for Kirk Smith is 1730199985. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Kirk Smith located?

Kirk Smith practices at 5005 Kilkerry Dr, Middletown, OH 45042. The listed phone number is (937) 641-0447.

What is Kirk Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kirk Smith enrolled in Medicare?

Yes. Kirk 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 Kirk Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Kirk 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 Kirk Smith was last updated on September 5, 2023. 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.