KENNETH M SMITH MD
NPI 1982807350
Urology in Glencoe, MN

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment
1805 HENNEPIN AVE N, GLENCOE, MN 55336(320) 864-3121(320) 864-7892 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Jan 11, 2023, Oct 27, 2020 (3 updates tracked since 2020).

About Kenneth M Smith Md NPPES

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

KENNETH M SMITH MD (NPI 1982807350) is an individual urology provider in Glencoe, Minnesota, licensed in Minnesota (19785) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Ridgeview Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982807350
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameKENNETH M SMITHCredential: MD
Location Address1805 HENNEPIN AVE NGlencoe, MN 55336-1416
Mailing Address1805 Hennepin Ave NGlencoe, MN 55336-1416 · (320) 864-3121 · Fax (320) 864-7892
Fax(320) 864-7892
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2003
Enumeration DateJune 6, 2007
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
NPI 1982807350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in MN · 19785
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1805 HENNEPIN AVE N, Glencoe, MN 55336

Secondary Practice Locations 2

Location 1435 Phalen Blvd - MS 51103C, HealthPartners Specialty Center 435St. Paul, MN 55130-5302 · Phone (651) 254-8500 · Fax (651) 254-8504
Location 21025 Marsh StMankato, MN 56001-4752 · Phone (507) 625-4031

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

Kenneth M 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 ID244425247
PECOS Enrollment IDI20101116001126
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.

Hospital Affiliations CMS Care Compare 2

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

Ridgeview Medical Center

Acute Care Hospitals · Waconia, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240056
Location500 South Maple StreetWaconia, MN 55387 · Carver County
Emergency services Birthing friendly

Glencoe Regional Health

Critical Access Hospitals · Glencoe, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number241355
Location1805 Hennepin Avenue NorthGlencoe, MN 55336 · Mc Leod County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55336 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers15 claims2,370 services$1.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Podiatrist (Foot & Ankle Surgery)
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Nurse Practitioner (Family)
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Family Medicine
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Family Medicine
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Physical Therapist
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Physician Assistant
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Pediatrics
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Physician Assistant
1805 HENNEPIN AVE N
GLENCOE, MN 55336

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 1982807350. It was assigned to this individual provider in the NPPES registry on June 6, 2007.

Where is Kenneth Smith located?

Kenneth Smith practices at 1805 Hennepin Ave N, Glencoe, MN 55336. The listed phone number is (320) 864-3121.

What is Kenneth Smith's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

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 Medica and Sanford Health Plan 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 Ridgeview Medical Center and Glencoe Regional Health.

When was this NPI record last updated?

The NPPES record for Kenneth Smith was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.