Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366936833 Individual Practitioner Male Practitioner

Kendall Philip Smith , PA

Physician Assistant • Phoenix, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kendall Smith, PA is a certified Physician Assistant practicing in Phoenix, AZ. With approximately 8 years of clinical experience since completing medical education in 2018, Kendall Smith delivers high-quality medical care to the local community at 4425 E AGAVE RD STE 148.

Kendall Smith is affiliated with Center For Dermatology Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4425 E Agave Rd Ste 148

Phoenix, AZ 850440623

Telephone 4807047546
Fax 4807047549
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Phoenix, AZ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -2.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
938 Specialists

Practicing in Phoenix, AZ (3711 Statewide)

Telehealth Adoption Rate
14.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
45.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (8 Years) 8 Yrs
Phoenix Specialty Average (10.1 Years) 10.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
787 106 $9.74 $5.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
301 184 $188.21 $104.99
17000 Destruction of skin growth
157 115 $99.45 $41.20
11102 Tangential biopsy of single skin lesion
86 75 $146.60 $73.13
17110 Destruction of up to 14 skin growths
73 64 $166.48 $92.02
99213 Established patient office or other outpatient visit, typically 15 minutes
31 28 $133.61 $74.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
23 23 $243.91 $137.18
11103 Biopsy of related skin growth, each additional growth
22 17 $73.64 $39.32
17004 Destruction of precancer skin growth, 15 or more growths
20 16 $243.60 $136.57
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
11 11 $445.36 $248.51

Medical Specialties & State Licenses

CMS Verified: 2024-04-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Hospital & Practice Group Affiliations

Center For Dermatology Pllc

14275 N 87th St, Scottsdale, AZ 852603696

Phone: 4809058485

Center For Dermatology Pllc

3530 S Val Vista Dr, Gilbert, AZ 852977318

Phone: 4809058485

Center For Dermatology Pllc

10440 E Riggs Rd, Sun Lakes, AZ 852487757

Phone: 4809058485

Center For Dermatology Pllc

14275 N 87th St, Scottsdale, AZ 852603696

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Lauren Ax , MSPAS, PA-C

Physician Assistant

NPI 1033688726

MSPAS, Physician Assistant (Certified)

Kaylee Lee , PA-C

Physician Assistant

NPI 1215590138

Physician Assistant (Certified)

Bethany Cheatham , NP-C

Nurse Practitioner - Family

NPI 1457757585

Nurse Practitioner (Certified)

Sarah Neumann , PA-C

Physician Assistant

NPI 1487781092

Physician Assistant (Certified)

NPI 1508325697

Doctor of Osteopathic Medicine (D.O.)

Mark Weaver , PA

Physician Assistant

NPI 1801274600

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location April 17, 2024

Registered at 4425 E AGAVE RD STE 148, PHOENIX, AZ 850440623 (Tel: 4807047546)

📍
Updated Business Mailing Address April 17, 2024

Registered at 4425 E AGAVE RD STE 148, PHOENIX, AZ 850440623 (Tel: 4807047546)

📍
Updated Practice Location September 28, 2021

Registered at 7930 E THOMPSON PEAK PKWY STE 101, SCOTTSDALE, AZ 852557403 (Tel: 4804185300)

📍
Updated Business Mailing Address September 28, 2021

Registered at 7930 E THOMPSON PEAK PKWY STE 101, SCOTTSDALE, AZ 852557403 (Tel: 4804185300)

NPI Profile Active June 19, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2018

Registered at 8402 HARCOURT RD, INDIANAPOLIS, IN 462602074 (Tel: 3178022000)

📍
Updated Business Mailing Address June 19, 2018

Registered at 8450 NORTHWEST BLVD, INDIANAPOLIS, IN 462781381 (Tel: 3178022000)

👤
Provider Name / Credentials Updated June 19, 2018

Recorded as KENDALL SMITH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2018

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 19, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kendall Smith. Be the first to share your experience!

Sign in to leave a review for Kendall Smith

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1366936833
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2018
Last Update: April 17, 2024
Sole Proprietor: No

Mailing Address

4425 E Agave Rd Ste 148

Phoenix, AZ 850440623

Phone: 4807047546

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.