Active NPI 1457323909 Individual Practitioner Male Practitioner

Dr. Kenneth L Smith , MD

Surgery • Columbus, GA

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Smith, MD is a registered healthcare professional specializing in Surgery in Columbus, GA. Practice services are available at 1831 5TH AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, lymph node imaging during surgery. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1831 5th Ave

Columbus, GA 319048915

Telephone 7063208660

Fax 7063208664

Associated Practice Facility / Clinic

🏢 Radiation Oncology Of Columbus Pc Facility NPI 1104827971

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Columbus, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 22.2 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

31 Specialists

Practicing in Columbus, GA (1046 Statewide)

Telehealth Adoption Rate

3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	133	$175.00	$62.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$442.00	$127.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	28	$269.00	$92.85
38900 Lymph node imaging during surgery	18	17	$489.00	$131.79
19301 Partial removal of breast	17	16	$2301.00	$632.64
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	15	$1541.00	$210.66
76098 X-ray of surgical specimen	15	15	$28.00	$14.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	133	124	$175.00	$63.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	26	$269.00	$90.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$442.00	$123.84
38900 Lymph node imaging during surgery	14	14	$489.00	$133.13
76098 X-ray of surgical specimen	14	14	$28.00	$14.15
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$1541.00	$246.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	141	131	$175.00	$65.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	24	$269.00	$96.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$442.00	$131.98
19301 Partial removal of breast	20	17	$2301.00	$642.42
38900 Lymph node imaging during surgery	18	18	$489.00	$135.25
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$1541.00	$213.36
19303 Total removal of breast	11	11	$4913.45	$1062.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	144	136	$175.00	$50.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	18	$269.00	$77.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$442.00	$127.85
38900 Lymph node imaging during surgery	11	11	$489.00	$134.62
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	11	11	$1541.00	$209.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	187	162	$157.71	$49.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	48	$241.88	$77.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$397.68	$126.06
38900 Lymph node imaging during surgery	21	21	$448.33	$141.98
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$1413.67	$220.62
19301 Partial removal of breast	14	14	$2113.93	$660.99
76098 X-ray of surgical specimen	13	13	$25.54	$8.08
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	12	12	$1501.83	$147.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	167	151	$177.65	$68.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	37	$266.30	$95.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$429.78	$151.63
19301 Partial removal of breast	19	18	$1997.47	$681.53
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$524.68	$199.41
38900 Lymph node imaging during surgery	18	18	$321.67	$139.45
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	18	18	$1299.89	$228.98
76098 X-ray of surgical specimen	12	12	$21.33	$7.94
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	11	11	$1675.18	$158.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	173	155	$168.00	$68.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	39	$255.00	$99.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$397.00	$148.31
76098 X-ray of surgical specimen	11	11	$20.00	$7.41

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 048722

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

009931860 (AL)

Medicaid State Provider ID

000879029A (GA)

Commercial Insurance / Payer ID Railroad Medicare

20046782 (GA)

Commercial Insurance / Payer ID Medicaid-Mmc

000879029D (GA)

Commercial Insurance / Payer ID Bcbs

52262489-003 (GA)

Commercial Insurance / Payer ID Bcbs

52262489-005 (GA)

Commercial Insurance / Payer ID Bcbs

600-11156 (AL)

Commercial Insurance / Payer ID Medicaid-Dsh

000879029C (GA)

Commercial Insurance / Payer ID Medicaid-Nsmc

000879029E (GA)

Commercial Insurance / Payer ID Medicaid-Office

000879029B (GA)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Clint Merritt , MD

Surgery

NPI 1275910192

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 20, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 20, 2014

Registered at 1831 5TH AVE, COLUMBUS, GA 319048915 (Tel: 7063208660)

📍

Updated Business Mailing Address January 20, 2014

Registered at PO BOX 1038, COLUMBUS, GA 319021038 (Tel: 7066606148)

👤

Provider Name / Credentials Updated January 20, 2014

Recorded as KENNETH SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2014

Surgery (License #048722 in GA)

🟢

Initial NPI Registration & Enumeration February 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457323909

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 07, 2006

Last Update: January 20, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1038

Columbus, GA 319021038

Phone: 7066606148

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.