Active NPI 1508979477 Individual Practitioner Male Practitioner

Dr. Kenneth Ronald Smith , MD

Orthopaedic Surgery • Bolivar, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Smith, MD is a certified Orthopaedic Surgery practicing in Bolivar, MO. With approximately 41 years of clinical experience since graduating from University Of Kansas School Of Med (Kc/Wich/Sal) in 1985, Dr. Smith delivers high-quality medical care to the local community at 1155 W PARKVIEW ST.

Dr. Smith is affiliated with Citizens Memorial Healthcare and accepts Medicare assignment.

Frequently performed procedures and clinical services include hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, established patient outpatient office visit, x-ray of knee, 1-2 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1155 W Parkview St
Suite 2d

Bolivar, MO 656138279

Telephone 4177772663

Fax 4177772666

Associated Practice Facility / Clinic

🏢 Citizens Memorial Healthcare Clinics Facility NPI 1235395765

Medicare Profile & Education

Medical School

University Of Kansas School Of Med (Kc/wich/sal)

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Bolivar, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +9.7 yrs vs City Avg

City Avg: 31.3 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

4 Specialists

Practicing in Bolivar, MO (550 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

57.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (41 Years) 41 Yrs

Bolivar Specialty Average (31.3 Years) 31.3 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
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,104	15	$20.24	$8.85
99213 Established patient office or other outpatient visit, typically 15 minutes	57	51	$142.00	$82.62
73560 X-ray of knee, 1-2 views	48	37	$97.00	$30.45
20610 Aspiration and/or injection of fluid from large joint	45	39	$192.00	$64.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	37	28	$59.23	$0.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$212.00	$102.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	30	$86.00	$51.28
73502 X-ray of hip, 2-3 views	31	27	$112.00	$41.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$218.73	$117.74
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$146.00	$65.97
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$124.47	$35.01
73030 X-ray of shoulder, minimum of 2 views	12	12	$106.33	$29.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$325.00	$154.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,680	21	$19.62	$9.28
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	109	36	$54.33	$1.06
20610 Aspiration and/or injection of fluid from large joint	68	55	$195.21	$66.31
99213 Established patient office or other outpatient visit, typically 15 minutes	59	50	$142.00	$84.37
73560 X-ray of knee, 1-2 views	50	37	$97.00	$30.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$213.00	$118.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$86.00	$52.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$212.00	$104.85
73502 X-ray of hip, 2-3 views	29	24	$112.00	$40.41
73030 X-ray of shoulder, minimum of 2 views	19	16	$112.00	$31.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$325.00	$148.38
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$146.00	$63.46
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$127.00	$35.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,104	16	$21.78	$9.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	156	32	$17.81	$1.13
99213 Established patient office or other outpatient visit, typically 15 minutes	78	70	$142.00	$85.17
20610 Aspiration and/or injection of fluid from large joint	60	48	$178.67	$64.18
73560 X-ray of knee, 1-2 views	49	40	$97.00	$30.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$212.00	$105.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	35	$86.00	$52.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$213.00	$120.42
73502 X-ray of hip, 2-3 views	25	20	$112.00	$42.54
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$146.00	$67.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$325.00	$157.55
73030 X-ray of shoulder, minimum of 2 views	17	16	$112.00	$31.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,728	25	$23.17	$10.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	104	23	$3.38	$1.27
99213 Established patient office or other outpatient visit, typically 15 minutes	72	57	$142.00	$85.93
20610 Aspiration and/or injection of fluid from large joint	67	53	$183.57	$62.77
73560 X-ray of knee, 1-2 views	43	35	$97.00	$30.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	37	$86.00	$52.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	27	$213.00	$122.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$212.00	$103.66
73502 X-ray of hip, 2-3 views	18	16	$112.00	$42.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$325.00	$159.58
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$146.00	$68.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	1,132	37	$49.44	$10.48
99213 Established patient office or other outpatient visit, typically 15 minutes	134	117	$139.65	$70.85
20610 Aspiration and/or injection of fluid from large joint	119	83	$172.42	$60.98
73560 X-ray of knee, 1-2 views	81	73	$49.67	$11.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	65	29	$8.65	$1.38
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$144.11	$71.81
73502 X-ray of hip, 2-3 views	39	38	$47.80	$11.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	32	$83.29	$42.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$208.34	$102.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	17	$208.44	$103.45
73030 X-ray of shoulder, minimum of 2 views	12	12	$44.33	$10.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	159	128	$115.27	$70.04
73560 X-ray of knee, 1-2 views	147	132	$35.02	$10.03
20610 Aspiration and/or injection of fluid from large joint	134	77	$155.90	$61.46
73502 X-ray of hip, 2-3 views	64	52	$33.98	$11.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$168.25	$102.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	26	$174.96	$102.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$62.91	$42.00
27447 Replacement of knee joint, both sides of knee	21	19	$3221.29	$1250.09
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$111.97	$71.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	3,792	55	$20.52	$11.83
73560 X-ray of knee, 1-2 views	340	130	$41.96	$13.89
99213 Established patient office or other outpatient visit, typically 15 minutes	168	132	$150.67	$68.17
20610 Aspiration and/or injection of fluid from large joint	145	86	$166.70	$60.51
73502 X-ray of hip, 2-3 views	140	57	$49.19	$18.78
73565 X-ray of both knees while standing	59	32	$41.97	$16.16
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	53	33	$14.85	$1.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$225.85	$100.11
71046 X-ray of chest, 2 views	46	42	$52.48	$16.91
27447 Replacement of knee joint, both sides of knee	41	39	$2991.04	$1314.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$228.71	$101.05
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$155.95	$69.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$93.33	$40.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	4,944	71	$19.52	$12.43
73560 X-ray of knee, 1-2 views	415	162	$41.01	$13.90
99213 Established patient office or other outpatient visit, typically 15 minutes	179	142	$146.46	$67.59
73502 X-ray of hip, 2-3 views	141	56	$46.65	$18.38
20610 Aspiration and/or injection of fluid from large joint	139	100	$157.60	$60.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	103	37	$7.84	$1.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	75	$219.36	$99.89
71020 X-ray of chest, 2 views, front and side	72	54	$65.19	$14.58
73565 X-ray of both knees while standing	52	26	$39.00	$15.71
27447 Replacement of knee joint, both sides of knee	48	47	$2809.60	$1279.87
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$150.29	$68.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$218.23	$100.28

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License MO MDR3K38

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Hospital & Practice Group Affiliations

Citizens Memorial Healthcare

1500 N Oakland, Bolivar, MO 656133011

Citizens Memorial Healthcare

None, Bolivar, MO 65613

Phone: 4173286631

Citizens Memorial Healthcare

1500 N Oakland Ave, Bolivar, MO 656133099

Phone: 4173286040

Citizens Memorial Healthcare

1155 W Parkview St, Bolivar, MO 656137800

Phone: 4173262550

Citizens Memorial Healthcare

1155 W Parkview, Bolivar, MO 656137800

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Troy Morrison , DO

Orthopaedic Surgery

NPI 1073829925

Doctor of Osteopathic Medicine (D.O.)

Shannon Hauschildt , PA-C

Physician Assistant - Surgical

NPI 1225012578

Physician Assistant (Certified)

Jacob (Jake) Condren , PA-C

Physician Assistant

NPI 1265971865

Physician Assistant (Certified)

Retha Melton , PA-C

Physician Assistant

NPI 1366074817

Physician Assistant (Certified)

Dr. Juris Simanis , MD

Family Medicine - Sports Medicine

NPI 1417901935

Doctor of Medicine (M.D.)

Dr. Stephen Morris , MD

Orthopaedic Surgery - Sports Medicine

NPI 1689028417

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 December 10, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 10, 2015

Registered at 1155 W PARKVIEW ST, SUITE 2D, BOLIVAR, MO 656138279 (Tel: 4177772663)

📍

Updated Business Mailing Address December 10, 2015

Registered at 1500 N OAKLAND AVE, BOLIVAR, MO 656133011 (Tel: 4173266000)

👤

Provider Name / Credentials Updated December 10, 2015

Recorded as KENNETH SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2015

Orthopaedic Surgery (License #MDR3K38 in MO)

🟢

Initial NPI Registration & Enumeration August 16, 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: 1508979477

Entity Type:

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

Enumeration Date: August 16, 2006

Last Update: December 10, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1500 N Oakland Ave

Bolivar, MO 656133011

Phone: 4173266000

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

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