Active NPI 1225030117 Individual Practitioner Female Practitioner

Teresa M Smith , NP

Nurse Practitioner • O Fallon, MO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Teresa Smith, NP is a certified Nurse Practitioner practicing in O Fallon, MO. With approximately 22 years of clinical experience since completing medical education in 2004, Teresa Smith delivers high-quality medical care to the local community at 1101 HIGHWAY K STE A.

Teresa Smith maintains professional affiliations with Saints Medical Group, Llc, Dean Health Systems Inc, Ssm Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, influenza vaccine split virus, preservative free. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1101 Highway K Ste A

O Fallon, MO 633668431

Telephone 3146872730

Associated Practice Facility / Clinic

🏢 Ssm Medical Group, Inc. Facility NPI 1851896146

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in O Fallon, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +9.8 yrs vs City Avg

City Avg: 12.2 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

34 Specialists

Practicing in O Fallon, MO (1750 Statewide)

Telehealth Adoption Rate

20.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (22 Years) 22 Yrs

O Fallon Specialty Average (12.2 Years) 12.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes	199	177	$157.46	$53.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$225.52	$66.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$240.00	$79.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	42	39	$160.52	$55.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$240.00	$68.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	24	$235.00	$101.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$233.18	$109.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90662 Influenza vaccine split virus, preservative free	32	32	$78.00	$60.98
G0008 Administration of influenza virus vaccine	31	31	$43.00	$16.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$218.00	$91.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90662 Influenza vaccine split virus, preservative free	20	20	$70.40	$54.89
G0008 Administration of influenza virus vaccine	20	20	$33.50	$16.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$177.27	$91.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0008 Administration of influenza virus vaccine	29	29	$33.00	$19.90
90662 Influenza vaccine split virus, preservative free	27	27	$60.00	$52.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0008 Administration of influenza virus vaccine	116	116	$33.00	$24.52
90662 Influenza vaccine split virus, preservative free	114	114	$60.00	$48.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$150.00	$90.52
99213 Established patient office or other outpatient visit, typically 15 minutes	17	13	$101.00	$60.87
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	15	14	$30.00	$16.11

Medical Specialties & State Licenses

CMS Verified: 2024-12-12

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 149531

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WI 16181-33

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License OK 619816

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License OK 614734

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MO 149531

Definition to come...

Hospital & Practice Group Affiliations

Saints Medical Group, Llc

2749 Progressive Dr, Edmond, OK 730347649

Phone: 4057724130

Ssm Medical Group Inc

1101 Hwy K, O Fallon, MO 633668431

Phone: 8447767200

Dean Health Systems Inc

1821 S Stoughton Rd, Madison, WI 537162257

Phone: 6082606000

Practice Associates & Co-Workers

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

2 Associated Practitioners

Sandra Scharf , NP

Nurse Practitioner

NPI 1295920817

Nurse Practitioner

Ruth Turner , NP

Nurse Practitioner - Family

NPI 1659793883

Nurse Practitioner

Career & Practice History Timeline

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

13 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2024

Nurse Practitioner (License #16181-33 in WI)

📍

Updated Practice Location April 19, 2024

Registered at 1101 HIGHWAY K STE A, O FALLON, MO 633668431 (Tel: 3146872730)

👤

Provider Name / Credentials Updated April 19, 2024

Recorded as TERESA SMITH, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2024

Nurse Practitioner (License #149531 in MO)

📍

Updated Practice Location October 22, 2020

Registered at 13992 MANCHESTER RD, BALLWIN, MO 630114517 (Tel: 3146872717)

📍

Updated Business Mailing Address October 22, 2020

Registered at PO BOX 955534, SAINT LOUIS, MO 631957213

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2018

Nurse Practitioner (License #149531 in MO)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 2310 S. OLD HIGHWAY 94, ST. CHARLES, MO 63304 (Tel: 6362627445)

📍

Updated Business Mailing Address July 08, 2007

Registered at 11 IRON LANTERN CT, SAINT CHARLES, MO 633047213 (Tel: 6362627445)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as TERI GIBBS-KRAMPER, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #149531 in MO)

🟢

Initial NPI Registration & Enumeration August 11, 2005

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: 1225030117

Entity Type:

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

Enumeration Date: August 11, 2005

Last Update: December 12, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 955534

Saint Louis, MO 631957213

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.