Active NPI 1013030949 Individual Practitioner Female Practitioner

Rebecca J. Smith , PA-C

Physician Assistant • O Fallon, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Rebecca Smith, PA-C is a certified Physician Assistant practicing in O Fallon, MO. With approximately 22 years of clinical experience since completing medical education in 2004, Rebecca Smith delivers high-quality medical care to the local community at 9209 PHOENIX VILLAGE PKWY.

Rebecca Smith is affiliated with Forefront Dermatology Sc 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

9209 Phoenix Village Pkwy

O Fallon, MO 633684280

Telephone 6365614630

Fax 6365614610

Associated Practice Facility / Clinic

🏢 Forefront Dermatology, S.c. Facility NPI 1689039836

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in O Fallon, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +12.4 yrs vs City Avg

City Avg: 9.6 Yrs

State Avg: 10.3 Yrs

Regional Practice Density

19 Specialists

Practicing in O Fallon, MO (1802 Statewide)

Telehealth Adoption Rate

15.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.7% 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 (9.6 Years) 9.6 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	493	106	$84.00	$5.66
99213 Established patient office or other outpatient visit, typically 15 minutes	347	272	$263.00	$78.11
17000 Destruction of skin growth	222	166	$303.63	$44.19
17110 Destruction of up to 14 skin growths	164	123	$419.00	$94.45
11102 Tangential biopsy of single skin lesion	85	77	$378.00	$73.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	42	$147.53	$48.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$321.00	$94.83
11103 Biopsy of related skin growth, each additional growth	17	15	$205.00	$42.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$372.00	$104.20
11104 Punch biopsy, first skin growth	13	13	$475.00	$107.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	643	124	$84.00	$5.51
99213 Established patient office or other outpatient visit, typically 15 minutes	382	307	$263.00	$74.48
17000 Destruction of skin growth	247	180	$303.63	$42.55
17110 Destruction of up to 14 skin growths	163	140	$419.00	$92.34
11102 Tangential biopsy of single skin lesion	95	83	$378.00	$76.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	53	$147.53	$46.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$321.00	$89.62
11103 Biopsy of related skin growth, each additional growth	21	15	$205.00	$41.72
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$223.46	$59.88
11104 Punch biopsy, first skin growth	13	13	$475.00	$104.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	583	110	$73.88	$5.66
99213 Established patient office or other outpatient visit, typically 15 minutes	296	236	$188.52	$76.05
17000 Destruction of skin growth	198	148	$303.63	$43.52
17110 Destruction of up to 14 skin growths	158	131	$341.58	$92.01
11102 Tangential biopsy of single skin lesion	78	70	$286.83	$71.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	39	$147.53	$47.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$291.03	$90.62
11104 Punch biopsy, first skin growth	23	23	$360.81	$108.18
11103 Biopsy of related skin growth, each additional growth	20	15	$154.71	$43.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$273.20	$107.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	487	99	$73.88	$5.41
99213 Established patient office or other outpatient visit, typically 15 minutes	272	218	$188.52	$77.40
17000 Destruction of skin growth	181	135	$303.63	$43.95
17110 Destruction of up to 14 skin growths	141	109	$341.58	$94.33
11102 Tangential biopsy of single skin lesion	71	63	$286.83	$77.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	48	$147.53	$48.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$291.03	$96.05
11104 Punch biopsy, first skin growth	29	27	$360.81	$112.17
11103 Biopsy of related skin growth, each additional growth	26	18	$154.71	$45.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$273.20	$110.98
17004 Destruction of precancer skin growth, 15 or more growths	13	12	$734.31	$142.37
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	13	12	$695.89	$141.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	500	105	$73.88	$5.12
99213 Established patient office or other outpatient visit, typically 15 minutes	198	168	$188.52	$64.02
17000 Destruction of skin growth	183	138	$303.63	$42.43
17110 Destruction of up to 14 skin growths	120	95	$341.58	$93.53
11102 Tangential biopsy of single skin lesion	73	64	$286.83	$76.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	61	$147.53	$38.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$291.03	$92.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	12	$273.20	$90.45
11104 Punch biopsy, first skin growth	15	15	$360.81	$101.42
11103 Biopsy of related skin growth, each additional growth	14	12	$154.71	$45.55
17004 Destruction of precancer skin growth, 15 or more growths	14	12	$734.31	$134.12
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$223.46	$64.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	639	106	$73.88	$4.71
17000 Destruction of skin growth	212	148	$303.63	$40.74
99213 Established patient office or other outpatient visit, typically 15 minutes	172	142	$188.52	$61.99
17110 Destruction of up to 14 skin growths	140	103	$341.58	$87.52
11102 Tangential biopsy of single skin lesion	98	83	$286.83	$68.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	61	$147.53	$37.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$291.03	$90.66
11103 Biopsy of related skin growth, each additional growth	37	27	$154.71	$44.29
17004 Destruction of precancer skin growth, 15 or more growths	33	21	$734.31	$127.07
11104 Punch biopsy, first skin growth	24	23	$360.81	$101.02
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$223.46	$63.69
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	14	11	$570.30	$99.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	439	78	$73.88	$4.38
17000 Destruction of skin growth	123	96	$303.63	$39.58
17110 Destruction of up to 14 skin growths	90	74	$341.58	$92.44
99213 Established patient office or other outpatient visit, typically 15 minutes	88	80	$188.52	$59.75
11100 Biopsy of single growth of skin and/or tissue	81	77	$330.48	$73.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	60	60	$291.03	$90.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	36	$147.53	$36.54
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$223.46	$62.62
17004 Destruction of precancer skin growth, 15 or more growths	22	17	$734.31	$120.92

Medical Specialties & State Licenses

CMS Verified: 2025-03-14

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MO 2006013856

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

Forefront Dermatology Sc

9209 Phoenix Village Pkwy, O Fallon, MO 633684280

Phone: 6365614613

Forefront Dermatology Sc

1800 Wentzville Pkwy, Wentzville, MO 633853817

Phone: 6362009220

Forefront Dermatology Sc

12855 N 40 Dr, Saint Louis, MO 631418657

Phone: 3148785599

Secondary Practice Locations

1800 Wentzville Pkwy

Wentzville, MO 633853817

Phone: 6362009220

Practice Associates & Co-Workers

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

5 Associated Practitioners

Shannon Wood , FNP-BC

Nurse Practitioner - Family

NPI 1003293762

Family Nurse Practitioner (Board Certified)

Amee Rozanc , PA-C

Physician Assistant

NPI 1255516134

Physician Assistant (Certified)

Dr. Deana Kadyk , MD

Dermatology

NPI 1326140492

Doctor of Medicine (M.D.)

Dr. Robyn Fanderclai , MD

Dermatology

NPI 1457462418

Doctor of Medicine (M.D.)

Katherine Dowell , PA-C

Physician Assistant

NPI 1497501480

Physician Assistant (Certified)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location August 12, 2020

Registered at 9209 PHOENIX VILLAGE PKWY, O FALLON, MO 633684280 (Tel: 6365614630)

✅

NPI Profile Active February 05, 2018

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address February 05, 2018

Registered at 801 YORK ST, MANITOWOC, WI 542204630 (Tel: 9206637190)

📍

Updated Practice Location February 05, 2018

Registered at 222 S WOODS MILL RD, SUITE 475N, CHESTERFIELD, MO 630173625 (Tel: 3148780600)

👤

Provider Name / Credentials Updated February 05, 2018

Recorded as REBECCA SMITH, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2018

Physician Assistant (License #2006013856 in MO)

✅

NPI Profile Active April 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 29, 2016

Registered at 222 S WOODS MILL RD, SUITE 475N, CHESTERFIELD, MO 630173625 (Tel: 3148780600)

📍

Updated Business Mailing Address April 29, 2016

Registered at 222 S WOODS MILL RD, SUITE 475N, CHESTERFIELD, MO 630173625 (Tel: 3148780600)

👤

Provider Name / Credentials Updated April 29, 2016

Recorded as REBECCA SMITH, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2016

Physician Assistant (License #2006013856 in MO)

🟢

Initial NPI Registration & Enumeration April 07, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013030949

Entity Type:

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

Enumeration Date: April 07, 2007

Last Update: March 14, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

801 York St

Manitowoc, WI 542204630

Phone: 9206637190

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.