Active NPI 1336157676 Individual Practitioner Female Practitioner

Dr. Kelley R Smith , DO

Surgery • Du Bois, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kelley Smith, DO is a certified Surgery practicing in Du Bois, PA. With approximately 27 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 1999, Dr. Smith delivers high-quality medical care to the local community at 100 HOSPITAL AVE.

Dr. Smith is affiliated with Dubois Regional Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, partial removal of breast, biopsy or removal of lymph nodes of under the arm, open procedure. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Hospital Ave

Du Bois, PA 158011440

Telephone 7248250600

Associated Practice Facility / Clinic

🏢 Dubois Radiologists Inc Facility NPI 1700860517

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Du Bois, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -7.3 yrs vs City Avg

City Avg: 34.3 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

6 Specialists

Practicing in Du Bois, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (27 Years) 27 Yrs

Du Bois Specialty Average (34.3 Years) 34.3 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
99213 Established patient office or other outpatient visit, typically 15 minutes	74	66	$68.00	$62.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	26	$104.78	$92.22
19301 Partial removal of breast	22	19	$700.00	$612.28
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$555.00	$251.41
38900 Lymph node imaging during surgery	18	18	$331.00	$129.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$37.00	$33.55
45380 Biopsy of large bowel using an endoscope	11	11	$975.00	$172.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	67	$68.00	$64.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$100.00	$95.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$37.00	$34.80
19301 Partial removal of breast	25	25	$700.00	$650.08
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	22	22	$555.00	$235.72
38900 Lymph node imaging during surgery	17	17	$331.00	$133.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	95	88	$68.00	$66.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	33	$37.00	$35.98
19301 Partial removal of breast	31	29	$700.00	$654.06
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	27	26	$555.00	$257.19
38900 Lymph node imaging during surgery	25	25	$331.00	$145.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$100.00	$96.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	99	91	$66.87	$65.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	40	39	$99.00	$97.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	25	$36.29	$35.07
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	25	24	$729.00	$155.70
19301 Partial removal of breast	23	21	$700.00	$659.72
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	21	21	$555.00	$240.49
38900 Lymph node imaging during surgery	18	18	$331.00	$137.78
19081 Biopsy of breast accessed through the skin with stereotactic guidance	11	11	$735.00	$164.67
47562 Removal of gallbladder using an endoscope	11	11	$1520.00	$661.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	87	78	$52.00	$51.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	42	$80.00	$79.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	19	$35.15	$25.98
19301 Partial removal of breast	21	20	$700.00	$674.00
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	17	17	$729.00	$157.43
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	16	16	$555.00	$251.75
38792 Injection of radioactive material for x-ray identification of lymph node	14	14	$91.00	$18.53
45380 Biopsy of large bowel using an endoscope	13	13	$975.00	$161.60
19081 Biopsy of breast accessed through the skin with stereotactic guidance	13	13	$735.00	$171.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	101	88	$56.99	$51.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	34	$89.17	$78.60
19301 Partial removal of breast	26	22	$700.00	$660.82
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	23	23	$555.00	$252.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$28.52	$25.49
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	19	18	$729.00	$162.29
45380 Biopsy of large bowel using an endoscope	15	15	$975.00	$182.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$550.00	$81.76
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	14	14	$498.00	$190.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	93	$60.00	$50.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	32	$95.00	$77.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	36	$35.00	$25.21
19301 Partial removal of breast	30	28	$700.00	$637.41
45380 Biopsy of large bowel using an endoscope	24	24	$975.00	$166.22
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	20	20	$555.00	$230.10
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	19	19	$550.00	$111.41
47562 Removal of gallbladder using an endoscope	14	14	$1520.00	$663.50
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	14	13	$729.00	$159.36
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$495.00	$189.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	118	103	$60.00	$50.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	61	$35.00	$24.98
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	24	24	$729.00	$159.89
45380 Biopsy of large bowel using an endoscope	21	21	$975.00	$168.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$550.00	$96.95
19081 Biopsy of breast accessed through the skin with stereotactic guidance	13	13	$735.00	$169.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	11	$95.00	$76.97
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$495.00	$188.23

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA OS012962

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

1539932 (PA)

Medicaid State Provider ID

158522 (PA)

Medicaid State Provider ID

14928 (PA)

Medicaid State Provider ID

1011784180001 (PA)

Commercial Insurance / Payer ID Aetna

7364643 (PA)

Commercial Insurance / Payer ID Security Blue

SM1641016 (PA)

Commercial Insurance / Payer ID Healthamerica

I13444 (PA)

Commercial Insurance / Payer ID Cigna

5235361 (PA)

Commercial Insurance / Payer ID United Healthcare

0000246632503 (PA)

Commercial Insurance / Payer ID Highmark

SM1641016 (PA)

Hospital & Practice Group Affiliations

Dubois Regional Medical Center

635 Maple Ave, Dubois, PA 158012376

Phone: 8143714320

Secondary Practice Locations

240 Allegheny Blvd Ste A

Brookville, PA 158252324

Phone: 8143754000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Susan Mitchell , CRNP

Nurse Practitioner

NPI 1003918640

Certified Registered Nurse Practitioner

Nicholas Sipes , PA-C

Physician Assistant

NPI 1013323039

Physician Assistant (Certified)

Nichole Anderson , FNP-C

Nurse Practitioner - Family

NPI 1013860816

Family Nurse Practitioner (Certified)

Dr. Paul Valigorsky , MD

Anesthesiology

NPI 1033135082

Doctor of Medicine (M.D.)

Zeke Feyock

Nurse Practitioner

NPI 1033692546

Rhonda Mcconnell , BSN, RN

Registered Nurse

NPI 1033748249

Bachelor of Science in Nursing, Registered Nurse

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 09, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 09, 2018

Registered at 100 HOSPITAL AVE, DU BOIS, PA 158011440 (Tel: 7248250600)

📍

Updated Business Mailing Address January 09, 2018

Registered at 145 HOSPITAL AVE, DU BOIS, PA 158011462 (Tel: 8143754000)

👤

Provider Name / Credentials Updated January 09, 2018

Recorded as KELLEY SMITH, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2018

Surgery (License #OS012962 in PA)

✅

NPI Profile Active September 11, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 11, 2014

Registered at 100 HOSPITAL AVE, DU BOIS, PA 158011440 (Tel: 7248250600)

📍

Updated Business Mailing Address September 11, 2014

Registered at 145 HOSPITAL AVE, DU BOIS, PA 158011462 (Tel: 8143754000)

👤

Provider Name / Credentials Updated September 11, 2014

Recorded as KELLEY SMITH, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2014

Surgery (License #OS012962 in PA)

🟢

Initial NPI Registration & Enumeration August 03, 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: 1336157676

Entity Type:

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

Enumeration Date: August 03, 2006

Last Update: March 17, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

145 Hospital Ave

Du Bois, PA 158011462

Phone: 8143754000

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.