Active NPI 1508966581 Individual Practitioner Male Practitioner

Dr. Philip G Smith , MD

Surgery • Richland, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Philip Smith, MD is a certified Surgery practicing in Richland, WA. With approximately 38 years of clinical experience since graduating from Loma Linda University School Of Medicine in 1988, Dr. Smith delivers high-quality medical care to the local community at 1100 GOETHALS DRIVE 2ND FLOOR.

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

Frequently performed procedures and clinical services include new patient outpatient office visit, repair of groin hernia using an endoscope, creation of muscle graft to trunk. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1100 Goethals Drive 2nd Floor
Kadlec Clinic General & Colorectal Surgery

Richland, WA 993523304

Telephone 5099423185

Fax 5099461850

Medicare Profile & Education

Medical School

Loma Linda University School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Richland, WA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +10.7 yrs vs City Avg

City Avg: 27.3 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

10 Specialists

Practicing in Richland, WA (818 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (38 Years) 38 Yrs

Richland Specialty Average (27.3 Years) 27.3 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$264.52	$129.34
49650 Repair of groin hernia using an endoscope	27	27	$1060.72	$467.24
15734 Creation of muscle graft to trunk	22	12	$2815.00	$1136.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$131.00	$95.53
99213 Established patient office or other outpatient visit, typically 15 minutes	17	17	$77.00	$64.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$129.00	$80.20
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$837.00	$342.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$241.36	$133.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$118.37	$82.68
15734 Creation of muscle graft to trunk	24	13	$2568.50	$1188.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$121.42	$97.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$358.17	$181.06
49650 Repair of groin hernia using an endoscope	18	18	$925.26	$458.98
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$71.29	$66.10
47562 Removal of gallbladder using an endoscope	14	14	$1276.43	$603.09
49324 Insertion of abdominal cavity catheter using an endoscope	13	13	$772.69	$370.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$230.00	$135.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$117.00	$98.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$357.00	$180.14
49568 Placement of mesh to repair incisional or abdominal hernia	22	22	$511.00	$264.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$115.00	$83.65
49650 Repair of groin hernia using an endoscope	19	19	$921.11	$454.90
47562 Removal of gallbladder using an endoscope	18	18	$1255.00	$645.93
15734 Creation of muscle graft to trunk	17	15	$2506.00	$1421.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$200.00	$146.37
49560 Repair of incisional or abdominal hernia	13	13	$1437.42	$514.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$230.00	$137.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	24	24	$363.88	$179.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$125.25	$97.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$123.68	$84.19
49568 Placement of mesh to repair incisional or abdominal hernia	18	17	$511.00	$267.85
49650 Repair of groin hernia using an endoscope	14	14	$901.21	$432.51
49560 Repair of incisional or abdominal hernia	14	13	$1495.32	$615.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	68	68	$232.43	$130.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$117.00	$80.78
49568 Placement of mesh to repair incisional or abdominal hernia	18	18	$511.00	$266.81
49560 Repair of incisional or abdominal hernia	17	16	$1454.59	$623.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$115.00	$77.34
47562 Removal of gallbladder using an endoscope	12	12	$1255.00	$685.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	11	$200.00	$114.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	68	47	$73.00	$39.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	55	$295.00	$138.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$233.37	$130.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	31	$117.00	$79.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	26	$135.00	$73.45
49568 Placement of mesh to repair incisional or abdominal hernia	23	23	$511.00	$275.59
99213 Established patient office or other outpatient visit, typically 15 minutes	20	14	$69.00	$51.60
49560 Repair of incisional or abdominal hernia	18	18	$1424.51	$696.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$126.00	$76.95
47562 Removal of gallbladder using an endoscope	14	14	$1277.41	$678.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	54	53	$295.00	$135.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$236.73	$129.34
99213 Established patient office or other outpatient visit, typically 15 minutes	35	33	$78.43	$49.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	22	$73.00	$39.22
49568 Placement of mesh to repair incisional or abdominal hernia	23	21	$511.00	$271.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	22	$117.00	$78.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$131.27	$74.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$57.43	$23.92
49560 Repair of incisional or abdominal hernia	17	15	$1405.00	$638.51
47562 Removal of gallbladder using an endoscope	15	15	$1255.00	$668.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$378.00	$202.94
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1798.92	$671.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	52	$295.00	$132.69
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	45	45	$230.00	$127.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	28	$135.00	$71.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$117.00	$77.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	28	$73.00	$38.67
49568 Placement of mesh to repair incisional or abdominal hernia	21	21	$511.00	$262.43
99213 Established patient office or other outpatient visit, typically 15 minutes	20	17	$69.00	$50.31
47562 Removal of gallbladder using an endoscope	19	19	$1255.00	$630.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$115.00	$75.50
49560 Repair of incisional or abdominal hernia	14	14	$1480.27	$570.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$378.00	$199.89
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$217.00	$99.61

Medical Specialties & State Licenses

CMS Verified: 2021-04-01

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD60119652

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

8563785 (WA)

Medicaid State Provider ID

00G848590 (CA)

Commercial Insurance / Payer ID Labor & Industries

258395 (WA)

Hospital & Practice Group Affiliations

Kadlec Regional Medical Center

888 Swift Blvd, Richland, WA 993523514

Phone: 5099464611

Kadlec Regional Medical Center

1135 Jadwin Ave, Richland, WA 993523434

Phone: 5099423300

Kadlec Regional Medical Center

780 Swift Blvd, Richland, WA 993523524

Practice Associates & Co-Workers

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

10 Associated Practitioners

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Nurse Practitioner - Critical Care Medicine

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Advanced Registered Nurse Practitioner

Dr. Luay Ailabouni , MD

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Doctor of Medicine (M.D.)

Diana Woollum , MN, ARNP

Nurse Practitioner - Family

NPI 1386708089

MN, Advanced Registered Nurse Practitioner

Dr. Kanika Chawla , MD

Surgery - Surgical Critical Care

NPI 1477047785

Doctor of Medicine (M.D.)

Dr. John Droesch , MD

Surgery

NPI 1528098928

Doctor of Medicine (M.D.)

Dr. Thomas Trotta , MD

Surgery

NPI 1730156985

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 October 11, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location October 11, 2013

Registered at 1100 GOETHALS DRIVE 2ND FLOOR, KADLEC CLINIC GENERAL & COLORECTAL SURGERY, RICHLAND, WA 993523304 (Tel: 5099423185)

📍

Updated Business Mailing Address October 11, 2013

Registered at 3900 S ZINTEL WAY, KENNEWICK, WA 99338 (Tel: 5099423627)

👤

Provider Name / Credentials Updated October 11, 2013

Recorded as PHILIP SMITH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2013

Surgery (License #MD60119652 in WA)

🟢

Initial NPI Registration & Enumeration September 22, 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: 1508966581

Entity Type:

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

Enumeration Date: September 22, 2006

Last Update: April 01, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3900 S Zintel Way

Kennewick, WA 99338

Phone: 5099423627

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.