MR. KEVIN SMITH
NPI 1992062020
Nurse Anesthetist, Certified Registered in Germantown, TN

NPI Status: Active since April 13, 2012

Contact Information

1900 EXETER RD
GERMANTOWN, TN
ZIP 38138
Phone: (901) 818-2160

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  • Individual
  • Male
  • Years of Experience 14
  • Nurse Anesthetist, Certified Registered
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About KEVIN SMITH

This page provides the complete NPI Profile along with additional information for Kevin Smith, a provider established in Germantown, Tennessee with a medical specialization in Nurse Anesthetist, Certified Registered and more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1992062020 assigned on April 2012. The practitioner's primary taxonomy code is 367500000X with license number APN 16753 (TN). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1992062020
Provider Name
MR. KEVIN SMITH
Gender
Male
Entity Type
Individual
Location Address
1900 EXETER RD GERMANTOWN, TN 38138
Location Phone
(901) 818-2160
Mailing Address
6910 7TH RD BARTLETT, TN 38135
Mailing Phone
(901) 386-8539
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
Yes
Enumeration Date
04-13-2012
Last Update Date
04-10-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
APN 16753
License State
TN
Taxonomy Description
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

RN0000158867 (TN)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze First 7500 $25 Generic Drugs - HMO
  • Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
  • Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Gold 1500 $15 Generic Drugs - HMO
  • Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
  • HDHP Preventive Silver 5500 $0 Select Drugs - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
  • Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
  • Low Premium Silver 6000 $3 Generic Drugs - HMO
  • Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
  • Silver 5000 $20 Generic Drugs - HMO
  • Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
10343I8026MEDICARE PIN (08)TN 
4327295OTHER (01)TNBCBST
1528772MEDICAID (05)TN 
192893001MEDICAID (05)AR 
09552701MEDICAID (05)MS 
1992062020OTHER (01)TNCHAMPUS/TRICARE

Medicare Participation & PECOS Enrollment Status

Kevin Smith is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 7719142454

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240822003763

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $30.45 for a new patient copayment and $16.5 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 38138 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $121.8
  • Minimum New Patient Price $52.64
  • Maximum New Patient Price $160.89
  • Average New Patient Copayment $30.45
  • Minimum New Patient Copayment $13.16
  • Maximum New Patient Copayment $40.22

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $66.01
  • Minimum Established Patient Price $16.72
  • Maximum Established Patient Price $131.41
  • Average Established Patient Copayment $16.5
  • Minimum Established Patient Copayment $4.18
  • Maximum Established Patient Copayment $32.85

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kevin Smith is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE509 BILTMORE AVE
ASHEVILLE, NC 28801
(828) 213-1111Acute Care Hospitals

Reviews for MR. KEVIN SMITH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1992062020
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2918206404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 8 + 2 + 0 + 6 + 4 + 0 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1992062020 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346234531MR. JAMES EDWARD HATCHER C.R.N.A.
Individual
Nurse Anesthetist, Certified Registered1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2183
1679553663MISS SUSAN T PATTERSON CRNA
Individual
Nurse Anesthetist, Certified Registered1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2183
1437124310DR. TERRY T. FONG M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1043285943DR. CHARLES H. GAIRHAN M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1811962731DR. ARTHUR E. JACOBS M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1619942547DR. REED S. LANDAU M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1205801149DR. STUART J. LAZAROV M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1225003239DR. SCOTT L. BARTUSCH M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1922073931DR. DAVID A BENOIT M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
MEMPHIS, TN 38138
(901) 818-2162
1669447686DR. AJIT K. BISWAS M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1548235591DR. JAMES N. BOUTTE M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1710952627DR. WILLIAM J. GORLINE M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1043285950DR. STEPHEN T. HOOD M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1295700292DR. JAMES W. BAILEY M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1154396075DR. BHANU V. KANAKAMEDALA M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1922073840DR. NOAH B KIMBALL M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1598731234DR. DAVID W. FANNING M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1639145378DR. WILLIAM RODGER FUNDERBURG M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1750357471DR. CHARLIE W. COOPER M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162
1699741496DR. VIJAYA L. DUGGIRALA M.D.
Individual
Anesthesiology1900 EXETER RD SUITE 210
GERMANTOWN, TN 38138
(901) 818-2162

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992062020, enumerated in the NPI registry as an "individual" on April 13, 2012

The provider is located at 1900 Exeter Rd Germantown, Tn 38138 and the phone number is (901) 818-2160

The provider's speciality is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X

The provider has more than 14 years of experience.

The provider might be accepting Accepts: CareSource, Medicare, Medicaid, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $121.8 with an average copayment of $30.45 for new patient appointments. Established patients should expect a typical charge of $66.01 and an average copayment of 16.5. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): MEMORIAL MISSION HOSPITAL AND ASHEVILLE SURGERY CE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on April 13, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.