Kelly D Smith (NPI# 1780751099, PAC ID# 7113937467) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1780751099 |
| PAC ID by PECOS | 7113937467 |
| Professional Enrollment ID | I20101021000074 |
| Full Name | Kelly D Smith |
| Organization Legal Name | AVERA QUEEN OF PEACE |
| Address |
525 N Foster St Mitchell SD 57301-2966 |
| Phone Number | 6059952510 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH DAKOTA SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9335050806 |
| Number of Group Practice Members | 96 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 430013 | AVERA QUEEN OF PEACE |
| 431306 | PLATTE HEALTH CENTER - CAH |
| 431330 | AVERA ST BENEDICT HEALTH CENTER - CAH |
| 431332 | AVERA DE SMET MEMORIAL HOSPITAL - CAH |
| 431324 | AVERA WESKOTA MEMORIAL MEDICAL CENTER - CAH |
| Address | Phone | Organization |
|---|---|---|
| 525 N Foster St, Mitchell, SD 57301-2966 | 6059952510 | AVERA QUEEN OF PEACE |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 100% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 100% | |
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% | |
| MIPS_EC_405_overall | Appropriate Follow-up Imaging for Incidental Abdominal Lesions (100%: worst, 0% best) | 0% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | AVERA QUEEN OF PEACE |
| Physicians | 43 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrina Almeida | Podiatry | Avera Queen of Peace | 625 N Foster St, Avera Orth Assc Mitc, Mitchell, SD 57301-2969 |
| Jodie L Miller | Nurse Practitioner | Avera Queen of Peace | 605 N Foster St, Mitchell, SD 57301-2902 |
| Keri D Nebelsick | Optometry | Avera Queen of Peace | 211 E Havens Ave, Avera Med Grp Optomy, Mitchell, SD 57301-4402 |
| John A Lyle | Certified Registered Nurse Anesthetist (crna) | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Aaron P Baas | General Surgery | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Brandon J Wegehaupt | Physician Assistant | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| James L Nielsen | Emergency Medicine | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Sheryl R Roesler | Certified Registered Nurse Anesthetist (crna) | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Susan K Olson | Nurse Practitioner | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Clinton L Seifert | General Surgery | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Street Address |
525 N FOSTER ST |
| City | MITCHELL |
| State | SD |
| Zip | 57301-2966 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Lyle | Certified Registered Nurse Anesthetist (crna) | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Aaron P Baas | General Surgery | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Brandon J Wegehaupt | Physician Assistant | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| John M Vanerdewyk | Anesthesiology | Mitchell Anesthesia PC | 525 N Foster St, Mitchell, SD 57301-2966 |
| James L Nielsen | Emergency Medicine | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Sheryl R Roesler | Certified Registered Nurse Anesthetist (crna) | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Susan K Olson | Nurse Practitioner | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Clinton L Seifert | General Surgery | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Xenofon Papadopoulos | Urology | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Thomas A Young | Optometry | Avera Queen of Peace | 525 N Foster St, Mitchell, SD 57301-2966 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca A Studelska | Chiropractic | 950 Commerce St, 102 Studelska Chiropractic and Acupuncture, Mitchell, SD 57301-0923 | |
| Jeff Peter Krall | Optometry | Krall Optometric Prof LLC | 1415 N Sanborn Blvd, Mitchell, SD 57301-1015 |
| Phillip John Becker Ii | Optometry | Krall Optometric Prof LLC | 1415 N Sanborn Blvd, Mitchell, SD 57301-1015 |
| Joe James Krall | Optometry | Krall Optometric Prof LLC | 1415 N Sanborn Blvd, Mitchell, SD 57301-1015 |
| Craig A Pickart | Chiropractic | Roger Dean Prill Jr. | 1501 N Main St, Mitchell, SD 57301-1017 |
| Roger D Prill Jr. | Chiropractic | Roger Dean Prill Jr. | 1501 N Main St, Mitchell, SD 57301-1017 |
| Tiffany D Thiesse | Chiropractic | 1224 N Sanborn, Mitchell, SD 57301-1347 | |
| Kristin J Bietz | Nurse Practitioner | Prairie Family Healthcare, P.C. | 120 W 6th Ave, Mitchell, SD 57301-1920 |
| Diane L Kenkel | Nurse Practitioner | Prairie Family Healthcare, P.C. | 120 W 6th Ave, Mitchell, SD 57301-1920 |
| Ray Thomas Birkenkamp | Ophthalmology | Mabee Clinic Ltd | 305 N Sanborn Blvd, Mitchell, SD 57301-2449 |
| Find all physicians in zip 57301 | |||
| City | MITCHELL |
| Zip Code | 57301 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | MITCHELL + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kelly D Smith.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.