Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Kenneth Gerald Smith , MD

Surgery โ€ข Saint Louis, MO

Active NPI 1154327534 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

10012 Kennerly Rd Ste 406
Saint Louis, MO 631282197

Call 3145251224 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

10012 Kennerly Rd Ste 406

Saint Louis, MO 631282197

Telephone 3145251224
Fax 3145254957
Organization at the Same NPPES Address or Phone
St. Anthony's Physician Organization Private Practices Lc Facility NPI 1114113388

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Mercy Clinic Surgical Specialists Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Medical School

Southern Illinois University School Of Medicine

Graduation Year

1993

Medicare patients

153 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $36,829 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $28,103 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

149 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$492 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $163.86 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

Years since graduation

33 years (graduated 1993)

CMS Doctors and Clinicians data list 1993 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.

NPI first issued

2005

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Smith has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Smith as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Saint Louis and Missouri

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Surgery in Saint Louis, MO (2024, 91 clinicians with data). Median for this group: 175. Middle half: 92 to 288.

Close to the middle for clinicians listed under Surgery in Missouri (2024, 347 clinicians with data). Median for this group: 196. Middle half: 103 to 319.

Medicare-allowed amount

A higher Medicare-allowed amount than 70% of clinicians listed under Surgery in Saint Louis, MO (2024, 91 clinicians with data). Median for this group: $23,852. Middle half: $11,368 to $39,686.

A higher Medicare-allowed amount than 65% of clinicians listed under Surgery in Missouri (2024, 347 clinicians with data). Median for this group: $23,612. Middle half: $10,620 to $45,112.

Paid by Medicare

A higher Medicare payment amount than 65% of clinicians listed under Surgery in Saint Louis, MO (2024, 91 clinicians with data). Median for this group: $18,034. Middle half: $8,476 to $30,654.

A higher Medicare payment amount than 65% of clinicians listed under Surgery in Missouri (2024, 347 clinicians with data). Median for this group: $17,905. Middle half: $8,058 to $34,751.

Medicare Part D prescriptions

More Part D prescriptions than 85% of clinicians listed under Surgery in Saint Louis, MO (2024, 108 clinicians with data). Median for this group: 40. Middle half: 20 to 100.

More Part D prescriptions than 75% of clinicians listed under Surgery in Missouri (2024, 366 clinicians with data). Median for this group: 66. Middle half: 27 to 138.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Surgery in Saint Louis, MO (2024, 108 clinicians with data). Median for this group: $176. Middle half: $68 to $825.

Close to the middle for clinicians listed under Surgery in Missouri (2024, 366 clinicians with data). Median for this group: $369. Middle half: $106 to $1,283.

235 active clinicians are listed under Surgery with a practice address in Saint Louis, MO (707 in Missouri).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Louis

10.6% of these 235 clinicians have the CMS telehealth indicator.

50.2% of these 235 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $163.86.

Manufacturer Payment Nature Product Type Amount ($)
Davol Inc.
Food and Beverage
In-kind items and services
Phasix Mesh General $163.86

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
52 52 $189.00 $104.41
99221 Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes
35 34 $186.00 $79.21
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope
24 24 $1711.00 $691.17
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
22 20 $131.00 $87.31
49650 Repair of groin hernia using an endoscope
18 18 $1134.44 $444.07
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
17 16 $253.00 $125.03

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 121 479 $439.10 117
Tramadol Hcl Tramadol Hcl 28 101 $53.29 28

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-01-06
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

License # reported to NPPES MO 116081

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - GENERAL SURGERY

Medicare Enrollment ID

I20050104000629

Enrollment State Jurisdiction

MO

PECOS Control ID

7012816390

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026

Mercy Clinic Surgical Specialists Llc

10012 Kennerly Rd, Saint Louis, MO 631282197

Phone: 3145251224

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

19 listed
NPI 1083614622

Doctor of Medicine (M.D.)

Allyson Clancy , PA

Physician Assistant - Surgical

NPI 1992402234

Physician Assistant

NPI 1770607111

Doctor of Osteopathic Medicine (D.O.)

Sylvia Evers , PA-C

Physician Assistant - Medical

NPI 1437861408

Physician Assistant (Certified)

Dr. Lindsay Fairfax , MD

Surgery - Surgical Critical Care

NPI 1952512980

Doctor of Medicine (M.D.)

Cassidy Harris , PA-C

Physician Assistant

NPI 1568224442

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location January 06, 2022

Registered at 10012 KENNERLY RD STE 406, SAINT LOUIS, MO 631282197 (Tel: 3145251224)

๐Ÿ“
Updated Business Mailing Address January 06, 2022

Registered at 10012 KENNERLY RD STE 406, SAINT LOUIS, MO 631282197 (Tel: 3145251224)

โœ…
NPI Profile Active May 20, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) May 20, 2015

Registered at 12122 TESSON FERRY RD, SUITE 101, SAINT LOUIS, MO 631281772 (Tel: 3148426183)

๐Ÿ“
Business Mailing Address (Initial Record) May 20, 2015

Registered at 12639 OLD TESSON RD, STE 115, SAINT LOUIS, MO 631282786 (Tel: 3148490311)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) May 20, 2015

Recorded as KENNETH SMITH, M.D.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2015

Surgery (license number reported to NPPES: MO 116081)

๐ŸŸข
Initial NPI Registration & Enumeration June 22, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1154327534
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2005
Last Update: January 06, 2022
Sole Proprietor: No

Other Surgery Specialists in Saint Louis

All Surgery Specialists in Saint Louis

Mailing Address

10012 Kennerly Rd Ste 406

Saint Louis, MO 631282197

Phone: 3145251224

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.