Individual provider Active NPI

Kent Smillie, MD

  • Orthopaedic Surgery Physician
  • Vero Beach, FL
National Provider Identifier
1104961994
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME130147 Issued in FL
Practice address
787 37TH St Ste E200
Vero Beach, FL 32960-7306
Phone
(772) 978-7808
Fax
(772) 978-9320
NPI assigned
Feb 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD00042627 WA
Orthopaedic Surgery Physician 207X00000X 01068319A IN
Orthopaedic Surgery Physician 207X00000X 0101249094 VA
Orthopaedic Surgery Physician 207X00000X MD20796 ME
Orthopaedic Surgery Physician 207X00000X ME130147 FL Primary

Addresses

Primary practice location

787 37TH St Ste E200
Vero Beach, FL 32960-7306

Mailing address

787 37TH St Ste E200
Vero Beach, FL 32960-7306
Phone (772) 978-7808

Other identifiers 8

IdentifierTypeStateIssuer
200985030MedicaidIN
247586MedicaidOR
88545MOtherWAREGENCE
000000668941OtherINANTHEM PROVIDER NUMBER
0176932OtherWALABOR & INDUSTRIES
8931559OtherWACRIME VICTIMS
019183400MedicaidFL
8379323MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170109001116 FL Practitioner - Orthopedic Surgery 9032012828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albany Medical College of Union University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald K Robinson MD LLCGroup PAC ID 0042695991, 3 clinicians

Practice addresses (Care Compare)

787 37TH St
Suite E200
Vero Beach, FL 32960-7306
Phone (772) 978-7808

Hospital & facility affiliations

  • Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105

Merit-based Incentive Payment System (MIPS)

Final score
87.6 of 100Reported as group
Quality
81.72
Promoting interoperability
90
Improvement activities
40
Cost
85.29

Merit-based Incentive Payment System (MIPS)

Final score
81 of 100Reported as group
Quality
76.78
Promoting interoperability
86
Improvement activities
40
Cost
71.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME130147FLMDOrthopaedic Surgery Physician
01068319AINMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald K Robinson MD LLC Orthopaedic Surgery CurrentSince Sep 1, 2024 Accepting new patients
Vero Orthopaedics II PA Orthopaedic Surgery PastSince Aug 28, 2021 Accepting new patients
Parkland Physician Services, Inc. Past Accepting new patients

Locations

1355 37th St
Ste 301
Vero Beach, FL 32960
Phone (772) 978-7808

787 37th St
Ste E200
Vero Beach, FL 32960
Phone (772) 567-3003

1325 36th St
Ste B
Vero Beach, FL 32960
Phone (772) 589-0331

Interoperability endpoints

  • Direct secure messaging: kent.smillie.1@12907.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kent.smillie.2@12907.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1104961994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE E200",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607306",
            "telephone_number": "772-978-7808",
            "fax_number": "772-978-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 37TH ST STE E200",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607306",
            "telephone_number": "772-978-7808",
            "fax_number": "772-978-9320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILLIE",
        "first_name": "KENT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD00042627",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01068319A",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101249094",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "ME",
            "license": "MD20796",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME130147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200985030",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247586",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "88545M",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000668941",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0176932",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8931559",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019183400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8379323",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.