Medicare Enrolled

Dr. Kimberly Smarsh, APRN

Physician Assistant · Marco Island, FL
Practice pattern: Clinical Cardiology— Primarily office-based clinical cardiology
Low-engagement
606 BALD EAGLE DR STE 302, Marco Island, FL 34145
2393932200
In practice since 2021 (5 years)
NPI: 1669050076 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Smarsh from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Smarsh

Dr. Kimberly Smarsh is a physician assistant in Marco Island, FL, with 5 years in practice. Based on federal Medicare data, Dr. Smarsh performed 7,266 Medicare services across 6,097 unique beneficiaries.

Between the years covered by Open Payments, Dr. Smarsh received a total of $1,899 from 23 pharmaceutical and/or device companies across 90 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physician assistant. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Smarsh is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 5 years in practice▲ Top 1% volume in FL$ $1,899 industry payments

Medicare Practice Summary

Medicare Utilization ↗
7,266
Medicare services
Top 1% in FL for physician assistant
6,097
Unique beneficiaries
$30
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,453 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

ProcedureVolumeAvg. paidAvg. submitted
Office visit, established patient (30-39 min)1,250$78$264
Blood draw (venipuncture)528$8$17
Complete blood count (CBC) with differential464$8$16
Comprehensive metabolic blood panel442$10$21
Thyroid stimulating hormone (TSH) test400$16$34
Hemoglobin A1c test (diabetes monitoring)388$10$19
Vitamin D level test387$29$59
Vitamin B-12 level test387$15$30
Lipid panel (cholesterol and triglycerides)380$13$27
Free thyroxine (T4) test363$9$18
Annual depression screening215$16$38
Annual wellness visit, follow-up212$111$267
Magnesium level test185$7$13
Urinalysis with microscopic exam180$3$6
Automated urinalysis178$2$4
Creatine kinase (cardiac enzyme) level, total140$6$13
Urine culture, bacterial colony count128$8$16
Office visit, established patient, complex (40-54 min)85$114$371
Electrocardiogram (EKG), 12-lead75$9$30
Iron level test59$6$13
Ferritin level test (iron stores)58$13$27
Iron binding capacity test57$9$17
Bacterial culture, aerobic54$8$16
Antibiotic sensitivity test54$8$17
Flu vaccine, high-dose53$72$144
Flu vaccine administration53$32$64
Drug injection, under skin or into muscle52$9$30
New patient office visit (45-59 min)51$84$347
Urine microalbumin test (kidney screening)39$6$12
Creatinine test (kidney function)39$5$10
C-reactive protein test (inflammation marker)39$5$10
Transitional care management services for problem of high complexity35$190$570
Urinalysis, manual24$3$7
Transitional care management services for problem of at least moderate complexity24$138$420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg24$1$3
Sed rate test (inflammation marker)23$3$5
Prostate cancer screening; prostate specific antigen test (psa)23$19$39
Thyroid hormone, t3 measurement, free18$17$34
Injection, methylprednisolone acetate, 80 mg17$10$25
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment16$143$343
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous15$18$36
Rheumatoid factor level14$6$11
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit14$143$343
Folic acid level test13$14$29
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report11$9$30
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$1,899
Total received (2022-2024)
Avg $633/year across 3 years
Top 20% in FL for physician assistant
23
Companies
90
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,899 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$607
2023
$813
2022
$480

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Merck Sharp & Dohme LLC
$252
Janssen Pharmaceuticals, Inc
$204
Radius Health, Inc.
$174
PFIZER INC.
$149
Exact Sciences Corporation
$148
Amgen Inc.
$127
AstraZeneca Pharmaceuticals LP
$120
GlaxoSmithKline, LLC.
$114
Kowa Pharmaceuticals America, Inc.
$69
Boehringer Ingelheim Pharmaceuticals, Inc.
$62
Lilly USA, LLC
$62
Boston Scientific Corporation
$60
Takeda Pharmaceuticals U.S.A., Inc.
$53
Novartis Pharmaceuticals Corporation
$45
ABIOMED
$39
IDORSIA PHARMACEUTICALS US INC
$38
Almatica Pharma LLC
$37
kaleo, Inc.
$33
Axsome Therapeutics, Inc.
$31
Phathom Pharmaceuticals, Inc.
$25
Biohaven Pharmaceutical Holding Company Ltd.
$24
SANOFI PASTEUR INC.
$20
IBSA Pharma Inc.
$14
Top 3 companies account for 33.2% of total payments
Associated products mentioned in payments ›
AIRSUPRA · AUVI-Q · Auvelity · BREZTRI · CUVITRU · Cologuard Collection Kit · ELIQUIS · ENTRESTO · EVENITY · FARXIGA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · GARDASIL · GARDASIL 9 · HYQVIA · Impella · JARDIANCE · LEQVIO · LICART · LIVALO · LOREEV XR · MOUNJARO · NURTEC ODT · Otezla · PAXLOVID · PNEUMOVAX 23 · PROQUAD · QUVIVIQ · SEGLENTIS · SHINGRIX · TRADJENTA · TRELEGY ELLIPTA · Tymlos · VOQUEZNA · WATCHMAN FLX · XARELTO
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $26 per 100 Medicare services performed
Looking for a physician assistant in Marco Island?
Compare physician assistants in the Marco Island area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Physician Assistants within 10 mi
114
Per 100K population
29.4
County median income
$86,173
Nearest hospital
WILLOUGH AT NAPLES, THE
9.5 mi

Data Sources

Provider Registry NPPESWeekly updates
Medicare Enrollment PECOSMonthly updates
Practice Data Medicare Util.Annual (CY lag)
Industry Payments Open PaymentsCY 2024
Disciplinary History— Not publicN/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Smarsh is a clinical cardiology specialist, with above-average Medicare volume (top 1% in FL), and high industry engagement (low-engagement, top 20%).

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Smarsh experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Smarsh performed 1,250 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Smarsh receive payments from pharmaceutical companies?
Yes. Dr. Smarsh received a total of $1,899 from 23 companies across 90 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Smarsh's costs compare to other physician assistants in Marco Island?
Dr. Smarsh's average Medicare payment per service is $30. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Smarsh) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →