Robert Nelson Smith, D.O.
NPI 1891746350ActiveIndividual· Internal Medicine, Nephrology· Des Moines, IA
Internal Medicine, Nephrology (D.O.) with Associates in Kidney Care PLC, practicing in Des Moines, Iowa. Their prescriptions cost Medicare Part D more than their services did: $244,306 for 2,354 claims, against $140,337 paid for services in 2024. Novartis Pharmaceuticals Corporation was the largest of 7 companies reporting payments in 2025, $202.46 in all, mostly food and beverage. Lists Dallas County Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1891746350 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | May 12, 2006 |
| Last updated in NPPES | Jan 6, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 3419 | IA |
| Internal Medicine | 207R00000X | 3419 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nephrology (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 598 |
|---|---|
| Services billed | 1,619 across 19 procedure codes |
| Paid by Medicare | $140,337 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,354 · 4,014 30-day fills |
|---|---|
| Patients | 361 |
| Total drug cost | $244,306 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Nephrology |
| Secondary specialties | Internal Medicine |
Medical group
- Associates in Kidney Care PLCDes Moines, IA · 6 clinicians
Hospital affiliations
- Dallas County HospitalPerry, IA
- Knoxville Hospital & ClinicsKnoxville, IA
- Madison County Health Care SystemWinterset, IA
- Mercyone Des Moines Medical CenterDes Moines, IA
- Unitypoint Health - Des Moines Iowa Methodist MediDes Moines, IA
Other facilities
- Davita Ankeny DialysisDialysis facility · Ankeny, IA
- Davita Pella DialysisDialysis facility · Pella, IA
- Fmc - Dialysis Services Des Moines SouthDialysis facility · Des Moines, IA
Industry payments (Open Payments)
- 2025$202.46 · 8 payments from 7 companies
- 2024$364.15 · 20 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novartis Pharmaceuticals Corporation | $48.05 | 2 |
| Calliditas Therapeutics US Inc. | $38.42 | 1 |
| Genentech USA, Inc. | $29.78 | 1 |
| Amgen Inc. | $25.32 | 1 |
| Scpharmaceuticals Inc. | $23.32 | 1 |
What the 2025 payments were for
- Food and Beverage$202.46 · 8 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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