Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Theodore Noble Smith , PA-C

Physician Assistant โ€ข Ankeny, IA

Active NPI 1255333704 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

350 Ne 36th St
Ankeny, IA 500216728

Call 5152241414 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

350 Ne 36th St

Ankeny, IA 500216728

Telephone 5152241414
Fax 5152245140
Organization at the Same NPPES Address or Phone
Des Moines Orthopaedic Surgeons Pc Facility NPI 1093249765

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

NPPES lists 6 distinct additional practice-address records in Fort Madison, IA; Shawano, WI; Urbandale, IA and 3 more. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Des Moines Orthopaedic Surgeons Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

1993

Medicare patients

179 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 $16,731 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 $12,217 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

84 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

$263 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)

No Open Payments records are listed for this clinician for 2021โ€“2025.

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.

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; 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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Theodore 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 Theodore 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 Ankeny and Iowa

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Ankeny, IA (2024, 27 clinicians with data). Median for this group: 457. Middle half: 146 to 1,127.

More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Iowa (2024, 816 clinicians with data). Median for this group: 298. Middle half: 123 to 703.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in Ankeny, IA (2024, 27 clinicians with data). Median for this group: $19,857. Middle half: $4,576 to $46,126.

Close to the middle for clinicians listed under Physician Assistant in Iowa (2024, 816 clinicians with data). Median for this group: $19,026. Middle half: $8,646 to $37,827.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in Ankeny, IA (2024, 27 clinicians with data). Median for this group: $16,217. Middle half: $4,150 to $35,674.

Close to the middle for clinicians listed under Physician Assistant in Iowa (2024, 816 clinicians with data). Median for this group: $13,777. Middle half: $6,384 to $27,709.

Medicare Part D prescriptions

Fewer Part D prescriptions than 80% of clinicians listed under Physician Assistant in Ankeny, IA (2024, 27 clinicians with data). Median for this group: 252. Middle half: 99 to 585.

Fewer Part D prescriptions than 75% of clinicians listed under Physician Assistant in Iowa (2024, 934 clinicians with data). Median for this group: 305. Middle half: 94 to 1,210.

Part D drug cost

A lower Part D drug cost than 85% of clinicians listed under Physician Assistant in Ankeny, IA (2024, 27 clinicians with data). Median for this group: $1,399. Middle half: $543 to $30,819.

A lower Part D drug cost than 85% of clinicians listed under Physician Assistant in Iowa (2024, 934 clinicians with data). Median for this group: $4,784. Middle half: $711 to $109,573.

37 active clinicians are listed under Physician Assistant with a practice address in Ankeny, IA (1,525 in Iowa).

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

Telehealth indicator in Ankeny

5.4% of these 37 clinicians have the CMS telehealth indicator.

83.8% of these 37 clinicians are listed by CMS as accepting Medicare assignment.

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

Text: T-MedInfo ยท Report an error.

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
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
248 57 $10.00 $1.05
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
99 97 $285.00 $71.28
20610 Aspiration and/or injection of fluid from large joint
51 51 $233.14 $53.55
73562 X-ray of knee, 3 views
46 42 $130.00 $31.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
37 37 $370.00 $86.93
73502 X-ray of hip, 2-3 views
24 24 $150.00 $36.67
73030 X-ray of shoulder, minimum of 2 views
18 16 $110.00 $26.84
73630 X-ray of foot, minimum of 3 views
12 11 $110.00 $26.38
72100 X-ray of lower and sacral spine, 2-3 views
11 11 $130.00 $30.73

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
Prednisone Prednisone 33 281 $96.54 33
Tizanidine Hcl Tizanidine Hcl 21 246 $67.84 20
Cephalexin Cephalexin 17 140 $88.58 17
Meloxicam Meloxicam 13 365 $9.75 11

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: 2025-01-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IA 000922

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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: Iowa State Medical Licensing Board.
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 - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20181212001298

Enrollment State Jurisdiction

WI

PECOS Control ID

7911956891

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

Des Moines Orthopaedic Surgeons Pc

350 Ne 36th St, Ankeny, IA 500216728

Phone: 5152241414

Des Moines Orthopaedic Surgeons Pc

6001 Westown Pkwy, West Des Moines, IA 502667719

Des Moines Orthopaedic Surgeons Pc

4850 100th St, Urbandale, IA 503227212

Phone: 5152241414

Des Moines Orthopaedic Surgeons Pc

1301 Pennsylvania Ave, Des Moines, IA 503162365

Phone: 5152241414

Des Moines Orthopaedic Surgeons Pc

6001 Westown Pkwy, West Des Moines, IA 502667702

Phone: 5152241414

Secondary Practice Locations

5409 Avenue O

Fort Madison, IA 526279601

Phone: 3193762134

112 Jefferson St

West Union, IA 52175

Phone: 5634223811

100 County Road B

Shawano, WI 541667072

Phone: 7155262111

800 Riverside Dr

Waupaca, WI 549811943

Phone: 7152581000

4850 100th St

Urbandale, IA 503227212

Phone: 5152241414

6001 Westown Pkwy

West Des Moines, IA 502667702

Phone: 5152241414

Clinicians Sharing This Practice Address or Phone

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

40 listed
Dr. Mauricio Acebey , MD

Physical Medicine & Rehabilitation

NPI 1174536270

Doctor of Medicine (M.D.)

Dani Anderson , PT

Physical Therapist

NPI 1477292977

Physical Therapist

Dr. Jeffrey Bannister , DO

Orthopaedic Surgery

NPI 1144671967

Doctor of Osteopathic Medicine (D.O.)

Dr. Melina Bik , OTD

Occupational Therapist

NPI 1699341370

Doctor of Occupational Therapy

Blair Boehnke , PA-C

Physician Assistant

NPI 1245639889

Physician Assistant (Certified)

Elizabeth Bracciano , OT

Occupational Therapist

NPI 1134640600

Occupational Therapist

Career & Practice History Timeline

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

15 Historical Events
๐Ÿ“
Updated Practice Location November 27, 2024

Registered at 350 NE 36TH ST, ANKENY, IA 500216728 (Tel: 5152241414)

๐Ÿ‘ค
Provider Name / Credentials Updated November 05, 2024

Recorded as THEODORE SMITH, PA-C

๐Ÿ“
Updated Practice Location March 05, 2024

Registered at 6001 WESTOWN PKWY, WEST DES MOINES, IA 502667702 (Tel: 5152241414)

๐Ÿ“
Updated Business Mailing Address March 05, 2024

Registered at 6001 WESTOWN PKWY, WEST DES MOINES, IA 502667702 (Tel: 5152241414)

๐Ÿ‘ค
Provider Name / Credentials Updated March 05, 2024

Recorded as THEODORE SMITH, P.A.-C.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 05, 2024

Physician Assistant (license number reported to NPPES: IA 000922)

๐Ÿ“
Updated Business Mailing Address December 22, 2023

Registered at 618 W 11TH ST S, NEWTON, IA 502083537 (Tel: 3199317136)

๐Ÿ“
Updated Practice Location July 26, 2018

Registered at 112 JEFFERSON ST, WEST UNION, IA 52175 (Tel: 5634223811)

๐Ÿ“
Updated Business Mailing Address July 26, 2018

Registered at 1836 SOUTH AVE, LA CROSSE, WI 546015429 (Tel: 6087827300)

โœ…
NPI Profile Active November 12, 2013

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 12, 2013

Registered at 5409 AVENUE O, FORT MADISON, IA 526279601 (Tel: 3193762134)

๐Ÿ“
Business Mailing Address (Initial Record) November 12, 2013

Registered at 5409 AVENUE O, FORT MADISON, IA 526279601 (Tel: 3193762134)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 12, 2013

Recorded as THEODORE 'TED' SMITH, P.A.-C.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2013

Physician Assistant (license number reported to NPPES: IA 00922)

๐ŸŸข
Initial NPI Registration & Enumeration August 15, 2005

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255333704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2005
Last Update: January 08, 2025
Sole Proprietor: No

Other Physician Assistants in Ankeny

All Physician Assistants in Ankeny

Mailing Address

6001 Westown Pkwy

West Des Moines, IA 502667702

Phone: 5152241414

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.