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THEODORE D SMITH DO
NPI 1114933470
Family Medicine in Kyle, TX

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
4100 EVERETT DR, SUITE 400, KYLE, TX 78640(512) 295-1333(512) 406-7327 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theodore D Smith Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE D SMITH DO (NPI 1114933470) is an individual family medicine provider in Kyle, Texas, licensed in Texas (L1465) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio University, College Of Osteopathic Medicine (1988).

NPPES Registry Identity

NPI1114933470
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHEODORE D SMITHCredential: DO
Location Address4100 EVERETT DR, SUITE 400Kyle, TX 78640-6146
Mailing Address6210 E Highway 290Austin, TX 78723-1142 · (512) 483-9596 · Fax (512) 406-6216
Phone(512) 295-1333
Fax(512) 406-7327
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 1988
Enumeration DateJuly 31, 2006
Last NPPES UpdateMay 24, 2021
NPPES CertifiedMay 24, 2021
✔ NPI 1114933470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L1465
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4100 EVERETT DR, Kyle, TX 78640
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Other Identifiers 2

Medicaid142148902TX
Medicaid142148901TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodore D Smith Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638268212
PECOS Enrollment IDI20071204000821
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
144 services134 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
85 services81 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
20 services20 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
20 services20 patients
Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b 87636
This test detects the presence of SARS-CoV-2 (COVID-19) and Influenza types A and B in your body. It uses a method called the multiplex amplified probe technique to amplify and identify specific virus genes. It helps in early diagnosis and appropriate treatment.
20 services19 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAYS PULMONARY & SLEEP ASSOCIATES, P.L.L.C.
Internal Medicine (Pulmonary Disease)
4100 EVERETT DR, SUITE 210
KYLE, TX 78640
Hays County (512) 268-8126
FIDELIS EZE AMADI M.D.
Family Medicine
4100 EVERETT DR, SUITE 400
KYLE, TX 78640
Hays County (512) 295-1333
NIRAV AMIN D.O.
Internal Medicine
4100 EVERETT DR, SUITE 400
KYLE, TX 78640
Hays County (512) 504-5186
LUNGDOCS, P.A.
Internal Medicine (Pulmonary Disease)
4100 EVERETT DR, SUITE 210
KYLE, TX 78640
Hays County (512) 268-8126
BENEVIDA HEALTH AND WELLNESS CENTER
Chiropractor
4100 EVERETT DR, SUITE 200
KYLE, TX 78640
Hays County (512) 268-2768
EMILY JEANNE LAIN D.C.
Chiropractor
4100 EVERETT DR
KYLE, TX 78640
Hays County (512) 268-2768
LONE STAR NATUROPATHIOC
Naturopath
4100 EVERETT DR, SUITE 200
KYLE, TX 78640
Hays County (512) 268-2768
SHAWNA STOREY-LOVIN LPC
Counselor (Professional)
4100 EVERETT DR, SUITE 200
KYLE, TX 78640
Hays County (512) 268-2768

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Smith's NPI number?

The NPI number for Theodore Smith is 1114933470. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Theodore Smith located?

Theodore Smith practices at 4100 Everett Dr Suite 400, Kyle, TX 78640. The listed phone number is (512) 295-1333.

What is Theodore Smith's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Theodore Smith enrolled in Medicare?

Yes. Theodore Smith is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theodore Smith accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Theodore Smith as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Smith was last updated on May 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.