THEODORE NOBLE SMITH PA-C
NPI 1255333704
Physician Assistant in Ankeny, IA

Q: What is Theodore Smith's NPI number?

The NPI number for Theodore Smith is 1255333704. It was assigned to this individual provider in the NPPES registry on August 15, 2005.

Q: What is Theodore Smith's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Smith was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 15, 2005PECOS EnrolledAccepts Medicare Assignment

350 NE 36TH ST, ANKENY, IA 50021(515) 224-1414(515) 224-5140 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 8, 2025, Nov 5, 2024, Jun 4, 2024 and 2 more (5 updates tracked since 2018).

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About Theodore Noble Smith Pa-c NPPES

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

THEODORE NOBLE SMITH PA-C (NPI 1255333704) is an individual physician assistant in Ankeny, Iowa, licensed in Iowa (000922) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains 6 additional practice locations, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (1993).

NPPES Registry Identity

NPI1255333704

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTHEODORE NOBLE SMITHCredential: PA-C

Location Address350 NE 36TH STAnkeny, IA 50021-6728

Mailing Address6001 Westown PkwyWest Des Moines, IA 50266-7702 · (515) 224-1414

Phone(515) 224-1414

Fax(515) 224-5140

Sole ProprietorNo

Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 1993

Enumeration DateAugust 15, 2005

Last NPPES UpdateJanuary 8, 20255 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2025

✔ NPI 1255333704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IA · 000922

Definition

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.

350 NE 36TH ST, Ankeny, IA 50021

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Secondary Practice Locations 6

Location 15409 Avenue OFort Madison, IA 52627-9601 · Phone (319) 376-2134 · Fax (319) 376-2188

Location 2112 Jefferson StWest Union, IA 52175 · Phone (563) 422-3811

Location 3100 County Road BShawano, WI 54166-7072 · Phone (715) 526-2111 · Fax (715) 526-9366

Location 4800 Riverside DrWaupaca, WI 54981-1943 · Phone (715) 258-1000 · Fax (715) 258-1042

Location 54850 100th StUrbandale, IA 50322-7212 · Phone (515) 224-1414 · Fax (515) 224-5140

Location 66001 Westown PkwyWest Des Moines, IA 50266-7702 · Phone (515) 224-1414 · Fax (515) 224-5140

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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 Noble Smith Pa-c 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 ID7911956891

PECOS Enrollment IDI20050118000720

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

248 services57 patients

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.

99 services97 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

51 services51 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

46 services42 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

37 services37 patients

X-ray of hip, 2-3 views 73502

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50021 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

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 19

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

DES MOINES ORTHOPAEDIC SURGEONS PC

Durable Medical Equipment & Medical Supplies