THEODORE C SMITH CRNA
NPI 1336506658
Nurse Anesthetist, Certified Registered in Tooele, UT
About Theodore C Smith Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE C SMITH CRNA (NPI 1336506658) is an individual nurse anesthetist, certified registered in Tooele, Utah, licensed in Utah (7570542-8901) and active in the NPI registry since January 2016. He is affiliated with Mountain View Hospital, maintains a secondary practice location in Elkhart, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theodore C Smith Crna 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.
Medicare Billing Reassignments
7Medicare enrollment records show Theodore Smith reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tooele, UT 84074
- Reassigned Medicare billing, Utah enrollment
- Medicare enrollment name: Desert Peak Anesthesia, LLC
- 16 clinicians in this Medicare group
Orem, UT 84057
- Reassigned Medicare billing, Utah enrollment
- 73 clinicians in this Medicare group
St George, UT 84790
- Reassigned Medicare billing, Utah enrollment
- 34 clinicians in this Medicare group
Butte, MT 59701
- Reassigned Medicare billing, Montana enrollment
- 278 clinicians in this Medicare group
Butte, MT 59701
- Reassigned Medicare billing, Montana enrollment
- 16 clinicians in this Medicare group
Clovis, NM 88101
- Reassigned Medicare billing, New Mexico enrollment
- 14 clinicians in this Medicare group
Elkhart, IN 46514
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Great Lakes Anesthesia PC
- 60 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mountain View Hospital
Acute Care Hospitals · Payson, UTTimpanogos Regional Hospital
Acute Care Hospitals · Orem, UTPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84074 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 1336506658. It was assigned to this individual provider in the NPPES registry on January 16, 2016. The provider is also known as T.C. Smith Crna.
Where is Theodore Smith located?
Theodore Smith practices at 2055 N Main St, Tooele, UT 84074. The listed phone number is (801) 698-4825.
What is Theodore Smith's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
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.
Which organizations bill Medicare for Theodore Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Smith reassigns Medicare benefits to 7 organizations: Deseret Peak Anesthesia, LLC (Tooele, UT), Mountain View Anesthesia Lc (Orem, UT), Amsurg St George Anesthesia, LLC (St George, UT), Scl Health Medical Group-Butte LLC (Butte, MT), Anesthesia Consulting Partners PLLC (Butte, MT) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Smith accept?
Health plans from Blue Cross and Blue Shield of Montana 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.
Is Theodore Smith affiliated with any hospitals?
According to CMS data, Theodore Smith is affiliated with Mountain View Hospital and Timpanogos Regional Hospital.
When was this NPI record last updated?
The NPPES record for Theodore Smith was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Theodore C Smith, CRNA · NPI 1336506658
Nurse Anesthetist, Certified Registered physician in Tooele, Utah. Individual provider, active in the CMS NPPES registry since January 16, 2016.
## Identity
- **NPI:** 1336506658 (Entity type: Individual)
- **Enumerated:** January 16, 2016
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 7570542-8901 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 2055 N MAIN ST, Tooele, UT 84074-9819
- **Phone:** (801) 698-4825
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Deseret Peak Anesthesia, LLC (NPI 1518972280, Tooele, UT); Mountain View Anesthesia Lc (NPI 1043249840, Orem, UT); Amsurg St George Anesthesia, LLC (NPI 1730452814, St George, UT); Scl Health Medical Group-Butte LLC (NPI 1477869600, Butte, MT); Anesthesia Consulting Partners PLLC (NPI 1053092189, Butte, MT); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** May 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1336506658) · Data from the CMS NPPES public registry.