THEODORE C SMITH CRNA
NPI 1336506658
Nurse Anesthetist, Certified Registered in Tooele, UT

Active since January 16, 2016Accepts Medicare Assignment
94.45/100
CMS Quality Rating
2055 N MAIN ST, TOOELE, UT 84074(801) 698-4825 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 17, 2022, Oct 18, 2016, Mar 17, 2016 and 1 more (4 updates tracked since 2016).

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

NPI1336506658
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTHEODORE C SMITHCredential: CRNA
Location Address2055 N MAIN STTooele, UT 84074-9819
Mailing Address622 W Lafayette StStansbury Park, UT 84074-5571 · (801) 698-4825
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 16, 2016
Last NPPES UpdateMay 17, 20224 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
NPI 1336506658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in UT · 7570542-8901 Licensed in UT · 7570542-4406 Licensed in IN · 288227009A Licensed in MT · 143224
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered NurseTaxonomy 163W00000X · License 28227009A (IN), 7570542-3102 (UT), 9369122 (FL)
2055 N MAIN ST, Tooele, UT 84074

Other Names 1

Professional Name (2)T.c. Smith Crna

Secondary Practice Location 1

Location 1600 East BlvdElkhart, IN 46514-2483 · Phone (574) 523-3193 · Fax (574) 523-3464

Accepted 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 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.

PECOS PAC ID8527366376
PECOS Enrollment IDI20220308001383

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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
14 services14 patients

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, UT
4/5 CMS rating
OwnershipProprietary
CMS Certification Number460013
Location1000 East 100 NorthPayson, UT 84651 · Utah County
Emergency services Birthing friendly

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460052
Location750 West 800 NorthOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Physician 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.

New Patient
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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.

94.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89
Promoting Interoperability92.91
Improvement Activities40

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.

Clinic/Center (Physical Therapy)
2055 N MAIN ST
TOOELE, UT 84074
General Acute Care Hospital
2055 N MAIN ST
TOOELE, UT 84074
Emergency Medicine (Emergency Medical Services)
2055 N MAIN ST
TOOELE, UT 84074
Emergency Medicine
2055 N MAIN ST
TOOELE, UT 84074
Emergency Medicine
2055 N MAIN ST
TOOELE, UT 84074
Physical Therapist
2055 N MAIN ST
TOOELE, UT 84074
Radiology (Diagnostic Radiology)
2055 N MAIN ST
TOOELE, UT 84074
Nurse Anesthetist, Certified Registered
2055 N MAIN ST
TOOELE, UT 84074

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.

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 with the weekly NPPES data releases published by CMS.