Active NPI 1255333704 Individual Practitioner Male Practitioner

Theodore Noble Smith , PA-C

Physician Assistant • Ankeny, IA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Theodore Smith, PA-C is a certified Physician Assistant practicing in Ankeny, IA. With approximately 33 years of clinical experience since graduating from Des Moines University Of Osteopathic Medicine And Health Sciences in 1993, Theodore Smith delivers high-quality medical care to the local community at 350 NE 36TH ST.

Theodore Smith is affiliated with Des Moines Orthopaedic Surgeons Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

350 Ne 36th St

Ankeny, IA 500216728

Telephone 5152241414

Fax 5152245140

Associated Practice Facility / Clinic

🏢 Des Moines Orthopaedic Surgeons Pc Facility NPI 1093249765

Medicare Profile & Education

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ankeny, IA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +22.3 yrs vs City Avg

City Avg: 10.7 Yrs

State Avg: 13.7 Yrs

Regional Practice Density

37 Specialists

Practicing in Ankeny, IA (1543 Statewide)

Telehealth Adoption Rate

5.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (33 Years) 33 Yrs

Ankeny Specialty Average (10.7 Years) 10.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	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, typically 15 minutes	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

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	37	37	$600.00	$99.92
99285 Emergency department visit for life threatening or functioning severity	35	35	$869.03	$144.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	168	166	$593.00	$100.52
99285 Emergency department visit for life threatening or functioning severity	113	111	$855.89	$145.61
99283 Emergency department visit with low level of medical decision making	49	49	$313.82	$59.07
99282 Emergency department visit with straightforward medical decision making	20	19	$191.40	$35.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	182	175	$566.05	$98.91
99285 Emergency department visit for life threatening or functioning severity	89	89	$766.65	$142.18
99283 Emergency department visit with low level of medical decision making	61	60	$288.15	$52.96
99282 Emergency department visit with straightforward medical decision making	19	19	$185.32	$36.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	98	96	$560.61	$95.48
99285 Emergency department visit for life threatening or functioning severity	41	41	$738.95	$142.14
99283 Emergency department visit with low level of medical decision making	37	37	$271.49	$50.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	108	104	$459.66	$95.40
99283 Emergency department visit with low level of medical decision making	72	70	$247.65	$50.40
99285 Emergency department visit for life threatening or functioning severity	71	71	$595.94	$140.34
99282 Emergency department visit with straightforward medical decision making	11	11	$166.64	$33.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	89	87	$383.47	$94.41
20610 Aspiration and/or injection of fluid from large joint	86	38	$215.52	$41.28
99285 Emergency department visit for life threatening or functioning severity	60	59	$541.87	$139.19
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	38	$56.68	$33.78
99283 Emergency department visit with low level of medical decision making	41	39	$244.32	$49.78
99213 Established patient office or other outpatient visit, typically 15 minutes	40	31	$88.04	$55.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$128.03	$81.76
73565 X-ray of both knees while standing	20	20	$107.76	$27.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$170.72	$84.89
73562 X-ray of knee, 3 views	16	16	$128.01	$27.61

Medical Specialties & State Licenses

CMS Verified: 2025-01-08

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License 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.

Hospital & Practice Group Affiliations

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

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Devon Goetz , MD

Orthopaedic Surgery

NPI 1033173430

Doctor of Medicine (M.D.)

Nikki Williams , PA-C

Physician Assistant

NPI 1033269956

Physician Assistant (Certified)

Bradley Carroll , PA-C

Physician Assistant

NPI 1033472691

Physician Assistant (Certified)

Paula Stageman , ARNP

Nurse Practitioner - Family

NPI 1033561295

Advanced Registered Nurse Practitioner

Seth Hockaday , PA-C

Physician Assistant

NPI 1053712315

Physician Assistant (Certified)

Dr. James Hall , MD

Orthopaedic Surgery

NPI 1053979039

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

15 Historical Events

📍

Updated Practice Location November 27, 2024

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

👤

Provider Name / Credentials Updated November 05, 2024

Recorded as THEODORE SMITH, PA-C

📍

Updated Practice Location March 05, 2024

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

📍

Updated Business Mailing Address March 05, 2024

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

👤

Provider Name / Credentials Updated March 05, 2024

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

🎓

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

Physician Assistant (License #000922 in IA)

📍

Updated Business Mailing Address December 22, 2023

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

📍

Updated Practice Location July 26, 2018

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

📍

Updated Business Mailing Address July 26, 2018

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

✅

NPI Profile Active November 12, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location November 12, 2013

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

📍

Updated Business Mailing Address November 12, 2013

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

👤

Provider Name / Credentials Updated November 12, 2013

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

🎓

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

Physician Assistant (License #00922 in IA)

🟢

Initial NPI Registration & Enumeration August 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Theodore Smith. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

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

Update or Correct Profile

Mailing Address

6001 Westown Pkwy

West Des Moines, IA 502667702

Phone: 5152241414

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.