MR. A THEODORE SMITH (PA-C, L.AC.) – Physician Assistant, NPI 1871895995
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,166 PHYSICIAN ASSISTANT in CO
Provider Addresses for MR. A THEODORE SMITH (PA-C, L.AC.)
1600W 24TH ST
PUEBLO, CO 810031411
Phone: (719) 546-4081
Type: Mailing
1600 WEST 24TH STREET
COLORADO MENTAL HEALTH INSTITUTE AT PUEBLO
PUEBLO, CO 81003
Phone: (719) 761-1486
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $5,328.
Total Amount is formed as General ($5,328) + Research ($0) + Ownership ($0) = $5,328.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Alkermes, Inc. ($4,447).
Total Amount
$5,328
General + Research + Ownership
Payments
26
Total payment records
General Amount
$5,328
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alkermes, Inc. | $4,447 |
| Neurocrine BioSciences Inc. | $156 |
| ITI, Inc. | $147 |
| Otsuka America Pharmaceutical, Inc. | $122 |
| Axsome Therapeutics, Inc. | $121 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-03-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180328001067 | I | Physician Assistant | CO | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 68 | 27 | $0 |
Insurance plans in this area (ZIP 81003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Geriatric Psychiatry | CO | |
| Psychiatry, Geriatric Psychiatry | CO | |
| - | CO | |
| Nurse Practitioner | CO | |
| P S Y C H I A T R Y | CO | |
| Nurse Practitioner | CO | |
| P S Y C H I A T R Y | CO | |
| Nurse Practitioner | CO | |
| - | CO | |
| Nurse Practitioner | CO |
Reviews
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