DR. THEODORE ROBERT SMALL – Specialist, NPI 1992704555

DR. THEODORE ROBERT SMALL is a healthcare provider. based in Safety harbor, Florida. specializing in GENERAL SURGERY. They hold a License No. ME80589 (FL). The NPI Number for DR. THEODORE ROBERT SMALL is 1992704555

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. THEODORE ROBERT SMALL
NPI
1992704555
Phone
(727) 724-2880
Address
1840 MEASE DR
Enumeration Date
18 July 2005
Last Update Date
5 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7277256526
Graduation Year
1992 (34 years ago)
PAC ID
0244316958
Group Practice PAC ID
6406753623
Professional Enrollment ID
I20100720000257
Address ID
FL346956607SA3231XRDXX402

Contacts

Secure Messaging
Theodore.SmallMD@direct.mybaycare.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

2,163 GENERAL SURGERY in FL

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Provider Addresses for DR. THEODORE ROBERT SMALL

  • 1840, Mease Drive, Safety Harbor, Palm Harbor, Pinellas County, Florida, 34695, United States

    SUITE 301

    SAFETY HARBOR, FL 346956605

    Phone: (727) 724-2880

    Fax: (727) 333-6419

    Type: Location

  • 2995 DREW ST

    CLEARWATER, FL 337593012

    Phone: (727) 315-7496

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $9,466.

Total Amount is formed as General ($9,466) + Research ($0) + Ownership ($0) = $9,466.

Last reported payment date: 2024-08-21 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($8,960).

Total Amount

$9,466

General + Research + Ownership

Payments

21

Total payment records

General Amount

$9,466

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-07-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100720000257IGeneral SurgeryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99203New patient office or other outpatient visit, 30-44 minutes102102$0
99213Established patient office or other outpatient visit, 20-29 minutes7978$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5855$0
49650Repair of groin hernia using an endoscope2727$0
99212Established patient office or other outpatient visit, 10-19 minutes2625$0
View full utilization report →

Insurance plans in this area (ZIP 34695)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406753623View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DR. THEODORE ROBERT SMALL?
NPI 1992704555 is assigned to DR. THEODORE ROBERT SMALL under the national enumeration system.
Is DR. THEODORE ROBERT SMALL active in the national directory?
DR. THEODORE ROBERT SMALL's public NPI profile is in an active state.
Does DR. THEODORE ROBERT SMALL list a primary specialty?
If you are matching referrals, note Other Service Providers for DR. THEODORE ROBERT SMALL. Clinical services aligned with this taxonomy classification.
Where is DR. THEODORE ROBERT SMALL's primary listing?
We display Safety Harbor, Florida because that is what the record indicates for DR. THEODORE ROBERT SMALL.
How can I contact DR. THEODORE ROBERT SMALL?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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