DR. THEODORE ROBERT SMALL – Specialist, NPI 1992704555
Specialist
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $8,960 |
| Ethicon US, LLC | $147 |
| CONMED Corporation | $143 |
| Integra LifeSciences Corporation | $94 |
| TELA Bio, Inc. | $45 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100720000257 | I | General Surgery | FL | 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 |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 102 | 102 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 79 | 78 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 58 | 55 | $0 |
| 49650 | Repair of groin hernia using an endoscope | 27 | 27 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 26 | 25 | $0 |
Insurance plans in this area (ZIP 34695)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | GA |
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