THEODORE C SMITH (CRNA) – Certified Registered Nurse Anesthetist, NPI 1336506658
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IN
Provider Addresses for THEODORE C SMITH (CRNA)
57695 HILLSIDE DR
GOSHEN, IN 465284401
Phone:
Type: Mailing
600 East Blvd
Elkhart, IN 465142483
Phone: (574) 523-3193
Fax: (574) 523-3464
Type: Location
Elkhart General Hospital, 600, East Boulevard, Elkhart, Elkhart County, Indiana, 46514, United States
ELKHART, IN 465142483
Phone: (574) 523-3193
Fax: (574) 523-3464
Type: Location
622 W LAFAYETTE ST
STANSBURY PARK, UT 840745571
Phone: (801) 698-4825
Type: Mailing
2055 N MAIN ST
TOOELE, UT 840749819
Phone: (801) 698-4825
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $189.
Total Amount is formed as General ($189) + Research ($0) + Ownership ($0) = $189.
Last reported payment date: 2023-08-08 • Largest payer in this snapshot: Globus Medical, Inc. ($189).
Total Amount
$189
General + Research + Ownership
Payments
3
Total payment records
General Amount
$189
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Globus Medical, Inc. | $189 |
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: 2024-02-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20160412002229 | I | Certified Registered Nurse Anesthetist (Crna) | IN | TBD |
| I20190328000448 | I | Certified Registered Nurse Anesthetist (Crna) | MT | TBD |
| I20220308001383 | I | Certified Registered Nurse Anesthetist (Crna) | UT | TBD |
| I20240221004404 | I | Certified Registered Nurse Anesthetist (Crna) | NM | 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 |
|---|---|---|---|---|
| 00670 | Anesthesia for extensive surgery on spine | 17 | 15 | $0 |
Insurance plans in this area (ZIP 46528)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | IN | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | ID | |
| - | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| A N E S T H E S I O L O G Y | UT | |
| - | UT | |
| - | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| Certified Registered Nurse Anesthetist (Crna) | UT | |
| - | UT |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.