THEODORE D SMITH (DO) – Family Medicine Physician, NPI 1114933470

THEODORE D SMITH (DO) is a healthcare provider. based in Austin, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. L1465 (TX). The NPI Number for THEODORE D SMITH (DO) is 1114933470

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
THEODORE D SMITH (DO)
NPI
1114933470
Phone
(512) 483-9596
Address
6210 E HIGHWAY 290
Enumeration Date
31 July 2006
Last Update Date
24 May 2021

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
5122951333
Graduation Year
1988 (38 years ago)
PAC ID
9638268212
Group Practice PAC ID
3072507789
Professional Enrollment ID
I20071204000821
Address ID
TX786406147KY4100XEVER201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

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Provider Addresses for THEODORE D SMITH (DO)

  • 6210 E HIGHWAY 290

    AUSTIN, TX 787231142

    Phone: (512) 483-9596

    Fax: (512) 406-6216

    Type: Mailing

  • Quarry Lake Business Center, 4515, Seton Center Parkway, Quarry, Austin, Travis County, Texas, 78759, United States

    SUITE 215-CREDENTIALING

    AUSTIN, TX 787595785

    Phone: (512) 231-5516

    Fax: (512) 406-6216

    Type: Mailing

  • 4100, Everett, Kyle, Texas, 78640, United States

    SUITE 400

    KYLE, TX 786406146

    Phone: (512) 295-1333

    Fax: (512) 406-7327

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2023-09-22 • Largest payer in this snapshot: Abbott Laboratories ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$15
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: 2007-12-04

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
I20071204000821IFamily PracticeTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes140135$0
99214Established patient office or other outpatient visit, 30-39 minutes10197$0
87636Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b3535$0
71046X-ray of chest, 2 views2222$0
87086Bacterial colony count, urine1919$0
View full utilization report →

Insurance plans in this area (ZIP 78723)

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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: 3072507789View full group profile

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.

Frequently asked questions

What unique ID ties claims to THEODORE D SMITH (DO)?
NPI 1114933470 is assigned to THEODORE D SMITH (DO) under the national enumeration system.
Is THEODORE D SMITH (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does THEODORE D SMITH (DO) treat or focus on?
Patients typically see THEODORE D SMITH (DO) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does THEODORE D SMITH (DO) practice in Texas?
You will see Austin, Texas on file for THEODORE D SMITH (DO) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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