Theodore Noble Smith, PA-C
NPI 1255333704ActiveIndividual· Physician Assistant· Ankeny, IA
Physician Assistant (PA-C) in Ankeny, Iowa, trained at Des Moines University of Osteopathic Medicine and Health Sciences (class of 1993). 179 Medicare patients in 2024, $16,744 paid; nearly all of their 149 Part D prescriptions were generic (97%).
Overview
| NPI | 1255333704 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 15, 2005 |
| Last updated in NPPES | Jan 8, 2025 |
| Certified by provider | Jan 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 000922 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IA); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 179 |
|---|---|
| Services billed | 656 across 51 procedure codes |
| Paid by Medicare | $16,744 |
Part D prescriptions in 2024
| Prescriptions (claims) | 149 · 153 30-day fills |
|---|---|
| Patients | 116 |
| Total drug cost | $1,353 |
| Generic share | 97% of claims |
Education and affiliations
| Medical school | Des Moines University of Osteopathic Medicine and Health Sciences |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Physician Assistant |
Medical group
- Des Moines Orthopaedic Surgeons PCDes Moines, IA · 105 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 38 physician assistants in Ankeny · All physician assistants in Iowa