npidexNPI registry + Medicare data

JEREMY THEISEN, MD

Diagnostic Radiology Physician · PONCA CITY, OK

Individual Active NPI 1881954501

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20245,72111,600$1,401,402$463,520$368,037
20235,31611,645$1,462,837$426,838$332,112
20222,9439,323$1,379,047$358,741$270,715

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
71045X-ray of chest, 1 view1,934$8$6
77067Screening mammography893$34$34
77063Screening 3d breast mammography807$26$26
71046X-ray of chest, 2 views606$10$7
70450Ct scan head or brain without contrast534$37$28
74177Ct scan of abdomen and pelvis with contrast391$81$60
77080Dxa bone density measurement of hip, pelvis, spine253$9$9
73502X-ray of hip, 2-3 views244$10$8
74018X-ray of abdomen, 1 view228$8$6
71260Ct scan of chest with contrast204$50$38
74176Ct scan of abdomen and pelvis without contrast201$76$59
78815Nuclear medicine study from skull base to mid-thigh with ct scan189$106$81

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Diagnostic Radiology Physician2085R0202X✓29296OK
Diagnostic Radiology Physician2085R0202XMD-23144HI
Internal Medicine Physician207R00000X29296OK
Diagnostic Radiology Physician2085R0202X25IA12501900NJ

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.