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MR. TIMOTHY MCMICHAEL THEISEN DMD
NPI 1003259797
Dentist in Erie, PA

Active since April 11, 2013PECOS Enrolled
4330 PEACH ST, ERIE, PA 16509(814) 315-6209(814) 315-6303 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Timothy Mcmichael Theisen Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TIMOTHY MCMICHAEL THEISEN DMD (NPI 1003259797) is an individual dentist in Erie, Pennsylvania, licensed in Pennsylvania (DS038461) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003259797
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. TIMOTHY MCMICHAEL THEISENCredential: DMD
Location Address4330 PEACH STErie, PA 16509-1443
Mailing Address4330 Peach StErie, PA 16509-1443 · (814) 315-6209 · Fax (814) 315-6303
Phone(814) 315-6209
Fax(814) 315-6303
Sole ProprietorNo
Enumeration DateApril 11, 2013
Last NPPES UpdateAugust 9, 2021
NPPES CertifiedAugust 9, 2021
✔ NPI 1003259797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in PA · DS038461
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License DS038461 (PA)
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DS038461 (PA)
Also ListedDentist · Pediatric DentistryTaxonomy 1223P0221X · License DS038461 (PA)
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License DS038461 (PA)
4330 PEACH ST, Erie, PA 16509
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Other Names 1

Professional Name (2)Dr. Timothy Mcmichael Theisen Dmd

Other Identifiers 1

Other056582NY · Nys License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Timothy Mcmichael Theisen Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16509 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENTAL ARTS OF ERIE
Dentist (General Practice)
4330 PEACH ST
ERIE, PA 16509
Erie County (814) 315-6209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Theisen's NPI number?

The NPI number for Timothy Theisen is 1003259797. It was assigned to this individual provider in the NPPES registry on April 11, 2013. The provider is also known as Dr. Timothy Mcmichael Theisen Dmd.

Where is Timothy Theisen located?

Timothy Theisen practices at 4330 Peach St, Erie, PA 16509. The listed phone number is (814) 315-6209.

What is Timothy Theisen's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Timothy Theisen enrolled in Medicare?

Yes. Timothy Theisen is registered in the Medicare PECOS enrollment system.

What insurance does Timothy Theisen accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Timothy Theisen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Timothy Theisen was last updated on August 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.