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DR. THEODORE FRED WITZIG JR. PH.D.
NPI 1063760007
Psychologist - Clinical in Morton, IL

Active since August 23, 2012Opted out of Medicare · through May 5, 2028
515 E HIGHLAND ST, MORTON, IL 61550(309) 263-5536 Get Directions Write a Review

NPPES record last updated: August 23, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Theodore Fred Witzig Jr. Ph.d. NPPES

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

DR. THEODORE FRED WITZIG JR. PH.D. (NPI 1063760007) is an individual clinical provider in Morton, Illinois, licensed in Illinois (071.006946) and active in the NPI registry since August 2012. He has opted out of Medicare through May 5, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063760007
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. THEODORE FRED WITZIG JR.Credential: PH.D.
Location Address515 E HIGHLAND STMorton, IL 61550-9501
Mailing Address515 E Highland StMorton, IL 61550-9501 · (309) 263-5536
Phone(309) 263-5536
Sole ProprietorNo
Enumeration DateAugust 23, 2012
✔ NPI 1063760007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.006946
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
515 E HIGHLAND ST, Morton, IL 61550
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Theodore Fred Witzig Jr. Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 5, 2016 through May 5, 2028.

Opt-Out Effective DateMay 5, 2016
Opt-Out In Effect ThroughMay 5, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61550 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
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 3

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

KATHY KNOCHEL M.S.W.
Social Worker (Clinical)
515 E HIGHLAND ST
MORTON, IL 61550
Tazewell County (093) 263-5536
AMBER MILLER
Social Worker (Clinical)
515 E HIGHLAND ST
MORTON, IL 61550
Tazewell County (309) 263-5536
RON MESSNER MSW
Social Worker (Clinical)
515 E HIGHLAND ST
MORTON, IL 61550
Tazewell County (309) 266-6577

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 Theodore Witzig's NPI number?

The NPI number for Theodore Witzig is 1063760007. It was assigned to this individual provider in the NPPES registry on August 23, 2012.

Where is Theodore Witzig located?

Theodore Witzig practices at 515 E Highland St, Morton, IL 61550. The listed phone number is (309) 263-5536.

What is Theodore Witzig's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Theodore Witzig enrolled in Medicare?

No. Theodore Witzig has opted out of Medicare through May 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Theodore Witzig was last updated on August 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.