DAVID P THEIS M.D.
NPI 1104147453
Internal Medicine - Rheumatology in Colorado Springs, CO

Active since June 21, 2010PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
595 CHAPEL HILLS DR STE 201, COLORADO SPRINGS, CO 80920(719) 475-9613(719) 475-9539 Get Directions Write a Review

NPPES record last updated: August 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David P Theis M.d. NPPES

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

DAVID P THEIS M.D. (NPI 1104147453) is an individual rheumatology provider in Colorado Springs, Colorado, licensed in Colorado (DR.0058799) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Ohio University, College Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1104147453
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDAVID P THEISCredential: M.D.
Location Address595 CHAPEL HILLS DR STE 201Colorado Springs, CO 80920-1056
Mailing Address595 Chapel Hills Drive, Suite 201Colorado Springs, CO 80920 · (719) 475-9613 · Fax (719) 475-9539
Fax(719) 475-9539
Sole ProprietorYes
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2010
Enumeration DateJune 21, 2010
Last NPPES UpdateAugust 8, 2017
NPI 1104147453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in CO · DR.0058799 Licensed in PA · OS017698
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
595 CHAPEL HILLS DR STE 201, Colorado Springs, CO 80920

Other Identifiers 1

Medicare PIN044818PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

David P Theis M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971737602
PECOS Enrollment IDI20170831002944
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.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
42,400 services14 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
8,526 services13 patients
Injection, rituximab, 10 mg J9312
Rituximab is a medication given via injection. It's used to treat certain types of cancer and autoimmune diseases. The 10 mg dosage refers to the amount of the drug in the injection. It works by targeting and destroying specific cells, helping your body's immune system.
3,400 services18 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,580 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
452 services273 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
265 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80920 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Documentation of Current Medications in the Medical Record
98%2,233 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%1,236 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,203 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
37%2,217 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 91% · 723 patients
Patients screened: 100% · 723 patients
0%65 patients1/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 619 patients
Patients totalRate: 0% · 619 patients
0%619 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

Specialist
595 CHAPEL HILLS DR STE 201
COLORADO SPRINGS, CO 80920
Internal Medicine (Rheumatology)
595 CHAPEL HILLS DR STE 201
COLORADO SPRINGS, CO 80920
Specialist
595 CHAPEL HILLS DR STE 201
COLORADO SPRINGS, CO 80920
Internal Medicine (Rheumatology)
595 CHAPEL HILLS DR STE 201
COLORADO SPRINGS, CO 80920
Internal Medicine (Rheumatology)
595 CHAPEL HILLS DR STE 201
COLORADO SPRINGS, CO 80920
Specialist
595 CHAPEL HILLS DR STE 201
COLORADO SPRINGS, CO 80920
Internal Medicine (Rheumatology)
595 CHAPEL HILLS DR STE 201
COLORADO SPRINGS, CO 80920

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 David Theis's NPI number?

The NPI number for David Theis is 1104147453. It was assigned to this individual provider in the NPPES registry on June 21, 2010.

Where is David Theis located?

David Theis practices at 595 Chapel Hills Dr Ste 201, Colorado Springs, CO 80920. The listed phone number is (719) 475-9613.

What is David Theis's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is David Theis enrolled in Medicare?

Yes. David Theis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for David Theis was last updated on August 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.