THEODORE SCHULTHEISS MD
NPI 1104213586
Pathology - Anatomic Pathology & Clinical Pathology in Salt Lake City, UT

Q: What is Theodore Schultheiss's NPI number?

The NPI number for Theodore Schultheiss is 1104213586. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Q: What is Theodore Schultheiss's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since April 23, 2015PECOS EnrolledAccepts Medicare Assignment

96.33/100

CMS Quality Rating

15 MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112(801) 581-4390 Get Directions Write a Review

NPPES record last updated: June 12, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Theodore Schultheiss Md NPPES

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

THEODORE SCHULTHEISS MD (NPI 1104213586) is an individual anatomic pathology & clinical pathology provider in Salt Lake City, Utah, licensed in Utah (11053756-1205) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104213586

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameTHEODORE SCHULTHEISSCredential: MD

Location Address15 MEDICAL DR STE 1100Salt Lake City, UT 84112-1100

Mailing Address15 Medical Dr Ste 1100Salt Lake City, UT 84112-1100 · (801) 581-4390

Phone(801) 581-4390

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateApril 23, 2015

Last NPPES UpdateJune 12, 2019

✔ NPI 1104213586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in UT · 11053756-1205

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

15 MEDICAL DR STE 1100, Salt Lake City, UT 84112

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Secondary Practice Location 1

Location 113001 e. 17th place, University of Colorado school of medicine gmeAurora, CO 80045-2581 · Phone (303) 724-3483

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodore Schultheiss Md 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 ID7012238066

PECOS Enrollment IDI20200617001098

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.

Medicare Billing Reassignment

Medicare enrollment records show Theodore Schultheiss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Flagstaff Pathology Associates

384 mi

Anatomic Pathology & Clinical Pathology

1200 N BEAVER ST
Flagstaff, AZ 86001

Reassigned Medicare billing, Arizona enrollment
6 clinicians in this Medicare group

NPI 1306205612 (928) 779-3366

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 21

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

1,068 services572 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

335 services81 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

181 services153 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

151 services101 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

92 services83 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

76 services67 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

76 services32 patients

Pathology examination of tissue using a microscope, limited examination 88300

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

60 services57 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

55 services51 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

51 services27 patients

Examination of archival tissue for genetic analysis 88363

Examination of archival tissue for genetic analysis involves studying previously collected tissue samples. This process helps detect any genetic alterations that may be linked to certain diseases. It's a crucial step in understanding your health and planning appropriate treatments.

49 services47 patients

Special stained specimen slides to examine tissue, each multiplex procedure 88344

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

46 services21 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

45 services38 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

40 services29 patients

Bone marrow, smear interpretation 85097

Bone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.

33 services32 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method G0416

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

31 services31 patients

Flow cytometry technique for dna or cell analysis, 16 or more markers 88189

Flow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.

29 services27 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

25 services18 patients

Blood smear interpretation by physician with written report 85060

Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.

19 services19 patients

Pathology examination of tissue using a microscope, high complexity 88309

A high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.

16 services15 patients

Pathology examination of tissue using a microscope 88302

A pathology examination of tissue involves studying a small sample of your body's cells under a microscope. This helps identify any abnormalities or diseases, such as cancer. The process is crucial for accurate diagnosis and treatment planning.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

96.33/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

87.79

Other Providers at the Same Location NPPES 4

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

JOSEPH ALEXANDER ZULLO MD, PHD

Pathology (Anatomic Pathology & Clinical Pathology)

15 MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112

Salt Lake County (801) 581-4390

SAMUEL HWANG MBBS

Pathology (Anatomic Pathology & Clinical Pathology)

15 MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112

Salt Lake County (801) 581-4390

BENJAMIN KUKULL MD

Pathology (Molecular Genetic Pathology)

15 MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112

Salt Lake County (801) 581-4390

LEO LIN MD/PHD

Pathology (Clinical Pathology)

15 MEDICAL DR STE 1100
SALT LAKE CITY, UT 84112

Salt Lake County (801) 581-4390

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 Schultheiss's NPI number?

The NPI number for Theodore Schultheiss is 1104213586. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Where is Theodore Schultheiss located?

Theodore Schultheiss practices at 15 Medical Dr Ste 1100, Salt Lake City, UT 84112. The listed phone number is (801) 581-4390.

What is Theodore Schultheiss's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Theodore Schultheiss enrolled in Medicare?

Yes. Theodore Schultheiss 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.

Which organization bills Medicare for Theodore Schultheiss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Schultheiss reassigns Medicare benefits to Flagstaff Pathology Associates (Flagstaff, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Schultheiss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theodore Schultheiss was last updated on June 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.