TIMOTHY A THEOBALD DO
NPI 1104895648
Family Medicine in Sanford, ME
About Timothy A Theobald Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIMOTHY A THEOBALD DO (NPI 1104895648) is an individual family medicine provider in Sanford, Maine, licensed in Maine (1523) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains a secondary practice location in Sanford.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
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
Timothy A Theobald Do 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.
Medicare Billing Reassignments
2Medicare enrollment records show Timothy Theobald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kennebunk, ME 04043
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: Southern Maine Health Care
- 253 clinicians in this Medicare group
Biddeford, ME 04005
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maine Medical Center
Acute Care Hospitals · Portland, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04073 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANFORD, ME 04073
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 Theobald's NPI number?
The NPI number for Timothy Theobald is 1104895648. It was assigned to this individual provider in the NPPES registry on March 16, 2006.
Where is Timothy Theobald located?
Timothy Theobald practices at 25A June St Ste 111, Sanford, ME 04073. The listed phone number is (207) 490-7998.
What is Timothy Theobald's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Timothy Theobald enrolled in Medicare?
Yes. Timothy Theobald 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 organizations bill Medicare for Timothy Theobald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Theobald reassigns Medicare benefits to 2 organizations: Webber Hospital Association (Kennebunk, ME) and Mainehealth (Biddeford, ME). Each 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 Timothy Theobald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Timothy Theobald accept?
Health plans from Ambetter from NH Healthy Families, Harvard Pilgrim Health Care and Taro Health list Timothy Theobald 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.
Is Timothy Theobald affiliated with any hospitals?
According to CMS data, Timothy Theobald is affiliated with Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Timothy Theobald was last updated on April 1, 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.
# Timothy A Theobald, DO · NPI 1104895648
Family Medicine physician in Sanford, Maine. Individual provider, active in the CMS NPPES registry since March 16, 2006.
## Identity
- **NPI:** 1104895648 (Entity type: Individual)
- **Enumerated:** March 16, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 1523 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 25A JUNE ST STE 111, Sanford, ME 04073-2642
- **Phone:** (207) 490-7998
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Webber Hospital Association (NPI 1194902809, Kennebunk, ME); Mainehealth (NPI 1215417019, Biddeford, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of New England, College Of Osteo Medicine, class of 1995
## Record status
- **NPPES last updated:** April 1, 2019
- **Other identifiers:** Medicaid 280450099 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1104895648) · Data from the CMS NPPES public registry.