CARLY ANNE THEILER M.D.
NPI 1114284775
Emergency Medicine - Pediatric Emergency Medicine in Iowa City, IA

Active since April 19, 2012PECOS EnrolledAccepts Medicare Assignment
200 HAWKINS DR, IOWA CITY, IA 52242(319) 353-6360(319) 353-7006 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 24, 2025, Jul 13, 2018 (2 updates tracked since 2018).

About Carly Anne Theiler M.d. NPPES

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

CARLY ANNE THEILER M.D. (NPI 1114284775) is an individual pediatric emergency medicine provider in Iowa City, Iowa, licensed in Iowa (MD-45194) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1114284775
Entity TypeIndividualFemale
Primary Taxonomy207PP0204X
Provider Legal NameCARLY ANNE THEILERCredential: M.D.
Location Address200 HAWKINS DRIowa City, IA 52242
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 353-6360 · Fax (319) 353-7006
Fax(319) 353-7006
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 19, 2012
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
NPI 1114284775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License Licensed in IA · MD-45194
Definition

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

200 HAWKINS DR, Iowa City, IA 52242

Other Names 1

Former Name (1)Carly Anne Sodahl M.d.

Secondary Practice Locations 2

Location 1640 Jackson St, Mailstop 11202FSaint Paul, MN 55101-2502 · Phone (651) 254-3725 · Fax (651) 254-5044
Location 2701 W Forevergreen RdNorth Liberty, IA 52317-9848 · Phone (319) 384-6562 · Fax (319) 356-3949

Accepted Insurance

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

Carly Anne Theiler 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 ID2961704713
PECOS Enrollment IDI20180530001487
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



The typical physician office visit costs for Medicare beneficiaries in this area are: $20.46 for a new patient copayment and $23.51 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 52242 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $81.84
  • Minimum New Patient Price $52.96
  • Maximum New Patient Price $161.4
  • Average New Patient Copayment $20.46
  • Minimum New Patient Copayment $13.24
  • Maximum New Patient Copayment $40.35

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $94.05
  • Minimum Established Patient Price $16.91
  • Maximum Established Patient Price $131.98
  • Average Established Patient Copayment $23.51
  • Minimum Established Patient Copayment $4.22
  • Maximum Established Patient Copayment $32.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist
200 HAWKINS DR
IOWA CITY, IA 52242
Pediatrics
200 HAWKINS DR
IOWA CITY, IA 52242
Transplant Surgery
200 HAWKINS DR
IOWA CITY, IA 52242
Surgery (Vascular Surgery)
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Optometrist
200 HAWKINS DR
IOWA CITY, IA 52242
Urology
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Urology
200 HAWKINS DR
IOWA CITY, IA 52242
Optometrist
200 HAWKINS DR
IOWA CITY, IA 52242
Surgery
200 HAWKINS DR
IOWA CITY, IA 52242
Urology
200 HAWKINS DR
IOWA CITY, IA 52242
Physician Assistant
200 HAWKINS DR
IOWA CITY, IA 52242
Optometrist
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242
Surgery (Surgical Oncology)
200 HAWKINS DR
IOWA CITY, IA 52242
Ophthalmology
200 HAWKINS DR
IOWA CITY, IA 52242

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114284775, enumerated as an "individual" on April 19, 2012.

The provider is located at 200 HAWKINS DR IOWA CITY, IA 52242 and the phone number is (319) 353-6360.

Emergency Medicine with taxonomy code 207PP0204X and a focus in Pediatric Emergency Medicine.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.