DR. MORGAN THEIS M.D.
NPI 1124361258
Family Medicine in Sonoma, CA

Active since March 27, 2013PECOS Enrolled
19270 SONOMA HWY, SONOMA, CA 95476(707) 939-6070(707) 595-2798 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 16, 2026, Oct 25, 2016 (2 updates tracked since 2016).

About Dr. Morgan Theis M.d. NPPES

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

DR. MORGAN THEIS M.D. (NPI 1124361258) is an individual family medicine provider in Sonoma, California, licensed in California (A133677) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (2014).

NPPES Registry Identity

NPI1124361258
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MORGAN THEISCredential: M.D.
Location Address19270 SONOMA HWYSonoma, CA 95476
Mailing Address19270 Sonoma HwySonoma, CA 95476 · (707) 939-6070 · Fax (707) 595-2798
Fax(707) 595-2798
Sole ProprietorNo
Medical School CMSStanford University School Of MedicineGraduated 2014
Enumeration DateMarch 27, 2013
Last NPPES UpdateApril 16, 20262 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1124361258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A133677
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
19270 SONOMA HWY, Sonoma, CA 95476

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Morgan Theis M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628357415
PECOS Enrollment IDI20161118001017
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 Reassignments

2

Medicare enrollment records show Morgan Theis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
19270 SONOMA HIGHWAY 12
Sonoma, CA 95476
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
Community Health
1400 BROADWAY
Oakland, CA 94612
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1477977973 (California)
  • 146 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

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.

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.
29 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95476 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$109.88 typical visit price
range $21.02 – $153.40
Typical copayment $27.47 (range $5.25 – $38.35)
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 4

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

Nurse Practitioner (Family)
19270 SONOMA HWY
SONOMA, CA 95476
Internal Medicine
19270 SONOMA HWY
SONOMA, CA 95476
Nurse Practitioner (Family)
19270 SONOMA HWY
SONOMA, CA 95476
Family Medicine
19270 SONOMA HWY
SONOMA, CA 95476

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 Morgan Theis's NPI number?

The NPI number for Morgan Theis is 1124361258. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Morgan Theis located?

Morgan Theis practices at 19270 Sonoma Hwy, Sonoma, CA 95476. The listed phone number is (707) 939-6070.

What is Morgan Theis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Morgan Theis enrolled in Medicare?

Yes. Morgan Theis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Morgan Theis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Morgan Theis reassigns Medicare benefits to 2 organizations: Sonoma Valley Community Health Center (Sonoma, CA) and Planned Parenthood Mar Monte, Inc. (Oakland, CA). 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 Morgan Theis'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 Morgan Theis was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.