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DR. ROGER PETER THEODORE DPM
NPI 1154398402
Podiatrist in Macon, GA

Active since March 07, 2006PECOS Enrolled
407 BARRINGTON PT, MACON, GA 31220(478) 390-2178(478) 471-0104 Get Directions Write a Review

NPPES record last updated: August 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roger Peter Theodore Dpm NPPES

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

DR. ROGER PETER THEODORE DPM (NPI 1154398402) is an individual podiatrist in Macon, Georgia, licensed in Georgia (000753) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154398402
Entity TypeIndividualMale
Primary Taxonomy213E00000X
Provider Legal NameDR. ROGER PETER THEODORECredential: DPM
Location Address407 BARRINGTON PTMacon, GA 31220-8754
Mailing Address841 Mulberry StMacon, GA 31201 · (478) 741-1192 · Fax (478) 741-0029
Phone(478) 390-2178
Fax(478) 471-0104
Sole ProprietorNo
Enumeration DateMarch 7, 2006
Last NPPES UpdateAugust 22, 2024
NPPES CertifiedAugust 22, 2024
✔ NPI 1154398402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in GA · 000753
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
407 BARRINGTON PT, Macon, GA 31220
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Other Identifiers 3

Medicaid00655322AGA
Other480025693Railroad Medicare
Other480018494Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Roger Peter Theodore Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
192 services139 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
97 services94 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
38 services38 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31220 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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

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

FAMILY FOOT AND ANKLE CTR
Podiatrist
407 BARRINGTON PT
MACON, GA 31220
Bibb County (478) 390-2178

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 Roger Theodore's NPI number?

The NPI number for Roger Theodore is 1154398402. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Where is Roger Theodore located?

Roger Theodore practices at 407 Barrington Pt, Macon, GA 31220. The listed phone number is (478) 390-2178.

What is Roger Theodore's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Roger Theodore enrolled in Medicare?

Yes. Roger Theodore is registered in the Medicare PECOS enrollment system.

What insurance does Roger Theodore accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Roger Theodore 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.

When was this NPI record last updated?

The NPPES record for Roger Theodore was last updated on August 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.