DR. THEO HERBERT POWELL M.D.
NPI 1164427951
Surgery in Grants Pass, OR

Q: What is Theo Powell's NPI number?

The NPI number for Theo Powell is 1164427951. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Q: What is Theo Powell's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Theo Powell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment

495 SW RAMSEY AVE, GRANTS PASS, OR 97527(541) 476-6644(541) 472-5673 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Theo Herbert Powell M.d. NPPES

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

DR. THEO HERBERT POWELL M.D. (NPI 1164427951) is an individual surgery provider in Grants Pass, Oregon, licensed in Oregon (MD11637) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (1974).

NPPES Registry Identity

NPI1164427951

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. THEO HERBERT POWELLCredential: M.D.

Location Address495 SW RAMSEY AVEGrants Pass, OR 97527

Mailing Address495 Sw Ramsey AveGrants Pass, OR 97527 · (541) 476-6644 · Fax (541) 472-5673

Phone(541) 476-6644

Fax(541) 472-5673

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 1974

Enumeration DateJune 17, 2005

Last NPPES UpdateJuly 8, 2007

✔ NPI 1164427951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in OR · MD11637

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

495 SW RAMSEY AVE, Grants Pass, OR 97527

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Other Identifiers 3

Medicare UPINC94205

Medicaid074527OR

Medicare ID-Type Unspecified02WCGBMB

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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 and accepts Medicare assignment

Dr. Theo Herbert Powell 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 ID7618917196

PECOS Enrollment IDI20100701000700

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

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.

Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm 11301

This procedure involves the careful removal of a small skin growth on the body, arms, or legs. It's done by shaving off the growth that's 0.6-1.0 cm in size. It's a common, safe method to treat non-cancerous skin growths and improve skin appearance.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97527 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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 20

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

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