DR. THEODORE MATTHEW EISON MD
NPI 1184773582
Pediatrics - Pediatric Nephrology in Greenville, SC

Active since January 09, 2007PECOS EnrolledAccepts Medicare Assignment
200 PATEWOOD DR STE A115, GREENVILLE, SC 29615(864) 454-5105(864) 454-5689 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Theodore Matthew Eison Md NPPES

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

DR. THEODORE MATTHEW EISON MD (NPI 1184773582) is an individual pediatric nephrology provider in Greenville, South Carolina, licensed in South Carolina (35122) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2000).

NPPES Registry Identity

NPI1184773582
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameDR. THEODORE MATTHEW EISONCredential: MD
Location Address200 PATEWOOD DR STE A115Greenville, SC 29615-3547
Mailing Address1 Independence Pt Ste 212Greenville, SC 29615-4536
Fax(864) 454-5689
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2000
Enumeration DateJanuary 9, 2007
Last NPPES UpdateMarch 22, 2018
NPI 1184773582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
Licenses Licensed in SC · 35122 Licensed in TN · 42534
Definition

A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.

200 PATEWOOD DR STE A115, Greenville, SC 29615

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

Dr. Theodore Matthew Eison Md 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 ID2567459027
PECOS Enrollment IDI20121119000563
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier11 claims11 services$12.71 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Urology (Pediatric Urology)
200 PATEWOOD DR STE A115
GREENVILLE, SC 29615
Physician Assistant (Surgical)
200 PATEWOOD DR STE A115
GREENVILLE, SC 29615
Nurse Practitioner (Family)
200 PATEWOOD DR STE A115
GREENVILLE, SC 29615
Urology (Pediatric Urology)
200 PATEWOOD DR STE A115
GREENVILLE, SC 29615

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 Theodore Eison's NPI number?

The NPI number for Theodore Eison is 1184773582. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Theodore Eison located?

Theodore Eison practices at 200 Patewood Dr Ste A115, Greenville, SC 29615. The listed phone number is (864) 454-5105.

What is Theodore Eison's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Theodore Eison enrolled in Medicare?

Yes. Theodore Eison 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.

What insurance does Theodore Eison accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Theodore Eison 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 Theodore Eison was last updated on March 22, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.