MR. THEODORE R GOVER PA-C
NPI 1295104610
Physician Assistant - Medical in Berea, OH

Active since September 15, 2015PECOS EnrolledAccepts Medicare Assignment
205 W BAGLEY RD, BEREA, OH 44017(440) 398-8018 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Jan 17, 2017 (2 updates tracked since 2017).

About Mr. Theodore R Gover Pa-c NPPES

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

MR. THEODORE R GOVER PA-C (NPI 1295104610) is an individual medical provider in Berea, Ohio, licensed in Ohio (50.004443RX) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295104610
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. THEODORE R GOVERCredential: PA-C
Location Address205 W BAGLEY RDBerea, OH 44017-1886
Mailing AddressPo Box 763Morgantown, WV 26507-0763
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 15, 2015
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
NPI 1295104610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in OH · 50.004443RX
205 W BAGLEY RD, Berea, OH 44017

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

Mr. Theodore R Gover Pa-c 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 ID5991007213
PECOS Enrollment IDI20201231001047
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 7

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
54 services54 patients
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.
49 services47 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
28 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
19 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
17 services17 patients

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Family)
205 W BAGLEY RD
BEREA, OH 44017
Physician Assistant
205 W BAGLEY RD
BEREA, OH 44017
Nurse Practitioner (Family)
205 W BAGLEY RD
BEREA, OH 44017

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 Gover's NPI number?

The NPI number for Theodore Gover is 1295104610. It was assigned to this individual provider in the NPPES registry on September 15, 2015.

Where is Theodore Gover located?

Theodore Gover practices at 205 W Bagley Rd, Berea, OH 44017. The listed phone number is (440) 398-8018.

What is Theodore Gover's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Theodore Gover enrolled in Medicare?

Yes. Theodore Gover 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 Gover accept?

Health plans from CareSource list Theodore Gover 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 Gover was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.