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THERESIA A NEILL M.D.
NPI 1295269140
Family Medicine in Norton, KS

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
807 N STATE ST, NORTON, KS 67654(785) 877-3305(785) 877-3076 Get Directions Write a Review

NPPES record last updated: July 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2020, Jul 20, 2017, Apr 18, 2017 (3 updates tracked since 2017).

About Theresia A Neill M.d. NPPES

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

THERESIA A NEILL M.D. (NPI 1295269140) is an individual family medicine provider in Norton, Kansas, licensed in Kansas (04-41236) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Hays Medical Center, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2017).

NPPES Registry Identity

NPI1295269140
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTHERESIA A NEILLCredential: M.D.
Location Address807 N STATE STNorton, KS 67654-1403
Mailing Address807 N State StNorton, KS 67654-1403 · (785) 877-3305 · Fax (785) 877-3076
Phone(785) 877-3305
Fax(785) 877-3076
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2017
Enumeration DateApril 18, 2017
Last NPPES UpdateJuly 8, 20203 updates tracked since enumeration
NPPES CertifiedJuly 8, 2020
✔ NPI 1295269140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KS · 04-41236
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.
807 N STATE ST, Norton, KS 67654
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., UnitedHealthcare.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

Theresia A Neill 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 ID9335417963
PECOS Enrollment IDI20191223000755
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 5

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 tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
131 services11 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services35 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
34 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services13 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hays Medical Center

Acute Care Hospitals · Hays, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170013
Location2220 Canterbury DriveHays, KS 67601 · Ellis County
Emergency services Birthing friendly

Rooks County Health Center

Critical Access Hospitals · Plainville, KS
OwnershipGovernment - Hospital District or Authority
CMS Certification Number171311
Location1210 North WashingtonPlainville, KS 67663 · Rooks County
Emergency services

Norton County Hospital

Critical Access Hospitals · Norton, KS
OwnershipGovernment - Local
CMS Certification Number171348
Location102 E Holme StreetNorton, KS 67654 · Norton County
Emergency services

Phillips County Hospital

Critical Access Hospitals · Phillipsburg, KS
OwnershipGovernment - Local
CMS Certification Number171353
Location1150 State StreetPhillipsburg, KS 67661 · Phillips County
Emergency services

Osborne County Memorial Hospital

Critical Access Hospitals · Osborne, KS
OwnershipGovernment - Local
CMS Certification Number171364
Location237 W Harrison Street Suite 100Osborne, KS 67473 · Osborne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 67654 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers42 claims69 services$5.44 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims13 services$0.96 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers11 claims11 services$40.16 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers15 claims29 services$3.00 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers34 claims34 services$20.64 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.67 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

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

ANDREA D'ACHIARDI MSN, APRN, FNP-C
Nurse Practitioner (Family)
807 N STATE ST
NORTON, KS 67654
Norton County (785) 877-3305

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 Theresia Neill's NPI number?

The NPI number for Theresia Neill is 1295269140. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Theresia Neill located?

Theresia Neill practices at 807 N State St, Norton, KS 67654. The listed phone number is (785) 877-3305.

What is Theresia Neill's specialty?

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

Is Theresia Neill enrolled in Medicare?

Yes. Theresia Neill 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 Theresia Neill accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and UnitedHealthcare list Theresia Neill 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.

Is Theresia Neill affiliated with any hospitals?

According to CMS data, Theresia Neill is affiliated with Hays Medical Center, Rooks County Health Center, Norton County Hospital, Phillips County Hospital and Osborne County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Theresia Neill was last updated on July 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.