EMILY HARDING-THEOBALD M.D.
NPI 1306290986
Internal Medicine - Gastroenterology in Aurora, CO

Active since April 20, 2016PECOS EnrolledAccepts Medicare Assignment
91.11/100
CMS Quality Rating
1635 AURORA CT, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 19, 2024, Apr 7, 2023 (2 updates tracked since 2023).

About Emily Harding-theobald M.d. NPPES

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

EMILY HARDING-THEOBALD M.D. (NPI 1306290986) is an individual gastroenterology provider in Aurora, Colorado, licensed in Colorado (DR.0071292) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Geisel School Of Medicine At Dartmouth (2016).

NPPES Registry Identity

NPI1306290986
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameEMILY HARDING-THEOBALDCredential: M.D.
Location Address1635 AURORA CTAurora, CO 80045-2541
Mailing AddressPo Box 110429Aurora, CO 80042-0429
Sole ProprietorNo
Medical School CMSGeisel School Of Medicine At DartmouthGraduated 2016
Enumeration DateApril 20, 2016
Last NPPES UpdateDecember 19, 20242 updates tracked since enumeration
NPPES CertifiedDecember 19, 2024
NPI 1306290986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CO · DR.0071292
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License DR.0071292 (CO), TL.0009116 (CO)
1635 AURORA CT, Aurora, CO 80045

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

Emily Harding-theobald 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 ID3971985839
PECOS Enrollment IDI20230801003181
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 3

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
18 services18 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.
12 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.23
Promoting Interoperability88
Improvement Activities40
Cost73.49

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.

Obstetrics & Gynecology
1635 AURORA CT
AURORA, CO 80045
Physician Assistant (Surgical)
1635 AURORA CT
AURORA, CO 80045
Physician Assistant (Surgical)
1635 AURORA CT
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
1635 AURORA CT
AURORA, CO 80045
Psychiatry & Neurology (Pain Medicine)
1635 AURORA CT
AURORA, CO 80045
Nurse Practitioner (Adult Health)
1635 AURORA CT
AURORA, CO 80045
Orthopaedic Surgery
1635 AURORA CT
AURORA, CO 80045
Student in an Organized Health Care Education/Training Program
1635 AURORA CT
AURORA, CO 80045

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 Emily Harding-theobald's NPI number?

The NPI number for Emily Harding-theobald is 1306290986. It was assigned to this individual provider in the NPPES registry on April 20, 2016.

Where is Emily Harding-theobald located?

Emily Harding-theobald practices at 1635 Aurora Ct, Aurora, CO 80045. The listed phone number is (720) 848-0000.

What is Emily Harding-theobald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Emily Harding-theobald enrolled in Medicare?

Yes. Emily Harding-theobald 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 Emily Harding-theobald accept?

Health plans from Medica and UnitedHealthcare list Emily Harding-theobald 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 Emily Harding-theobald was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.