THEODORE WALLER M.D.
NPI 1386609881
Internal Medicine - Clinical Cardiac Electrophysiology in Cincinnati, OH

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
81.25/100
CMS Quality Rating
11140 MONTGOMERY RD, CINCINNATI, OH 45249(513) 792-7800(513) 792-7807 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 23, 2020, Feb 9, 2016 (2 updates tracked since 2016).

About Theodore Waller M.d. NPPES

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

THEODORE WALLER M.D. (NPI 1386609881) is an individual clinical cardiac electrophysiology provider in Cincinnati, Ohio, licensed in Ohio (35046812) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of University Of Cincinnati College Of Medicine (1980).

NPPES Registry Identity

NPI1386609881
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameTHEODORE WALLERCredential: M.D.
Location Address11140 MONTGOMERY RDCincinnati, OH 45249-2309
Mailing Address237 William Howard Taft Rd, 2nd Floor, Cbo 2-3Cincinnati, OH 45219-2610 · (513) 792-7800 · Fax (513) 792-7807
Fax(513) 792-7807
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 1980
Enumeration DateApril 18, 2006
Last NPPES UpdateOctober 23, 20202 updates tracked since enumeration
NPPES CertifiedOctober 23, 2020
NPI 1386609881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in OH · 35046812
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 35046812 (OH)
11140 MONTGOMERY RD, Cincinnati, OH 45249

Other Identifiers 7

Medicaid64860562KY
Other000000238182Anthem Middletown
Medicaid0549464OH
Other2520401United
Other000000019745Anthem
Other0642403Aetna
Medicaid100335970IN

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

Theodore Waller 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 ID6901795798
PECOS Enrollment IDI20041020001280
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 11

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.

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
895 services269 patients
Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297
This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.
800 services90 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
636 services188 patients
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295
This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.
262 services81 patients
Programming of dual lead pacemaker system 93280
Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.
79 services67 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
72 services67 patients

Hospital Affiliations CMS Care Compare 2

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45249 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

81.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.93
Promoting Interoperability100
Improvement Activities40
Cost57.57

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.

Radiology (Radiation Oncology)
11140 MONTGOMERY RD
CINCINNATI, OH 45249
Specialist/Technologist, Other (Orthopedic Assistant)
11140 MONTGOMERY RD
CINCINNATI, OH 45249
Internal Medicine (Clinical Cardiac Electrophysiology)
11140 MONTGOMERY RD
CINCINNATI, OH 45249
Internal Medicine
11140 MONTGOMERY RD, SUITE 2500
MONTGOMERY, OH 45249
Internal Medicine (Interventional Cardiology)
11140 MONTGOMERY RD
CINCINNATI, OH 45249
Audiologist
11140 MONTGOMERY RD
CINCINNATI, OH 45249
Orthopaedic Surgery
11140 MONTGOMERY RD
CINCINNATI, OH 45249
Internal Medicine (Medical Oncology)
11140 MONTGOMERY RD
CINCINNATI, OH 45249

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 Waller's NPI number?

The NPI number for Theodore Waller is 1386609881. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Theodore Waller located?

Theodore Waller practices at 11140 Montgomery Rd, Cincinnati, OH 45249. The listed phone number is (513) 792-7800.

What is Theodore Waller's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Theodore Waller enrolled in Medicare?

Yes. Theodore Waller 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 Waller accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Theodore Waller 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 Theodore Waller affiliated with any hospitals?

According to CMS data, Theodore Waller is affiliated with Christ Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Theodore Waller was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.