DR. ROBERT JAMES THEOBALD III DO
NPI 1396778239
Colon & Rectal Surgery in Tampa, FL

Active since July 07, 2006PECOS EnrolledAccepts Medicare Assignment
14547 BRUCE B DOWNS BLVD, SUITE B, TAMPA, FL 33613(813) 875-2600(813) 875-2626 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Robert James Theobald Iii Do NPPES

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

DR. ROBERT JAMES THEOBALD III DO (NPI 1396778239) is an individual colon & rectal surgery provider in Tampa, Florida, licensed in Florida (OS9540) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (2001).

NPPES Registry Identity

NPI1396778239
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. ROBERT JAMES THEOBALD IIICredential: DO
Location Address14547 BRUCE B DOWNS BLVD, SUITE BTampa, FL 33613-2709
Mailing Address38135 Market SqZephyrhills, FL 33542-7505 · (813) 780-1255
Fax(813) 875-2626
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 2001
Enumeration DateJuly 7, 2006
Last NPPES UpdateAugust 27, 2021
NPPES CertifiedAugust 27, 2021
✔ NPI 1396778239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in FL · OS9540
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
14547 BRUCE B DOWNS BLVD, Tampa, FL 33613

Other Identifiers 1

OtherP01095109FL · Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert James Theobald Iii Do 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 ID9537138144
PECOS Enrollment IDI20050926000196
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Robert Theobald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
38135 MARKET SQUARE
Zephyrhills, FL 33542
  • Reassigned Medicare billing, Florida enrollment
  • 451 clinicians in this Medicare group
General Practice
38135 MARKET SQUARE DR
Zephyrhills, FL 33542
  • Reassigned Medicare billing, Florida enrollment
  • 467 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

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.

Injection of hemorrhoid 46500
An injection for hemorrhoids involves administering a substance into the swollen tissue to reduce its size. It's a simple, quick procedure, performed in a doctor's office, to help alleviate discomfort and inflammation.
986 services375 patients
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.
178 services178 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.
52 services42 patients
Removal of external hemorrhoid with blood clot 46320
This procedure involves the removal of an external hemorrhoid that has a blood clot. The doctor numbs the area, makes a small cut, and removes the clot. This relieves pain and swelling.
30 services28 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
22 services22 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33613 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Anesthetist, Certified Registered
14547 BRUCE B DOWNS BLVD
TAMPA, FL 33613
Orthopaedic Surgery
14547 BRUCE B DOWNS BLVD, SUITE C
TAMPA, FL 33613
Anesthesiology
14547 BRUCE B DOWNS BLVD
TAMPA, FL 33613
Nurse Anesthetist, Certified Registered
14547 BRUCE B DOWNS BLVD
TAMPA, FL 33613
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
14547 BRUCE B DOWNS BLVD, STE C
TAMPA, FL 33613
Nurse Anesthetist, Certified Registered
14547 BRUCE B DOWNS BLVD
TAMPA, FL 33613
Prosthetic/Orthotic Supplier
14547 BRUCE B DOWNS BLVD, SUITE C
TAMPA, FL 33613
Nurse Anesthetist, Certified Registered
14547 BRUCE B DOWNS BLVD
TAMPA, FL 33613

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 Robert Theobald's NPI number?

The NPI number for Robert Theobald is 1396778239. It was assigned to this individual provider in the NPPES registry on July 7, 2006.

Where is Robert Theobald located?

Robert Theobald practices at 14547 Bruce B Downs Blvd Suite B, Tampa, FL 33613. The listed phone number is (813) 875-2600.

What is Robert Theobald's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Robert Theobald enrolled in Medicare?

Yes. Robert 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.

Which organizations bill Medicare for Robert Theobald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Theobald reassigns Medicare benefits to 2 organizations: Florida Medical Clinic LLC (Zephyrhills, FL) and Ohi West Medical Group II LLC (Zephyrhills, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Theobald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Theobald accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Robert 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 Robert Theobald was last updated on August 27, 2021. 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.