THEODORA ANNA SQUIRE
NPI 1417591660
Student in an Organized Health Care Education/Training Program in Glen Allen, VA

Active since October 31, 2019PECOS EnrolledAccepts Medicare Assignment
80.82/100
CMS Quality Rating
2151 OLD BRICK RD, GLEN ALLEN, VA 23060(703) 850-8981 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodora Anna Squire NPPES

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

THEODORA ANNA SQUIRE (NPI 1417591660) is an individual student in an organized health care education/training program in Glen Allen, Virginia and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1417591660
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTHEODORA ANNA SQUIRE
Location Address2151 OLD BRICK RDGlen Allen, VA 23060-5837
Mailing Address2151 Old Brick RdGlen Allen, VA 23060-5837 · (703) 850-8981
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 31, 2019
NPI 1417591660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2151 OLD BRICK RD, Glen Allen, VA 23060

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

Theodora Anna Squire 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 ID1456739382
PECOS Enrollment IDI20220720002888
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.

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.
126 services113 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.
60 services60 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.
40 services40 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.
30 services29 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490005
Location1840 Amherst StWinchester, VA 22601 · Winchester City County
Emergency services Birthing friendly

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

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.

80.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.63
Promoting Interoperability100
Improvement Activities40
Cost74.45

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.

Physician Assistant
2151 OLD BRICK RD
GLEN ALLEN, VA 23060
Physician Assistant
2151 OLD BRICK RD
GLEN ALLEN, VA 23060
Physician Assistant
2151 OLD BRICK RD
GLEN ALLEN, VA 23060
Student in an Organized Health Care Education/Training Program
2151 OLD BRICK RD
GLEN ALLEN, VA 23060
Physician Assistant
2151 OLD BRICK RD
GLEN ALLEN, VA 23060
Physician Assistant
2151 OLD BRICK RD
GLEN ALLEN, VA 23060
Physician Assistant (Medical)
2151 OLD BRICK RD
GLEN ALLEN, VA 23060
Physician Assistant
2151 OLD BRICK RD
GLEN ALLEN, VA 23060

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 Theodora Squire's NPI number?

The NPI number for Theodora Squire is 1417591660. It was assigned to this individual provider in the NPPES registry on October 31, 2019.

Where is Theodora Squire located?

Theodora Squire practices at 2151 Old Brick Rd, Glen Allen, VA 23060. The listed phone number is (703) 850-8981.

What is Theodora Squire's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Theodora Squire enrolled in Medicare?

Yes. Theodora Squire 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.

Is Theodora Squire affiliated with any hospitals?

According to CMS data, Theodora Squire is affiliated with Winchester Medical Center and Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for Theodora Squire was last updated on October 31, 2019. 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.