THEODORE WIESNER MD
NPI 1497173389
Emergency Medicine in Denver, CO

Active since March 28, 2014PECOS EnrolledAccepts Medicare Assignment
777 BANNOCK ST, DENVER, CO 80204(303) 436-6000 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 2, 2025, Aug 23, 2018, Jul 12, 2018 (3 updates tracked since 2018).

About Theodore Wiesner Md NPPES

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

THEODORE WIESNER MD (NPI 1497173389) is an individual emergency medicine provider in Denver, Colorado, licensed in Colorado (DR.0058658) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center - Beaver Dam (mmc-bd), and is a graduate of Other (2014).

NPPES Registry Identity

NPI1497173389
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHEODORE WIESNERCredential: MD
Location Address777 BANNOCK STDenver, CO 80204
Mailing Address450 W 14th Ave #48004Denver, CO 80204
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 28, 2014
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2025
NPI 1497173389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in CO · DR.0058658 Licensed in CA · A155718 Licensed in WI · 74236-20
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

777 BANNOCK ST, Denver, CO 80204

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 Wiesner Md 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 ID749538247
PECOS Enrollment IDI20201106001140
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
157 services155 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.
96 services96 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
32 services32 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Marshfield Medical Center - Beaver Dam (mmc-Bd)

Acute Care Hospitals · Beaver Dam, WI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520076
Location707 S University AveBeaver Dam, WI 53916 · Dodge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80204 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
$89.43 typical visit price
range $58.06 – $174.82
Typical copayment $22.35 (range $14.51 – $43.70)
Most-billed visit code 99203
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.

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.

Surgery
777 BANNOCK ST, MC 0206
DENVER, CO 80204
Family Medicine
777 BANNOCK ST, VC 1914
DENVER, CO 80204
Pediatrics
777 BANNOCK ST, MC 3000
DENVER, CO 80204
Psychiatry & Neurology (Psychiatry)
777 BANNOCK ST
DENVER, CO 80204
Obstetrics & Gynecology
777 BANNOCK ST, MC 3240
DENVER, CO 80204
Psychiatry & Neurology (Psychiatry)
777 BANNOCK ST, UNIT 9
DENVER, CO 80204
Advanced Practice Midwife
777 BANNOCK ST
DENVER, CO 80204
Nurse Practitioner (Obstetrics & Gynecology)
777 BANNOCK ST, MC 1914
DENVER, CO 80204

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 Wiesner's NPI number?

The NPI number for Theodore Wiesner is 1497173389. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Where is Theodore Wiesner located?

Theodore Wiesner practices at 777 Bannock St, Denver, CO 80204. The listed phone number is (303) 436-6000.

What is Theodore Wiesner's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Theodore Wiesner enrolled in Medicare?

Yes. Theodore Wiesner 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 Wiesner accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and Sanford Health Plan list Theodore Wiesner 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 Wiesner affiliated with any hospitals?

According to CMS data, Theodore Wiesner is affiliated with Marshfield Medical Center - Beaver Dam (mmc-Bd).

When was this NPI record last updated?

The NPPES record for Theodore Wiesner was last updated on September 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.