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THEODORE JAMES PYSHER MD
NPI 1497845010
Pathology - Pediatric Pathology in Salt Lake City, UT

Active since October 13, 2006PECOS Enrolled
100 N MEDICAL DR, SALT LAKE CITY, UT 84113(801) 662-2150 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodore James Pysher Md NPPES

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

THEODORE JAMES PYSHER MD (NPI 1497845010) is an individual pediatric pathology provider in Salt Lake City, Utah, licensed in Utah (173099-1205) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497845010
Entity TypeIndividualMale
Primary Taxonomy207ZP0213X
Provider Legal NameTHEODORE JAMES PYSHERCredential: MD
Location Address100 N MEDICAL DRSalt Lake City, UT 84113-1103
Mailing AddressPo Box 413037Salt Lake City, UT 84141-3037 · (801) 213-3900
Phone(801) 662-2150
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateDecember 1, 2021
NPPES CertifiedDecember 1, 2021
✔ NPI 1497845010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Pediatric PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0213X
License✔ Licensed in UT · 173099-1205
Definition
A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.
100 N MEDICAL DR, Salt Lake City, UT 84113
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore James Pysher Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84113 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

MRS. LISA ANN RUNYON CPNP
Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, TRAUMA SERVICES
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2993
KATHERINE A HUGHES OT
Occupational Therapist
100 N MEDICAL DR
SLC, UT 84113
Salt Lake County (801) 588-2000
LINDA M LAMBERT A.P.R.N.
Nurse Practitioner
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
MS. ANN A. K. KAMP APRN
Nurse Practitioner (Neonatal)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-1000
UNIVERSITY OF UTAH GENERAL PEDIATRICS
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 588-2233
DR. TYSON STUART HORKLEY M.D.
Pediatrics
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 267-1855
MS. DEBRA ANN TEMPLIN NP
Nurse Practitioner (Pediatrics, Critical Care)
100 N MEDICAL DR
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-2447
BONNIE ANN CLAY CPNP
Nurse Practitioner (Pediatrics)
100 N MEDICAL DR, 2800
SALT LAKE CITY, UT 84113
Salt Lake County (801) 662-5566

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 Pysher's NPI number?

The NPI number for Theodore Pysher is 1497845010. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Theodore Pysher located?

Theodore Pysher practices at 100 N Medical Dr, Salt Lake City, UT 84113. The listed phone number is (801) 662-2150.

What is Theodore Pysher's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Pediatric Pathology, with taxonomy code 207ZP0213X.

Is Theodore Pysher enrolled in Medicare?

Yes. Theodore Pysher is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Pysher was last updated on December 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.