DR. THEODORE D. FIFER M.D. FACS
NPI 1508034596
Surgery - Plastic and Reconstructive Surgery in Effingham, IL

Q: What is Theodore Fifer's NPI number?

The NPI number for Theodore Fifer is 1508034596. It was assigned to this individual provider in the NPPES registry on February 13, 2008.

Q: What is Theodore Fifer's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Fifer was last updated on December 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since February 13, 2008PECOS Enrolled

14900 N COURT 9, EFFINGHAM, IL 62401(217) 994-6162(217) 342-7094 Get Directions Write a Review

NPPES record last updated: December 12, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Theodore D. Fifer M.d. Facs NPPES

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

DR. THEODORE D. FIFER M.D. FACS (NPI 1508034596) is an individual plastic and reconstructive surgery provider in Effingham, Illinois, licensed in Illinois (036084136) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508034596

Entity TypeIndividualMale

Primary Taxonomy2086S0122X

Provider Legal NameDR. THEODORE D. FIFERCredential: M.D. FACS

Location Address14900 N COURT 9Effingham, IL 62401-7640

Mailing Address14900 N Court 9Effingham, IL 62401-7640 · (217) 994-6162 · Fax (217) 342-7094

Phone(217) 994-6162

Fax(217) 342-7094

Sole ProprietorYes

Enumeration DateFebruary 13, 2008

Last NPPES UpdateDecember 12, 2012

✔ NPI 1508034596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0122X

License✔ Licensed in IL · 036084136

Definition

A surgeon who specializes in plastic and reconstructive surgery.

Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License 036084136 (IL)

14900 N COURT 9, Effingham, IL 62401

Open in Google Maps ↗

Other Identifiers 4

Other025-00076IL · Blue Cross

Medicare PIN972190

Medicaid036-084136IL

Medicare UPINF22764

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore D. Fifer M.d. Facs 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.

Medicare Billing Reassignment

Medicare enrollment records show Theodore Fifer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Illinois Department Of Human Services

49 mi

Intermediate Care Facility, Intellectual Disabilities

1535 W MCCORD ST
Centralia, IL 62801

Reassigned Medicare billing, Illinois enrollment
46 clinicians in this Medicare group

NPI 1003960394 (618) 532-1811

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

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 Fifer's NPI number?

The NPI number for Theodore Fifer is 1508034596. It was assigned to this individual provider in the NPPES registry on February 13, 2008.

Where is Theodore Fifer located?

Theodore Fifer practices at 14900 N Court 9, Effingham, IL 62401. The listed phone number is (217) 994-6162.

What is Theodore Fifer's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Theodore Fifer enrolled in Medicare?

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

Which organization bills Medicare for Theodore Fifer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Fifer reassigns Medicare benefits to Illinois Department Of Human Services (Centralia, IL). The 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 Theodore Fifer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theodore Fifer was last updated on December 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.