1. Home
  2. Directory
  3. Illinois
  4. Effingham
  5. Surgery
  6. NPI Profile

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

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: July 26, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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.

When was this NPI record last updated?

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