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MARTIN J THEOBALD O.D.
NPI 1609842210
Optometrist in Duluth, MN

Active since February 23, 2006PECOS EnrolledAccepts Medicare Assignment
3308 W ARROWHEAD RD, DULUTH, MN 55811(218) 727-6400 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Martin J Theobald O.d. NPPES

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

MARTIN J THEOBALD O.D. (NPI 1609842210) is an individual optometrist in Duluth, Minnesota, licensed in Minnesota (2549) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (1995).

NPPES Registry Identity

NPI1609842210
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARTIN J THEOBALDCredential: O.D.
Location Address3308 W ARROWHEAD RDDuluth, MN 55811-4000
Mailing Address3308 W Arrowhead RdDuluth, MN 55811-4000 · (218) 727-6400
Phone(218) 727-6400
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 1995
Enumeration DateFebruary 23, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1609842210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MN · 2549
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3308 W ARROWHEAD RD, Duluth, MN 55811
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Other Identifiers 8

Other6C248THMN · First Plan Minnesota
Medicare UPINU59523MN
OtherA62871023475MN · Preferred One
Other110960MN · Ucare
Other2203074MN · Medica
Other2207594MN · Medica
Other6C248THMN · Atrium & Bcbs
Other897821023475MN · Preferred One

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Providence Health Plan.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

Martin J Theobald O.d. 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 ID7214954072
PECOS Enrollment IDI20100922000701
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 7

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
77 services77 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
40 services38 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
38 services30 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.
37 services31 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
30 services26 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
19 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55811 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK D. HOMSTAD, D.P.M., P.A.
Podiatrist
3308 W ARROWHEAD RD
DULUTH, MN 55811
St. Louis County (218) 722-2008
THEOBALD FAMILY EYE CARE, LLP
Optometrist
3308 W ARROWHEAD RD
DULUTH, MN 55811
St. Louis County (218) 727-6400
TERESA F THEOBALD O.D.
Optometrist
3308 W ARROWHEAD RD
DULUTH, MN 55811
St. Louis County (218) 727-6400

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 Martin Theobald's NPI number?

The NPI number for Martin Theobald is 1609842210. It was assigned to this individual provider in the NPPES registry on February 23, 2006.

Where is Martin Theobald located?

Martin Theobald practices at 3308 W Arrowhead Rd, Duluth, MN 55811. The listed phone number is (218) 727-6400.

What is Martin Theobald's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Martin Theobald enrolled in Medicare?

Yes. Martin Theobald 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 Martin Theobald accept?

Health plans from Medica and Providence Health Plan list Martin Theobald 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.

When was this NPI record last updated?

The NPPES record for Martin Theobald was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.