DR. JENNIFER ANNE THEOHARIS M.D.
NPI 1659356913
Radiology - Diagnostic Radiology in Boerne, TX

Active since December 09, 2005PECOS EnrolledAccepts Medicare Assignment
9002 HIGHLANDS CV, BOERNE, TX 78006(952) 595-1100(612) 294-4903 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Jennifer Anne Theoharis M.d. NPPES

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

DR. JENNIFER ANNE THEOHARIS M.D. (NPI 1659356913) is an individual diagnostic radiology provider in Boerne, Texas, licensed in Texas (M0943) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Carepoint Health - Bayonne Medical Center, and maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1659356913
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. JENNIFER ANNE THEOHARISCredential: M.D.
Location Address9002 HIGHLANDS CVBoerne, TX 78006-4843
Mailing Address11995 Singletree Ln Ste 500Eden Prairie, MN 55344-5349 · (952) 595-1301 · Fax (612) 294-4903
Fax(612) 294-4903
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 1997
Enumeration DateDecember 9, 2005
Last NPPES UpdateJanuary 20, 2026
NPPES CertifiedJanuary 20, 2026
✔ NPI 1659356913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses✔ Licensed in TX · M0943✔ Licensed in CA · A85035✔ Licensed in CT · 045784✔ Licensed in TN · 37923
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
9002 HIGHLANDS CV, Boerne, TX 78006

Other Names 1

Former Name (1)Jennifer Anne Tomczuk

Secondary Practice Location 1

Location 17211 Wellington Dr Ste 101Knoxville, TN 37919-5968 · Phone (865) 588-8005 · Fax (865) 588-7716

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer Anne Theoharis M.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 ID1456380922
PECOS Enrollment IDI20130416000639, I20221107001175, I20260127000163, I20260204003990, I20260320000958
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 Reassignments

12

Medicare enrollment records show Jennifer Theoharis reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
COLONNADE I, 9901 IH-10 WEST, SUITE 905
San Antonio, TX 78230
  • Reassigned Medicare billing, Texas enrollment
  • 106 clinicians in this Medicare group
Hospitalist
3636 MEDICAL DR
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas and Indiana enrollments
  • Also billed through NPI 1710216312 (Indiana)
  • 121 clinicians in this Medicare group
Diagnostic Radiology
4410 MEDICAL DR STE 200
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 106 clinicians in this Medicare group
Internal Medicine
1607 WESTGATE CIR STE 200
Brentwood, TN 37027
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,003 clinicians in this Medicare group
Internal Medicine
13000 N MERIDIAN ST STE 250
Carmel, IN 46032
  • Reassigned Medicare billing, Indiana enrollment
  • 195 clinicians in this Medicare group
Internal Medicine
888 S RANCHO DR
Las Vegas, NV 89106
  • Reassigned Medicare billing, Arkansas enrollment
Family Medicine
2 WEST FERN AVENUE
Redlands, CA 92373
  • Reassigned Medicare billing, California enrollment
  • 635 clinicians in this Medicare group
Family Medicine
8110 MANGO AVE
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 149 clinicians in this Medicare group
Internal Medicine
1120 W WASHINGTON BLVD
Los Angeles, CA 90015
  • Reassigned Medicare billing, Arkansas enrollment
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Carepoint Health - Bayonne Medical Center

Acute Care Hospitals · Bayonne, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310025
Location29 East 29th StBayonne, NJ 07002 · Hudson County

Carepoint Health-Hoboken University Medical Center

Acute Care Hospitals · Hoboken, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310040
Location308 Willow AveHoboken, NJ 07030 · Hudson County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78006 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Jennifer Theoharis's NPI number?

The NPI number for Jennifer Theoharis is 1659356913. It was assigned to this individual provider in the NPPES registry on December 9, 2005. The provider is also known as Jennifer Anne Tomczuk.

Where is Jennifer Theoharis located?

Jennifer Theoharis practices at 9002 Highlands Cv, Boerne, TX 78006. The listed phone number is (952) 595-1100.

What is Jennifer Theoharis's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Jennifer Theoharis enrolled in Medicare?

Yes. Jennifer Theoharis 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.

Which organizations bill Medicare for Jennifer Theoharis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Theoharis reassigns Medicare benefits to 12 organizations: South Texas Radiology Group PA (San Antonio, TX), Knd Development 59 LLC (San Antonio, TX), South Texas Radiology Imaging Centers (San Antonio, TX), Summit Medical Group, PLLC (Brentwood, TN), American Health Network Of Indiana, LLC (Carmel, IN) and 7 more organizations, listed in the Medicare section above. Each 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 Jennifer Theoharis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Theoharis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama and Ambetter of North Carolina and 6 other insurers list Jennifer Theoharis 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 Jennifer Theoharis affiliated with any hospitals?

According to CMS data, Jennifer Theoharis is affiliated with Carepoint Health - Bayonne Medical Center and Carepoint Health-Hoboken University Medical Center.

When was this NPI record last updated?

The NPPES record for Jennifer Theoharis was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.