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SCOTT KENNETH THEODORE
NPI 1669176731
Optometrist in Denver, CO

Active since March 30, 2023PECOS Enrolled
4804 CHAMBERS RD, DENVER, CO 80239(303) 576-6655 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2024, Sep 6, 2023, Jul 17, 2023 and 1 more (4 updates tracked since 2023).

About Scott Kenneth Theodore NPPES

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

SCOTT KENNETH THEODORE (NPI 1669176731) is an individual optometrist in Denver, Colorado, licensed in Colorado (3691) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Aurora, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669176731
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameSCOTT KENNETH THEODORE
Location Address4804 CHAMBERS RDDenver, CO 80239-5152
Mailing Address4804 Chambers RdDenver, CO 80239-5152
Phone(303) 576-6655
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 30, 2023
Last NPPES UpdateJuly 12, 20244 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1669176731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in CO · 3691✔ Licensed in VA · 0618003264
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.
4804 CHAMBERS RD, Denver, CO 80239
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Secondary Practice Location 1

Location 11363 N Victor St # N120Aurora, CO 80011-7082 · Phone (562) 533-8697

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Kenneth Theodore is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890143242
PECOS Enrollment IDI20231127001263
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 4

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
85 services85 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
56 services56 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
35 services35 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80239 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 4

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

ONEOPTO CO 1 PLLC
Optometrist
4804 CHAMBERS RD
DENVER, CO 80239
Denver County (303) 576-6655
LOOK OPTICAL, PC
Technician/Technologist (Optician)
4804 CHAMBERS RD
DENVER, CO 80239
Denver County (303) 576-6655
MARIA LAVALLE O.D.
Optometrist
4804 CHAMBERS RD
DENVER, CO 80239
Denver County (303) 576-6655
LOOK OPTICAL, PC
Optometrist
4804 CHAMBERS RD
DENVER, CO 80239
Denver County (303) 576-6655

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 Scott Theodore's NPI number?

The NPI number for Scott Theodore is 1669176731. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Where is Scott Theodore located?

Scott Theodore practices at 4804 Chambers Rd, Denver, CO 80239. The listed phone number is (303) 576-6655.

What is Scott Theodore's specialty?

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

Is Scott Theodore enrolled in Medicare?

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

What insurance does Scott Theodore accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Scott Theodore 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 Scott Theodore was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.