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THEODORE PINCUS MD
NPI 1700979747
Internal Medicine - Rheumatology in Chicago, IL

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
1611 W HARRISON ST, SUITE 510, CHICAGO, IL 60612(312) 563-2800(312) 563-2075 Get Directions Write a Review

NPPES record last updated: March 4, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore Pincus Md NPPES

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

THEODORE PINCUS MD (NPI 1700979747) is an individual rheumatology provider in Chicago, Illinois, licensed in Illinois (036-136504) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Harvard Medical School (1966).

NPPES Registry Identity

NPI1700979747
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameTHEODORE PINCUSCredential: MD
Location Address1611 W HARRISON ST, SUITE 510Chicago, IL 60612-4861
Mailing Address1611 W Harrison St, Suite 510Chicago, IL 60612-4861 · (312) 563-2800 · Fax (312) 563-2075
Phone(312) 563-2800
Fax(312) 563-2075
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1966
Enumeration DateOctober 2, 2006
Last NPPES UpdateMarch 4, 2016
✔ NPI 1700979747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in IL · 036-136504
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
1611 W HARRISON ST, Chicago, IL 60612
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Theodore Pincus Md 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 ID2062734478
PECOS Enrollment IDI20141212001673
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.

Hospital Affiliations CMS Care Compare

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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 20

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

DR. FRANK M. PHILLIPS M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1611 W HARRISON ST, STE 400
CHICAGO, IL 60612
Cook County (312) 243-4244
GEORGE KOURIS MD SC
Plastic Surgery
1611 W HARRISON ST, 212
CHICAGO, IL 60612
Cook County (312) 432-2850
EMILY N STOUFFER NP-C
Nurse Practitioner
1611 W HARRISON ST, SUITE 400
CHICAGO, IL 60612
Cook County (312) 243-4244
TARA KENNEDY DUFFY PA
Physician Assistant
1611 W HARRISON ST
CHICAGO, IL 60612
Cook County (877) 632-6637
EMILY REESON MD
Orthopaedic Surgery
1611 W HARRISON ST
CHICAGO, IL 60612
Cook County (815) 576-2046
DR. JEFFREY M MJAANES MD
Pediatrics (Sports Medicine)
1611 W HARRISON ST, STE 400
CHICAGO, IL 60612
Cook County (312) 243-4244
ASHLEY SCHULTEJANN ATC
Specialist/Technologist (Athletic Trainer)
1611 W HARRISON ST, SUITE 300
CHICAGO, IL 60612
Cook County (312) 432-2432
PAIGE MAHER PA-C
Physician Assistant
1611 W HARRISON ST, STE 300
CHICAGO, IL 60612
Cook County (312) 432-2381

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 Pincus's NPI number?

The NPI number for Theodore Pincus is 1700979747. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Theodore Pincus located?

Theodore Pincus practices at 1611 W Harrison St Suite 510, Chicago, IL 60612. The listed phone number is (312) 563-2800.

What is Theodore Pincus's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Theodore Pincus enrolled in Medicare?

Yes. Theodore Pincus 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 Theodore Pincus accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Theodore Pincus 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 Theodore Pincus affiliated with any hospitals?

According to CMS data, Theodore Pincus is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Theodore Pincus was last updated on March 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.