DR. THERESA A CAVINS M.D.
NPI 1710974019
Surgery in Bloomsdale, MO

Active since October 02, 2005PECOS EnrolledAccepts Medicare Assignment
255 BODERMAN, BLOOMSDALE, MO 63627(573) 483-2525 Get Directions Write a Review

NPPES record last updated: April 18, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Theresa A Cavins M.d. NPPES

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

DR. THERESA A CAVINS M.D. (NPI 1710974019) is an individual surgery provider in Bloomsdale, Missouri, licensed in Missouri (110454) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Barnes Jewish Hospital, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1710974019
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDR. THERESA A CAVINSCredential: M.D.
Location Address255 BODERMANBloomsdale, MO 63627-9099
Mailing AddressPo Box 366Ste Genevieve, MO 63670-0366 · (573) 883-4477 · Fax (573) 883-4477
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 2, 2005
Last NPPES UpdateApril 18, 2013
NPI 1710974019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MO · 110454
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
255 BODERMAN, Bloomsdale, MO 63627

Other Identifiers 4

Other020048156MO · Railroad Medicare
Medicare UPINH26473MO
Medicare OSCAR/certification135350016MO
Medicare ID-Type Unspecified012012273MO

Accepted 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

Dr. Theresa A Cavins 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 ID8123155256
PECOS Enrollment IDI20100422000141
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.

Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
300 services300 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
300 services300 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
97 services85 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
57 services57 patients
Diagnostic mammography of both breasts 77066
Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
52 services50 patients
Diagnostic mammography of 1 breast 77065
Diagnostic mammography of 1 breast is a detailed imaging test that allows doctors to closely examine a specific area in the breast. It's often used when a routine screening reveals an abnormality. This test can help identify any unusual changes or issues.
50 services42 patients

Hospital Affiliations CMS Care Compare 2

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

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Ste Genevieve County Memorial Hospital

Critical Access Hospitals · Sainte Genevieve, MO
OwnershipGovernment - Hospital District or Authority
CMS Certification Number261330
Location800 Ste Genevieve Drive, PO Box 468Sainte Genevieve, MO 63670 · Ste. Genevieve County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63627 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
4 suppliers19 claims74 services$33.45 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Family)
255 BODERMAN
BLOOMSDALE, MO 63627
Nurse Practitioner (Family)
255 BODERMAN
BLOOMSDALE, MO 63627
Clinic/Center (Rural Health)
255 BODERMAN
BLOOMSDALE, MO 63627
Nurse Practitioner (Family)
255 BODERMAN
BLOOMSDALE, MO 63627
Surgery
255 BODERMAN, SUITE 1B
BLOOMSDALE, MO 63627
Pediatrics
255 BODERMAN
BLOOMSDALE, MO 63627
Family Medicine
255 BODERMAN
BLOOMSDALE, MO 63627
Pharmacist
255 BODERMAN
BLOOMSDALE, MO 63627

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 Theresa Cavins's NPI number?

The NPI number for Theresa Cavins is 1710974019. It was assigned to this individual provider in the NPPES registry on October 2, 2005.

Where is Theresa Cavins located?

Theresa Cavins practices at 255 Boderman, Bloomsdale, MO 63627. The listed phone number is (573) 483-2525.

What is Theresa Cavins's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Theresa Cavins enrolled in Medicare?

Yes. Theresa Cavins 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 Theresa Cavins accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Theresa Cavins 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 Theresa Cavins affiliated with any hospitals?

According to CMS data, Theresa Cavins is affiliated with Barnes Jewish Hospital and Ste Genevieve County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Cavins was last updated on April 18, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.