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DR. TODD A THEOBALD M.D.
NPI 1720077993
Ophthalmology in Lafayette, CO

Active since October 19, 2005PECOS EnrolledAccepts Medicare Assignment
280 EXEMPLA CIR, LAFAYETTE, CO 80026(303) 338-4545 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Todd A Theobald M.d. NPPES

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

DR. TODD A THEOBALD M.D. (NPI 1720077993) is an individual ophthalmology provider in Lafayette, Colorado, licensed in Colorado (DR.0057386) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of St. Louis College Of Physicians And Surgeons (2001).

NPPES Registry Identity

NPI1720077993
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. TODD A THEOBALDCredential: M.D.
Location Address280 EXEMPLA CIRLafayette, CO 80026-3370
Mailing Address10350 E Dakota AveDenver, CO 80247-1314 · (303) 338-4545
Phone(303) 338-4545
Sole ProprietorNo
Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 2001
Enumeration DateOctober 19, 2005
Last NPPES UpdateJune 21, 2021
NPPES CertifiedJune 21, 2021
✔ NPI 1720077993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in CO · DR.0057386✔ Licensed in GA · 74395✔ Licensed in VA · 0101237885✔ Licensed in MO · 2009032081
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
280 EXEMPLA CIR, Lafayette, CO 80026
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Other Identifiers 4

Other027564CO · Kaiser Commercial Number
OtherP00799494MO · Railroad Medicare
Medicaid04155149CO
Other431560263Tricare West

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. Todd A Theobald 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 ID42355273
PECOS Enrollment IDI20161213000099
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80026 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 20

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

BRANDI D SMALLEY
General Practice
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (303) 743-5855
KRISTY LYNN FAULKNER NP
Nurse Practitioner (Family)
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (303) 338-4545
MARIKA BRIMEYER RN
Registered Nurse
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (303) 614-1400
NANCY GARLAND
Social Worker (Clinical)
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (303) 345-8156
BARBARA D MULLEN
Surgery
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (720) 536-7050
DR. JULIE A MELCHIOR
Orthopaedic Surgery
280 EXEMPLA CIR, DEPARTMENT OF ORTHOPAEDICS
LAFAYETTE, CO 80026
Boulder County (303) 338-4545
M. LISA SCHWARTZ
Specialist/Technologist Cardiovascular (Cardiovascular Invasive Specialist)
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (720) 536-6517
SHARON K BALDIZAN
Nurse's Aide
280 EXEMPLA CIR
LAFAYETTE, CO 80026
Boulder County (720) 536-7462

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 Todd Theobald's NPI number?

The NPI number for Todd Theobald is 1720077993. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Todd Theobald located?

Todd Theobald practices at 280 Exempla Cir, Lafayette, CO 80026. The listed phone number is (303) 338-4545.

What is Todd Theobald's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Todd Theobald enrolled in Medicare?

Yes. Todd 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.

When was this NPI record last updated?

The NPPES record for Todd Theobald was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.