DR. TODD A THEOBALD M.D.
NPI 1720077993
Ophthalmology in Lafayette, CO
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
Specialties & Licenses
Other Identifiers 4
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. 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.
Medicare Billing Reassignment
Medicare enrollment records show Todd Theobald reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Denver, CO 80247
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Colorado Permanente Medical Group PC
- 1,715 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.
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.
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.
LAFAYETTE, CO 80026
LAFAYETTE, CO 80026
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.
Which organization bills Medicare for Todd Theobald's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Todd Theobald reassigns Medicare benefits to Colorado Permanente Medical Group, P.C. (Denver, CO). The 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 Todd Theobald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Todd A Theobald, M.D. · NPI 1720077993
Ophthalmology physician in Lafayette, Colorado. Individual provider, active in the CMS NPPES registry since October 19, 2005.
## Identity
- **NPI:** 1720077993 (Entity type: Individual)
- **Enumerated:** October 19, 2005
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** DR.0057386 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 280 EXEMPLA CIR, Lafayette, CO 80026-3370
- **Phone:** (303) 338-4545
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Colorado Permanente Medical Group, P.C. (NPI 1760599724, Denver, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** St. Louis College Of Physicians And Surgeons, class of 2001
## Record status
- **NPPES last updated:** June 21, 2021
- **Other identifiers:** Other 027564 (CO); Other P00799494 (MO); Medicaid 04155149 (CO); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1720077993) · Data from the CMS NPPES public registry.