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DR. THEODORE MARTIN WILLMORE M.D.
NPI 1720194491
Emergency Medicine in Jefferson City, MO

Active since August 22, 2006PECOS Enrolled
100 SAINT MARYS PLZ, JEFFERSON CITY, MO 65101(573) 761-7011 Get Directions Write a Review

NPPES record last updated: December 7, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Theodore Martin Willmore M.d. NPPES

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

DR. THEODORE MARTIN WILLMORE M.D. (NPI 1720194491) is an individual emergency medicine provider in Jefferson City, Missouri, licensed in Missouri (2000153519) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720194491
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. THEODORE MARTIN WILLMORECredential: M.D.
Location Address100 SAINT MARYS PLZJefferson City, MO 65101-1602
Mailing Address4102 Big Sur BlvdColumbia, MO 65203-6704 · (573) 447-1851
Phone(573) 761-7011
Sole ProprietorNo
Enumeration DateAugust 22, 2006
Last NPPES UpdateDecember 7, 2012
✔ NPI 1720194491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MO · 2000153519
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
100 SAINT MARYS PLZ, Jefferson City, MO 65101
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Other Identifiers 1

Medicare PIN152360658MO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Martin Willmore M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Theodore Willmore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Capital Emergency Physicians, PC
  • Reassigned Medicare billing, Missouri enrollment
  • 35 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
149 services144 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
74 services73 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
24 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65101 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
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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 5

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

DR. TODD ROCKETT
Emergency Medicine (Emergency Medical Services)
100 SAINT MARYS PLZ
JEFFERSON CITY, MO 65101
Cole County (573) 761-7000
MRS. TRICIA D TEMMEN NP
Nurse Practitioner
100 SAINT MARYS PLZ
JEFFERSON CITY, MO 65101
Cole County (800) 893-9698
SSM REGIONAL HEALTH SERVICES
Psychiatric Unit
100 SAINT MARYS PLZ
JEFFERSON CITY, MO 65101
Cole County (573) 761-7000
DR. REGINALD BENSON SCHLEIDER M.D.
Family Medicine
100 SAINT MARYS PLZ
JEFFERSON CITY, MO 65101
Cole County (573) 761-7000
MICHAEL MOSLEY M.D.
Emergency Medicine
100 SAINT MARYS PLZ
JEFFERSON CITY, MO 65101
Cole County (573) 761-7000

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 Willmore's NPI number?

The NPI number for Theodore Willmore is 1720194491. It was assigned to this individual provider in the NPPES registry on August 22, 2006.

Where is Theodore Willmore located?

Theodore Willmore practices at 100 Saint Marys Plz, Jefferson City, MO 65101. The listed phone number is (573) 761-7011.

What is Theodore Willmore's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Theodore Willmore enrolled in Medicare?

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

Which organization bills Medicare for Theodore Willmore's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Willmore reassigns Medicare benefits to Capital Emergency Physicians, PC (MO). 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 Theodore Willmore'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 Theodore Willmore was last updated on December 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.