JAMES O THEIS MD
NPI 1780773440
Family Medicine in Marrero, LA
About James O Theis Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES O THEIS MD (NPI 1780773440) is an individual family medicine provider in Marrero, Louisiana, licensed in Louisiana (12004R) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with West Jefferson Medical Center, and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Other Identifiers 3
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
James O Theis 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.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
West Jefferson Medical Center
Acute Care Hospitals · Marrero, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70072 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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.
MARRERO, LA 70072
MARRERO, LA 70072
MARRERO, LA 70072
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 James Theis's NPI number?
The NPI number for James Theis is 1780773440. It was assigned to this individual provider in the NPPES registry on October 12, 2006.
Where is James Theis located?
James Theis practices at 1111 Medical Center Blvd Suite N408, Marrero, LA 70072. The listed phone number is (504) 349-2908.
What is James Theis's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is James Theis enrolled in Medicare?
Yes. James Theis 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 James Theis accept?
Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list James Theis 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 James Theis affiliated with any hospitals?
According to CMS data, James Theis is affiliated with West Jefferson Medical Center.
When was this NPI record last updated?
The NPPES record for James Theis was last updated on May 12, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.