THEODORE MCMENOMY MD
NPI 1811036809
Internal Medicine - Critical Care Medicine in Saint Paul, MN

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
45 10TH ST W, SAINT PAUL, MN 55102(651) 232-3000 Get Directions Write a Review

NPPES record last updated: August 1, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 1, 2018, Jul 20, 2018 (2 updates tracked since 2018).

About Theodore Mcmenomy Md NPPES

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

THEODORE MCMENOMY MD (NPI 1811036809) is an individual critical care medicine provider in Saint Paul, Minnesota, licensed in Minnesota (51402) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1811036809
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameTHEODORE MCMENOMYCredential: MD
Location Address45 10TH ST WSaint Paul, MN 55102
Mailing Address1690 University Ave W Ste 370Saint Paul, MN 55104-3723 · (651) 232-6905 · Fax (651) 326-8170
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2005
Enumeration DateFebruary 6, 2007
Last NPPES UpdateAugust 1, 20182 updates tracked since enumeration
✔ NPI 1811036809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in MN · 51402
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2005-0350 (NM)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 57429 (CO)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 56538-20 (WI)
45 10TH ST W, Saint Paul, MN 55102

Secondary Practice Locations 2

Location 11400 Jackson StDenver, CO 80206-2761 · Phone (303) 388-4461 · Fax (303) 270-2174
Location 21700 University Ave W Fl 6Saint Paul, MN 55104-3727 · Phone (651) 232-2273 · Fax (651) 232-4953

Accepted Insurance

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

Theodore Mcmenomy 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.

PECOS PAC ID1951476415
PECOS Enrollment IDI20090109000449, I20140429000169
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 Reassignments

13

Medicare enrollment records show Theodore Mcmenomy reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
45 10TH STREET WEST
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Healtheast Medical Research Institute
  • 2,361 clinicians in this Medicare group
General Practice
225 SMITH AVE N, STE 300
St Paul, MN 55102
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Also billed through NPI 1447550702 (Wisconsin)
  • 3,733 clinicians in this Medicare group
Long Term Care Hospital
45 10TH ST W
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 671 clinicians in this Medicare group
Anesthesiology
1700 UNIVERSITY AVE W
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,178 clinicians in this Medicare group
General Acute Care Hospital
1925 WOODWINDS DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 955 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Urgent Care
7907 POWERS BLVD
Chanhassen, MN 55317
  • Reassigned Medicare billing, Minnesota enrollment
  • 581 clinicians in this Medicare group
Medicare Defined Swing Bed Unit
621 S 4TH ST
Le Sueur, MN 56058
  • Reassigned Medicare billing, Minnesota enrollment
  • 201 clinicians in this Medicare group
Critical Access
601 WEST CHANDLER STREET
Arlington, MN 55307
  • Reassigned Medicare billing, Minnesota enrollment
  • 229 clinicians in this Medicare group
Critical Access
320 E MAIN ST
Crosby, MN 56441
  • Reassigned Medicare billing, Minnesota enrollment
  • 224 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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
97 services51 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.
83 services50 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

St Francis Regional Medical Center

Acute Care Hospitals · Shakopee, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240104
Location1455 St Francis AvenueShakopee, MN 55379 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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 20

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

Psychiatric Unit
45 10TH ST W
SAINT PAUL, MN 55102
Dietitian, Registered
45 10TH ST W
SAINT PAUL, MN 55102
Counselor (Mental Health)
45 10TH ST W
SAINT PAUL, MN 55102
Social Worker (Clinical)
45 10TH ST W
SAINT PAUL, MN 55102
Psychiatry & Neurology (Psychiatry)
45 10TH ST W
SAINT PAUL, MN 55102
Social Worker (Clinical)
45 10TH ST W
SAINT PAUL, MN 55102
Social Worker (Clinical)
45 10TH ST W
SAINT PAUL, MN 55102
Social Worker (Clinical)
45 10TH ST W
SAINT PAUL, MN 55102

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 Mcmenomy's NPI number?

The NPI number for Theodore Mcmenomy is 1811036809. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Theodore Mcmenomy located?

Theodore Mcmenomy practices at 45 10th St W, Saint Paul, MN 55102. The listed phone number is (651) 232-3000.

What is Theodore Mcmenomy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Theodore Mcmenomy enrolled in Medicare?

Yes. Theodore Mcmenomy 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 organizations bill Medicare for Theodore Mcmenomy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Mcmenomy reassigns Medicare benefits to 13 organizations: Healtheast Medical Research Insititue (Saint Paul, MN), Allina Health System (St Paul, MN), Fairview Bethesda Hospital (Saint Paul, MN), Healtheast St. John's Hospital (Saint Paul, MN), Healtheast Woodwinds Hospital (Woodbury, MN) and 8 more organizations, listed in the Medicare section above. Each 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 Mcmenomy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Mcmenomy accept?

Health plans from HealthPartners and Sanford Health Plan list Theodore Mcmenomy 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 Theodore Mcmenomy affiliated with any hospitals?

According to CMS data, Theodore Mcmenomy is affiliated with Abbott Northwestern Hospital and St Francis Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Theodore Mcmenomy was last updated on August 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.