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THEODORE E LANGE MD
NPI 1831119270
Internal Medicine - Pulmonary Disease in Boise, ID

Active since July 20, 2006PECOS Enrolled
500 W FORT ST., # 111, BOISE, ID 83702(208) 422-1325(208) 422-1319 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore E Lange Md NPPES

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

THEODORE E LANGE MD (NPI 1831119270) is an individual pulmonary disease provider in Boise, Idaho, licensed in Idaho (M-9049) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831119270
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameTHEODORE E LANGECredential: MD
Location Address500 W FORT ST., # 111Boise, ID 83702
Mailing Address500 W Fort St., # 111Boise, ID 83702 · (208) 422-1325 · Fax (208) 422-1319
Phone(208) 422-1325
Fax(208) 422-1319
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1831119270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in ID · M-9049
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
500 W FORT ST., Boise, ID 83702
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore E Lange Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83702 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
$121.27 typical visit price
range $52.44 – $160.17
Typical copayment $30.31 (range $13.11 – $40.04)
Most-billed visit code 99204
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 9

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

LORI J SMITH MD
Emergency Medicine
500 W FORT ST., # 111
BOISE, ID 83702
Ada County (208) 422-1000
MRS. JENNIFER M FEIRSTEIN PA-C
Physician Assistant (Medical)
500 W FORT ST., CRH 2ND FLOOR
BOISE, ID 83702
Ada County (208) 422-1018
DR. JOANN KAY BISCHOFF MD
Internal Medicine
500 W FORT ST., # 111
BOISE, ID 83702
Ada County (208) 422-1000
DR. SAMANTHA PEARL PATTON PHARMD
Pharmacist (Pharmacotherapy)
500 W FORT ST.
BOISE, ID 83702
Ada County (208) 422-1000
JAMES L PROFFITT MD
Internal Medicine
500 W FORT ST., CRH 2ND FLOOR
BOISE, ID 83702
Ada County (208) 422-1018
MRS. JENNY R MARTINEZ LCSW
Social Worker (Clinical)
500 W FORT ST., CRH 2ND FLOOR
BOISE, ID 83702
Ada County (208) 422-1018
KAITLIN ZOE HAWS DNP,ARNP
Nurse Practitioner (Adult Health)
500 W FORT ST., CRH 2ND FLOOR
BOISE, ID 83702
Ada County (208) 422-1018
MR. RICHARD JOSEPH COGAN NP
Nurse Practitioner
500 W FORT ST.
BOISE, ID 83702
Ada County (208) 422-1000

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 Lange's NPI number?

The NPI number for Theodore Lange is 1831119270. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Theodore Lange located?

Theodore Lange practices at 500 W Fort St. # 111, Boise, ID 83702. The listed phone number is (208) 422-1325.

What is Theodore Lange's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Theodore Lange enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Theodore Lange was last updated on April 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.