THEODORE JAMES PAWLIAS D.D.S.
NPI 1831257252
Dentist in Macomb, IL

Q: What is Theodore Pawlias's NPI number?

The NPI number for Theodore Pawlias is 1831257252. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Theodore Pawlias's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Pawlias was last updated on January 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since December 05, 2006PECOS Enrolled

501 EAST GRANT STREET, UNIT #3, MACOMB, IL 61455(309) 837-6344(309) 837-6344 Get Directions Write a Review

NPPES record last updated: January 26, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Theodore James Pawlias D.d.s. NPPES

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

THEODORE JAMES PAWLIAS D.D.S. (NPI 1831257252) is an individual dentist in Macomb, Illinois, licensed in Illinois (019018070) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831257252

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameTHEODORE JAMES PAWLIASCredential: D.D.S.

Location Address501 EAST GRANT STREET, UNIT #3Macomb, IL 61455

Mailing Address501 East Grant Street, Unit #3Macomb, IL 61455 · (309) 837-6344 · Fax (309) 837-6344

Phone(309) 837-6344

Fax(309) 837-6344

Sole ProprietorYes

Enumeration DateDecember 5, 2006

Last NPPES UpdateJanuary 26, 2009

✔ NPI 1831257252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019018070

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

501 EAST GRANT STREET, Macomb, IL 61455

Open in Google Maps ↗

Other Identifiers 1

Medicaid101193IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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 James Pawlias D.d.s. 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 61455 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Pawlias's NPI number?

The NPI number for Theodore Pawlias is 1831257252. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Where is Theodore Pawlias located?

Theodore Pawlias practices at 501 East Grant Street Unit #3, Macomb, IL 61455. The listed phone number is (309) 837-6344.

What is Theodore Pawlias's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Theodore Pawlias enrolled in Medicare?

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

What insurance does Theodore Pawlias accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Anthem Blue Cross and Blue Shield and BEST Life and 8 other insurers list Theodore Pawlias 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.

When was this NPI record last updated?

The NPPES record for Theodore Pawlias was last updated on January 26, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.