JEREMY THEISEN MD
NPI 1881954501
Radiology - Diagnostic Radiology in Ponca City, OK
About Jeremy Theisen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY THEISEN MD (NPI 1881954501) is an individual diagnostic radiology provider in Ponca City, Oklahoma, licensed in Oklahoma (29296) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Integris Health Ponca City, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
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
Jeremy Theisen 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 100
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Integris Health Ponca City
Acute Care Hospitals · Ponca City, OKStillwater Medical Center
Acute Care Hospitals · Stillwater, OKO U Medical Center
Acute Care Hospitals · Oklahoma City, OKPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74601 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.
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.
PONCA CITY, OK 74601
PONCA CITY, OK 74601
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 Jeremy Theisen's NPI number?
The NPI number for Jeremy Theisen is 1881954501. It was assigned to this individual provider in the NPPES registry on May 29, 2012.
Where is Jeremy Theisen located?
Jeremy Theisen practices at 1900 N 14th St, Ponca City, OK 74601. The listed phone number is (580) 765-0575.
What is Jeremy Theisen's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Jeremy Theisen enrolled in Medicare?
Yes. Jeremy Theisen 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 Jeremy Theisen accept?
Health plans from Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Health Advantage and Medica and 2 other insurers list Jeremy Theisen 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 Jeremy Theisen affiliated with any hospitals?
According to CMS data, Jeremy Theisen is affiliated with Integris Health Ponca City, Stillwater Medical Center and O U Medical Center.
When was this NPI record last updated?
The NPPES record for Jeremy Theisen was last updated on September 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.