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, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
48Medicare enrollment records show Jeremy Theisen reassigns Medicare billing to 48 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ponca City, OK 74601
- Reassigned Medicare billing, Oklahoma enrollment
- 5 clinicians in this Medicare group
Tonkawa, OK 74653
- Reassigned Medicare billing, Oklahoma enrollment
- 147 clinicians in this Medicare group
Stillwater, OK 74074
- Reassigned Medicare billing, Oklahoma enrollment
- 2 clinicians in this Medicare group
Oklahoma City, OK 73112
- Reassigned Medicare billing, Oklahoma enrollment
- 32 clinicians in this Medicare group
Norman, OK 73072
- Reassigned Medicare billing, Oklahoma enrollment
- 13 clinicians in this Medicare group
Duncan, OK 73533
- Reassigned Medicare billing, Oklahoma enrollment
- 75 clinicians in this Medicare group
Wichita Falls, TX 76301
- Reassigned Medicare billing, Oklahoma enrollment
- 6 clinicians in this Medicare group
Little Rock, AR 72211
- Reassigned Medicare billing, Arkansas enrollment
- 92 clinicians in this Medicare group
Little Rock, AR 72205
- Reassigned Medicare billing, Arkansas enrollment
- 88 clinicians in this Medicare group
Florence, AL 35630
- Reassigned Medicare billing, Oklahoma enrollment
- 2 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 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.
Which organizations bill Medicare for Jeremy Theisen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Theisen reassigns Medicare benefits to 48 organizations: Alleviate Pain Specialists (Ponca City, OK), Stillwater Medical Center Authority (Tonkawa, OK), Stillwater Radiology LLC (Stillwater, OK), Oklahoma Radiology Group P C (Oklahoma City, OK), Nrhs Radiology Associates (Norman, OK) and 43 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 Jeremy Theisen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeremy Theisen accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Arkansas Blue Cross and Blue Shield, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 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 13 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.
# Jeremy Theisen, MD · NPI 1881954501
Diagnostic Radiology physician in Ponca City, Oklahoma. Individual provider, active in the CMS NPPES registry since May 29, 2012.
## Identity
- **NPI:** 1881954501 (Entity type: Individual)
- **Enumerated:** May 29, 2012
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **State license:** 29296 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 N 14TH ST, Ponca City, OK 74601-2035
- **Phone:** (580) 765-0575
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 48 organizations under Medicare reassignment (form CMS-855R): Alleviate Pain Specialists (NPI 1932971439, Ponca City, OK); Stillwater Medical Center Authority (NPI 1871320499, Tonkawa, OK); Stillwater Radiology LLC (NPI 1609911452, Stillwater, OK); Oklahoma Radiology Group P C (NPI 1841283165, Oklahoma City, OK); Nrhs Radiology Associates (NPI 1134316169, Norman, OK); and 43 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** September 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1881954501) · Data from the CMS NPPES public registry.