JEREMY THEISEN MD
NPI 1881954501
Radiology - Diagnostic Radiology in Ponca City, OK

Active since May 29, 2012PECOS EnrolledAccepts Medicare Assignment
98.4/100
CMS Quality Rating
1900 N 14TH ST, PONCA CITY, OK 74601(580) 765-0575 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2025, Mar 7, 2023, Mar 17, 2018 (3 updates tracked since 2018).

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

NPI1881954501
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameJEREMY THEISENCredential: MD
Location Address1900 N 14TH STPonca City, OK 74601-2035
Mailing Address1900 N 14th StPonca City, OK 74601-2035 · (580) 765-0575
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 29, 2012
Last NPPES UpdateSeptember 23, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
NPI 1881954501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in OK · 29296 Licensed in HI · MD-23144 Licensed in NJ · 25IA12501900
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedInternal MedicineTaxonomy 207R00000X · License 29296 (OK)
1900 N 14TH ST, Ponca City, OK 74601

Secondary Practice Locations 4

Location 1920 Sl Young BlvdOklahoma City, OK 73104-5036 · Phone (405) 271-5963
Location 2750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6000
Location 31 Capital WayPennington, NJ 08534-2520 · Phone (609) 303-4000
Location 4310 Salem Woodstown RdSalem, NJ 08079-2064 · Phone (856) 339-6054 · Fax (856) 935-6714

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.

PECOS PAC ID1355571746
PECOS Enrollment IDI20140304001840, I20231113003179, I20240509002323, I20240613003588, I20240911003963, I20250804004080, I20251025000247, I20251222001248
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.

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
1,934 services1,467 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
893 services893 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
807 services807 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
606 services559 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
534 services492 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
391 services357 patients

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, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370006
Location1900 North 14th StreetPonca City, OK 74601 · Kay County
Emergency services

Stillwater Medical Center

Acute Care Hospitals · Stillwater, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number370049
Location1323 West 6th StreetStillwater, OK 74076 · Payne County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician 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.

New Patient
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

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.

98.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

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.

Anesthesiology
1900 N 14TH ST
PONCA CITY, OK 74601
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1900 N 14TH ST
PONCA CITY, OK 74601
Medicare Defined Swing Bed Unit
1900 N 14TH ST
PONCA CITY, OK 74601
Occupational Therapist
1900 N 14TH ST
PONCA CITY, OK 74601
Physical Therapist
1900 N 14TH ST
PONCA CITY, OK 74601
Speech-Language Pathologist
1900 N 14TH ST
PONCA CITY, OK 74601
Pharmacist
1900 N 14TH ST
PONCA CITY, OK 74601
Family Medicine
1900 N 14TH ST
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.