DR. THEODORE TOERNE MD
NPI 1902814502
Emergency Medicine in Oak Lawn, IL

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
4440 W 95TH ST, DEPARTMENT OF EMERGENCY MEDICINE, OAK LAWN, IL 60453(708) 684-5354(708) 684-1028 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Theodore Toerne Md NPPES

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

DR. THEODORE TOERNE MD (NPI 1902814502) is an individual emergency medicine provider in Oak Lawn, Illinois, licensed in Illinois (360940030) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1902814502
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. THEODORE TOERNECredential: MD
Location Address4440 W 95TH ST, DEPARTMENT OF EMERGENCY MEDICINEOak Lawn, IL 60453-2600
Mailing Address66 W 15th StChicago, IL 60605-2727 · (312) 922-1553 · Fax (312) 922-1553
Fax(708) 684-1028
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateAugust 3, 2006
Last NPPES UpdateMay 2, 2024
NPPES CertifiedMay 2, 2024
✔ NPI 1902814502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in IL · 360940030✔ Licensed in WI · 2282-320
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedEmergency Medicine · Medical ToxicologyTaxonomy 207PT0002X · License 360940030 (IL)
4440 W 95TH ST, Oak Lawn, IL 60453

Other Identifiers 1

Medicaid360940030IL

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

Dr. Theodore Toerne 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 ID345231403
PECOS Enrollment IDI20040519000560
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.

Medicare Billing Reassignments

8

Medicare enrollment records show Theodore Toerne reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialty
4440 W 95TH ST
Oak Lawn, IL 60453
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Advocate Health And Hospitals Corporation
  • 4,870 clinicians in this Medicare group
Clinic/Center
6150 W LAYTON AVE
Milwaukee, WI 53220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,457 clinicians in this Medicare group
Emergency Medicine
1400 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • 83 clinicians in this Medicare group
Rural Health
525 N WISCONSIN AVE
Muscoda, WI 53573
  • Reassigned Medicare billing, Wisconsin enrollment
  • 299 clinicians in this Medicare group
Rural Health
207 N PIONEER PARK RD, UNIT 8
Westfield, WI 53964
  • Reassigned Medicare billing, Wisconsin enrollment
  • 280 clinicians in this Medicare group
Rural Health
301 RAILROAD RD
Wonewoc, WI 53968
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: St Josephs Health Services Inc
  • 282 clinicians in this Medicare group
Rural Health
420 S PETERSON AVE
Blair, WI 54616
  • Reassigned Medicare billing, Wisconsin enrollment
  • 293 clinicians in this Medicare group
Integritas Emergency Physician Services LLC
  • Reassigned Medicare billing, Illinois enrollment
  • 208 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital

Critical Access Hospitals · Carthage, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141305
Location1454 N County Road 2050 ECarthage, IL 62321 · Hancock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60453 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 20

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

Urology
4440 W 95TH ST
OAK LAWN, IL 60453
Internal Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Psychologist (Clinical)
4440 W 95TH ST
OAK LAWN, IL 60453
Occupational Therapist (Physical Rehabilitation)
4440 W 95TH ST
OAK LAWN, IL 60453
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453
Occupational Therapist
4440 W 95TH ST
OAK LAWN, IL 60453
Emergency Medicine
4440 W 95TH ST
OAK LAWN, IL 60453
Speech-Language Pathologist
4440 W 95TH ST
OAK LAWN, IL 60453

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 Toerne's NPI number?

The NPI number for Theodore Toerne is 1902814502. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Theodore Toerne located?

Theodore Toerne practices at 4440 W 95th St Department Of Emergency Medicine, Oak Lawn, IL 60453. The listed phone number is (708) 684-5354.

What is Theodore Toerne's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Theodore Toerne enrolled in Medicare?

Yes. Theodore Toerne 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 Theodore Toerne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Toerne reassigns Medicare benefits to 8 organizations: Advocate Health & Hospitals Corporation (Oak Lawn, IL), Gundersen Lutheran Medical Center Inc (Milwaukee, WI), Iems Physician Services PLLC (Urbana, IL), Memorial Hospital Of Boscobel (Muscoda, WI), Moundview Memorial Hospital & Clinics, Inc. (Westfield, WI) and 3 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 Theodore Toerne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Theodore Toerne affiliated with any hospitals?

According to CMS data, Theodore Toerne is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Toerne was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.