DR. THEO WALLACE HODGE JR. MD
NPI 1912007725
Internal Medicine - Infectious Disease in Washington, DC

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
1140 VARNUM ST NE, WASHINGTON, DC 20017(405) 220-2854(202) 854-4832 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2023, Jul 19, 2018 (2 updates tracked since 2018).

About Dr. Theo Wallace Hodge Jr. Md NPPES

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

DR. THEO WALLACE HODGE JR. MD (NPI 1912007725) is an individual infectious disease provider in Washington, District Of Columbia, licensed in District Of Columbia (MD18133) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Virginia School Of Medicine (1987).

NPPES Registry Identity

NPI1912007725
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. THEO WALLACE HODGE JR.Credential: MD
Location Address1140 VARNUM ST NEWashington, DC 20017-2151
Mailing Address1140 Varnum St Ne Ste 203Washington, DC 20017-2153 · (202) 525-5175 · Fax (202) 450-6088
Fax(202) 854-4832
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1987
Enumeration DateSeptember 22, 2006
Last NPPES UpdateMay 17, 20232 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
NPI 1912007725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in DC · MD18133
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD18133 (DC)
1140 VARNUM ST NE, Washington, DC 20017

Other Identifiers 1

OtherG22464DC · Upin

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

Dr. Theo Wallace Hodge Jr. 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 ID1951669878
PECOS Enrollment IDI20171227000017
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
130 services79 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
116 services67 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services45 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
33 services31 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
19 services19 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20017 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers12 claims12 services$190.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Psychiatry & Neurology (Neurology)
1140 VARNUM ST NE, SUITE 205
WASHINGTON, DC 20017
Ophthalmology
1140 VARNUM ST NE, SUITE B010
WASHINGTON, DC 20017
Internal Medicine (Hematology & Oncology)
1140 VARNUM ST NE, STE 102
WASHINGTON, DC 20017
Internal Medicine
1140 VARNUM ST NE, SUITE # 201
WASHINGTON, DC 20017
Internal Medicine
1140 VARNUM ST NE, 209
WASHINGTON, DC 20017
Psychiatry & Neurology (Neurology)
1140 VARNUM ST NE, SUITE #101
WASHINGTON, DC 20017
Internal Medicine (Nephrology)
1140 VARNUM ST NE, PMB 105
WASHINGTON, DC 20017
Surgery
1140 VARNUM ST NE, STE 104
WASHINGTON, DC 20017

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 Theo Hodge's NPI number?

The NPI number for Theo Hodge is 1912007725. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Theo Hodge located?

Theo Hodge practices at 1140 Varnum St NE, Washington, DC 20017. The listed phone number is (405) 220-2854.

What is Theo Hodge's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Theo Hodge enrolled in Medicare?

Yes. Theo Hodge 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.

When was this NPI record last updated?

The NPPES record for Theo Hodge was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.