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DR. THEODORE JAMES LEFEBER DMD
NPI 1912830241
Dentist - General Practice in La Porte, IN

Active since June 05, 2026PECOS Enrolled
400 TEEGARDEN ST, LA PORTE, IN 46350(888) 580-1060 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2026, Jun 5, 2026 (2 updates tracked since 2026).

About Dr. Theodore James Lefeber Dmd NPPES

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

DR. THEODORE JAMES LEFEBER DMD (NPI 1912830241) is an individual general practice provider in La Porte, Indiana, licensed in Indiana (12015045A) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS and is a graduate of Midwestern University College Of Dental Medicine, Glendale (2026).

NPPES Registry Identity

NPI1912830241
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THEODORE JAMES LEFEBERCredential: DMD
Location Address400 TEEGARDEN STLa Porte, IN 46350-3175
Mailing Address1285 E 400 SLa Porte, IN 46350-9335
Phone(888) 580-1060
Sole ProprietorYes
Medical School CMSMidwestern University College Of Dental Medicine, GlendaleGraduated 2026
Enumeration DateJune 5, 2026
Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1912830241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IN · 12015045A
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
400 TEEGARDEN ST, La Porte, IN 46350
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore James Lefeber Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981162187
PECOS Enrollment IDI20260818004234
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 Reassignment

Medicare enrollment records show Theodore Lefeber reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Healthlinc, Inc
Same address
Federally Qualified Health Center (FQHC)
400 TEEGARDEN ST
La Porte, IN 46350
  • Reassigned Medicare billing, Indiana enrollment
  • 183 clinicians in this Medicare group
NPI 1538728399 (888) 580-1060

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46350 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 9

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

TARA LEE NIMTZ
Nurse Practitioner
400 TEEGARDEN ST
LA PORTE, IN 46350
Laporte County (219) 326-0043
DR. MANOGNA KATAKAM DDS
Dentist
400 TEEGARDEN ST
LA PORTE, IN 46350
Laporte County (219) 718-2708
WENDY RENEE DUTCHER RN
Nurse Practitioner
400 TEEGARDEN ST
LA PORTE, IN 46350
Laporte County (219) 326-0043
DR. DINA MAMDOUH HUSSEIN DMD
Dentist
400 TEEGARDEN ST
LA PORTE, IN 46350
Laporte County (219) 326-8909
INDIANA UNIVERSITY HEALTH LA PORTE HOSPITAL INC
Clinic/Center (Community Health)
400 TEEGARDEN ST
LA PORTE, IN 46350
Laporte County (219) 326-0043
DENISE DORIS GRASSER LCSW
Social Worker (Clinical)
400 TEEGARDEN ST
LA PORTE, IN 46350
Laporte County (219) 326-0043
HEALTHLINC, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
400 TEEGARDEN ST
LA PORTE, IN 46350
Laporte County (888) 580-1060
SUSAN K GRACE NP
Nurse Practitioner (Family)
400 TEEGARDEN ST, SUITE B
LA PORTE, IN 46350
Laporte County (219) 326-0043

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 Lefeber's NPI number?

The NPI number for Theodore Lefeber is 1912830241. It was assigned to this individual provider in the NPPES registry on June 5, 2026.

Where is Theodore Lefeber located?

Theodore Lefeber practices at 400 Teegarden St, La Porte, IN 46350. The listed phone number is (888) 580-1060.

What is Theodore Lefeber's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Theodore Lefeber enrolled in Medicare?

Yes. Theodore Lefeber is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theodore Lefeber's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Lefeber reassigns Medicare benefits to Healthlinc, Inc (La Porte, IN). The 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 Lefeber's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Lefeber accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 5 other insurers list Theodore Lefeber 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.

When was this NPI record last updated?

The NPPES record for Theodore Lefeber was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.