DR. MICHAEL R THEOBALD M.D.
NPI 1952393464
Radiology - Diagnostic Radiology in Fort Myers, FL

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
14551 HOPE CENTER LOOP STE 100, FORT MYERS, FL 33912(239) 936-2316(239) 834-6106 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Michael R Theobald M.d. NPPES

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

DR. MICHAEL R THEOBALD M.D. (NPI 1952393464) is an individual diagnostic radiology provider in Fort Myers, Florida, licensed in Florida (ME73419) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Georgetown University School Of Medicine (1991).

NPPES Registry Identity

NPI1952393464
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameDR. MICHAEL R THEOBALDCredential: M.D.
Location Address14551 HOPE CENTER LOOP STE 100Fort Myers, FL 33912-4705
Mailing Address3660 BroadwayFort Myers, FL 33901-8005 · (239) 425-4745 · Fax (239) 834-6106
Fax(239) 834-6106
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1991
Enumeration DateAugust 19, 2005
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
NPI 1952393464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in FL · ME73419
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
14551 HOPE CENTER LOOP STE 100, Fort Myers, FL 33912

Other Identifiers 3

Medicaid252181400FL
Other300085121FL · Rr Medicare
Other300085120FL · Rr Medicare

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

Dr. Michael R Theobald M.d. 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 ID8628067303
PECOS Enrollment IDI20081230000290
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 42

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
75,200 services426 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
11,475 services160 patients
Dxa bone density measurement of hip, pelvis, spine 77080
A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.
675 services675 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
432 services425 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
410 services392 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
288 services287 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
99%797 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%74 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912
Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912
Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912
Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912
Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912
Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912
Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912
Radiology (Diagnostic Radiology)
14551 HOPE CENTER LOOP STE 100
FORT MYERS, FL 33912

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 Michael Theobald's NPI number?

The NPI number for Michael Theobald is 1952393464. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Michael Theobald located?

Michael Theobald practices at 14551 Hope Center Loop Ste 100, Fort Myers, FL 33912. The listed phone number is (239) 936-2316.

What is Michael Theobald's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michael Theobald enrolled in Medicare?

Yes. Michael Theobald 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 Michael Theobald accept?

Health plans from Molina Healthcare list Michael Theobald 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 Michael Theobald was last updated on February 13, 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.