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MR. WILLIAM LEON THEUS MD
NPI 1982708509
Surgery in Calhoun, GA

Active since September 12, 2006PECOS EnrolledAccepts Medicare Assignment
83.08/100
CMS Quality Rating
1035 RED BUD RD NE STE 200, CALHOUN, GA 30701(706) 602-8300(706) 625-6955 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 2, 2020, Dec 19, 2018, Dec 28, 2016 (3 updates tracked since 2016).

About Mr. William Leon Theus Md NPPES

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

MR. WILLIAM LEON THEUS MD (NPI 1982708509) is an individual surgery provider in Calhoun, Georgia, licensed in Georgia (037091) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Gordon, and is a graduate of Medical College Of Georgia School Of Medicine (1988).

NPPES Registry Identity

NPI1982708509
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMR. WILLIAM LEON THEUSCredential: MD
Location Address1035 RED BUD RD NE STE 200Calhoun, GA 30701-6010
Mailing AddressPo Box 12938, C/o Clinic ManagementCalhoun, GA 30703-7013
Phone(706) 602-8300
Fax(706) 625-6955
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 1988
Enumeration DateSeptember 12, 2006
Last NPPES UpdateJanuary 2, 20203 updates tracked since enumeration
✔ NPI 1982708509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in GA · 037091
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1035 RED BUD RD NE STE 200, Calhoun, GA 30701
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Other Identifiers 1

Medicaid000553979DGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Mr. William Leon Theus 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 ID9931298551
PECOS Enrollment IDI20071218000337
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 10

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 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.
78 services63 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
39 services39 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
32 services32 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
29 services29 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
29 services29 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Gordon

Acute Care Hospitals · Calhoun, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number110023
Location1035 Red Bud RoadCalhoun, GA 30701 · Gordon County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30701 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
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.

83.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.9
Promoting Interoperability100
Improvement Activities40
Cost69.57

Other Providers at the Same Location NPPES 5

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

DR. BRITON PENN JORDAN M.D.
Surgery
1035 RED BUD RD NE STE 200
CALHOUN, GA 30701
Gordon County (706) 602-8300
PATRICK HUNTER MEYER M.D.
Surgery
1035 RED BUD RD NE STE 200
CALHOUN, GA 30701
Gordon County (706) 602-8300
MS. JEANA HANDLEY FNP-C
Nurse Practitioner (Family)
1035 RED BUD RD NE STE 200
CALHOUN, GA 30701
Gordon County (706) 602-8300
CARL LOKKO MD
Surgery
1035 RED BUD RD NE STE 200
CALHOUN, GA 30701
Gordon County (706) 602-8300
MR. JOEL CRAIG BOX MD
Surgery
1035 RED BUD RD NE STE 200
CALHOUN, GA 30701
Gordon County (706) 602-8300

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 William Theus's NPI number?

The NPI number for William Theus is 1982708509. It was assigned to this individual provider in the NPPES registry on September 12, 2006.

Where is William Theus located?

William Theus practices at 1035 Red Bud Rd NE Ste 200, Calhoun, GA 30701. The listed phone number is (706) 602-8300.

What is William Theus's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is William Theus enrolled in Medicare?

Yes. William Theus 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 William Theus accept?

Health plans from Alliant Health Plans, Inc. list William Theus 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 William Theus affiliated with any hospitals?

According to CMS data, William Theus is affiliated with Adventhealth Gordon.

When was this NPI record last updated?

The NPPES record for William Theus was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.