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PIERRE THEUMA MD
NPI 1982795373
Internal Medicine - Endocrinology, Diabetes & Metabolism in Des Moines, IA

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
411 LAUREL ST, SUITE 3262, DES MOINES, IA 50314(515) 643-5100(515) 643-5150 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pierre Theuma Md NPPES

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

PIERRE THEUMA MD (NPI 1982795373) is an individual endocrinology, diabetes & metabolism provider in Des Moines, Iowa, licensed in Iowa (MD-35394) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Greeley Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1982795373
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NamePIERRE THEUMACredential: MD
Location Address411 LAUREL ST, SUITE 3262Des Moines, IA 50314-3017
Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (515) 643-5100 · Fax (515) 643-5150
Phone(515) 643-5100
Fax(515) 643-5150
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 1, 2014
✔ NPI 1982795373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in IA · MD-35394✔ Licensed in IA · 35394
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
411 LAUREL ST, Des Moines, IA 50314
Open in Google Maps ↗

Other Identifiers 4

Medicare ID-Type UnspecifiedI12058IA
Other30192IA · Wellmark
Medicaid0436121IA
Medicare UPINH47741IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, 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 and accepts Medicare assignment

Pierre Theuma 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 ID8426030800
PECOS Enrollment IDI20040601001389
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

2

Medicare enrollment records show Pierre Theuma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Clinics, Inc
Same address
Transplant Surgery
411 LAUREL ST STE 2310
Des Moines, IA 50314
  • Reassigned Medicare billing, Iowa enrollment
  • 516 clinicians in this Medicare group
NPI 1053651448 (515) 247-4261
Dallas County Hospital
29 mi
Emergency Medicine
610 10TH ST
Perry, IA 50220
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1669477089 (Iowa)
  • 57 clinicians in this Medicare group
NPI 1861416307 (515) 465-3547

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

Areas of Expertise CMS Part B claims 6

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.
398 services247 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
189 services90 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.
86 services65 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.
77 services77 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients
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.
19 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Mary Greeley Medical Center

Acute Care Hospitals · Ames, IA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160030
Location1111 Duff AvenueAmes, IA 50010 · Story County
Emergency services Birthing friendly

Mercyone Newton Medical Center

Acute Care Hospitals · Newton, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160032
Location204 N 4th Ave ENewton, IA 50208 · Jasper County
Emergency services Birthing friendly

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Pella Regional Health Center

Critical Access Hospitals · Pella, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number161367
Location404 Jefferson StreetPella, IA 50219 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
8 suppliers54 claims649 services$17.70 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
8 suppliers55 claims1,455 services$2.35 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
45 suppliers155 claims457 services$6.13 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers25 claims39 services$1.01 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers28 claims28 services$320.94 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
15 suppliers45 claims5,020 services$6.54 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.

SASHA FARSHID KHOSRAVI DO
Psychiatry & Neurology (Child & Adolescent Psychiatry)
411 LAUREL ST, SUITE 3310
DES MOINES, IA 50314
Polk County (515) 643-6290
WENDY SONTAG LISW
Social Worker
411 LAUREL ST, SUITE 2380
DES MOINES, IA 50314
Polk County (515) 643-4915
DR. GANGA PRABHAKAR M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
411 LAUREL ST, SUITE 250
DES MOINES, IA 50314
Polk County (515) 235-5000
JAN FRANKO MD, PHD
Surgery
411 LAUREL ST, STE 2100
DES MOINES, IA 50314
Polk County (515) 247-3266
MEREDITH D CRENSHAW M.D.
Anesthesiology
411 LAUREL ST, SUITE 3170
DES MOINES, IA 50314
Polk County (515) 283-0463
ERIC NEVIN MEEK MD
Anesthesiology
411 LAUREL ST, SUITE 3170
DES MOINES, IA 50314
Polk County (515) 283-0463
JAMES HOLMES BARTLETT MD
Anesthesiology
411 LAUREL ST, SUITE 3170
DES MOINES, IA 50314
Polk County (515) 283-0463
DEBRA ROSEBERRY LISW
Social Worker (Clinical)
411 LAUREL ST, SUITE 3310
DES MOINES, IA 50314
Polk County (515) 643-6290

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 Pierre Theuma's NPI number?

The NPI number for Pierre Theuma is 1982795373. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Pierre Theuma located?

Pierre Theuma practices at 411 Laurel St Suite 3262, Des Moines, IA 50314. The listed phone number is (515) 643-5100.

What is Pierre Theuma's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Pierre Theuma enrolled in Medicare?

Yes. Pierre Theuma 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 Pierre Theuma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pierre Theuma reassigns Medicare benefits to 2 organizations: Mercy Clinics, Inc (Des Moines, IA) and Dallas County Hospital (Perry, IA). 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 Pierre Theuma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pierre Theuma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Pierre Theuma 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 Pierre Theuma affiliated with any hospitals?

According to CMS data, Pierre Theuma is affiliated with Mary Greeley Medical Center, Mercyone Newton Medical Center, Unitypoint Health - Des Moines Iowa Methodist Medi, Mercyone Des Moines Medical Center and Pella Regional Health Center.

When was this NPI record last updated?

The NPPES record for Pierre Theuma was last updated on July 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.