NPIMap

Theoria Medical

A Medicare group practice based in Detroit, MI: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 5395098339), with 1,215 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5395098339The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
AL, AZ, CO, DC, GA, IA, IL, IN, KS, KY, LA, MA, MI, MN, MO, MT, NC, NE, NH, PA, SC, TN, TX, VA, VT, WI
Enrollments
26
Group size
317 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
436In 355 places

Enrollment records 26

Enrollment IDStateProvider typeNPI
O20181004002127 MI Part B Supplier - Clinic/Group Practice 1609362375
O20220917000224 SC Part B Supplier - Clinic/Group Practice 1609362375
O20220830002269 MT Part B Supplier - Clinic/Group Practice 1609362375
O20221024002456 AZ Part B Supplier - Clinic/Group Practice 1609362375
O20230105001168 GA Part B Supplier - Clinic/Group Practice 1609362375
O20210712003011 NH Part B Supplier - Clinic/Group Practice 1609362375
O20210802000915 MN Part B Supplier - Clinic/Group Practice 1609362375
O20210806002739 TN Part B Supplier - Clinic/Group Practice 1609362375
O20210429000604 NC Part B Supplier - Clinic/Group Practice 1609362375
O20211122001624 KY Part B Supplier - Clinic/Group Practice 1609362375
O20220331000407 WI Part B Supplier - Clinic/Group Practice 1609362375
O20211209000803 IN Part B Supplier - Clinic/Group Practice 1609362375
O20211216001255 TX Part B Supplier - Clinic/Group Practice 1609362375
O20250409003051 AL Part B Supplier - Clinic/Group Practice 1609362375
O20260204001686 DC Part B Supplier - Clinic/Group Practice 1609362375
O20240808000592 VT Part B Supplier - Clinic/Group Practice 1609362375
O20240912002717 CO Part B Supplier - Clinic/Group Practice 1609362375
O20240925002329 KS Part B Supplier - Clinic/Group Practice 1609362375
O20241002001442 IA Part B Supplier - Clinic/Group Practice 1609362375
O20240919002593 MO Part B Supplier - Clinic/Group Practice 1609362375
O20241001000333 IL Part B Supplier - Clinic/Group Practice 1609362375
O20240802000283 PA Part B Supplier - Clinic/Group Practice 1609362375
O20250305003983 NE Part B Supplier - Clinic/Group Practice 1609362375
O20241105001350 LA Part B Supplier - Clinic/Group Practice 1609362375
O20250206001766 MA Part B Supplier - Clinic/Group Practice 1609362375
O20250116000357 VA Part B Supplier - Clinic/Group Practice 1609362375

NPIs in this group 2

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment
Other places (315)
  • Edwardsville, KS2
  • Chesterfield, MO2
  • Springfield, MO2
  • Wellington, KS2
  • Topeka, KS2
  • Crystal Lake, IL2
  • Coulterville, IL2
  • Mattoon, IL2
  • Monmouth, IL2
  • Macomb, IL2
  • Grand Junction, CO2
  • Sullivan, IL2
  • MC Lean, VA2
  • Agawam, MA2
  • MC Bain, MI1
  • Manistique, MI1
  • Ludington, MI1
  • Lowell, MI1
  • Lapeer, MI1
  • Houghton Lake, MI1
  • Grayling, MI1
  • Temperance, MI1
  • Frankenmuth, MI1
  • Fremont, MI1
  • Galesburg, MI1
  • Gaylord, MI1
  • Grand Haven, MI1
  • Lansing, MI1
  • Fort Gratiot, MI1
  • Hudsonville, MI1
  • Iron River, MI1
  • Jackson, MI1
  • Kalamazoo, MI1
  • Kingsford, MI1
  • Pinckney, MI1
  • Suttons Bay, MI1
  • Stevensville, MI1
  • South Haven, MI1
  • Shelby TWP, MI1
  • Saint Joseph, MI1
  • Saint Clair Shores, MI1
  • Rose City, MI1
  • Roscommon, MI1
  • Powers, MI1
  • Plainwell, MI1
  • Midland, MI1
  • Perrinton, MI1
  • Owosso, MI1
  • Ovid, MI1
  • Okemos, MI1
  • Muskegon, MI1
  • Munising, MI1
  • Montrose, MI1
  • Monroe, MI1
  • Adrian, MI1
  • Carson City, MI1
  • Cadillac, MI1
  • Brighton, MI1
  • Bridgman, MI1
  • Belmont, MI1
  • Bellaire, MI1
  • Bay City, MI1
  • Bad Axe, MI1
  • Allegan, MI1
  • Troy, MI1
  • Waterford, MI1
  • Wayland, MI1
  • West Branch, MI1
  • Westland, MI1
  • Whitmore Lake, MI1
  • Cassopolis, MI1
  • Flushing, MI1
  • Farmington, MI1
  • Fairview, MI1
  • East Lansing, MI1
  • East Jordan, MI1
  • Durand, MI1
  • Dowagiac, MI1
  • Douglas, MI1
  • Crystal Falls, MI1
  • Commerce Township, MI1
  • Coldwater, MI1
  • Clarkston, MI1
  • Clare, MI1
  • Chesterfield, MI1
  • Charlevoix, MI1
  • Centreville, MI1
  • Cass City, MI1
  • Yuma, AZ1
  • Phoenix, AZ1
  • Glendive, MT1
  • Dillon, MT1
  • Columbia, SC1
  • Conway, SC1
  • Kalispell, MT1
  • Whitefish, MT1
  • Ridgeway, SC1
  • Twin City, GA1
  • Fairburn, GA1
  • Evans, GA1
  • Bainbridge, GA1
  • Jonesboro, GA1
  • Lagrange, GA1
  • Macon, GA1
  • Union City, GA1
  • Griffin, GA1
  • Quitman, GA1
  • Roberta, GA1
  • Tucker, GA1
  • Sandersville, GA1
  • Savannah, GA1
  • Tifton, GA1
  • Gainesville, GA1
  • Fort Gaines, GA1
  • Fort Valley, GA1
  • Gainesvile, GA1
  • Jesup, GA1
  • Glennville, GA1
  • Elsmere, KY1
  • Louisville, KY1
  • Villa Hills, KY1
  • Cumberland, WI1
  • Columbus, WI1
  • Prescott, WI1
  • Owen, WI1
  • Burlington, WI1
  • Montello, WI1
  • Janesville, WI1
  • Greenfield, IN1
  • Allen, TX1
  • Evansville, IN1
  • Bloomington, IN1
  • Hurst, TX1
  • Lewisville, TX1
  • Bedford, IN1
  • Texarkana, TX1
  • Edinburg, TX1
  • Copperas Cove, TX1
  • Denison, TX1
  • Tell City, IN1
  • Portage, IN1
  • Petersburg, IN1
  • New Carlisle, IN1
  • Merrillville, IN1
  • Harker Heights, TX1
  • Kokomo, IN1
  • Fredericksburg, TX1
  • Frisco, TX1
  • Abilene, TX1
  • Garland, TX1
  • Dickson, TN1
  • Knoxville, TN1
  • Memphis, TN1
  • Cleveland, TN1
  • Clarksville, TN1
  • Humboldt, TN1
  • Gallaway, TN1
  • Blountville, TN1
  • Millington, TN1
  • Murfreesboro, TN1
  • Spring Hill, TN1
  • Tilton, NH1
  • Ossipee, NH1
  • Tiptonville, TN1
  • North Haverhill, NH1
  • Newport, NH1
  • Claremont, NH1
  • Laconia, NH1
  • Franklin, NH1
  • New Hope, MN1
  • Clemmons, NC1
  • Matthews, NC1
  • Nags Head, NC1
  • Salisbury, NC1
  • Mint Hill, NC1
  • Rutherfordton, NC1
  • Concord, NC1
  • Roxboro, NC1
  • Rockingham, NC1
  • Pineville, NC1
  • Raleigh, NC1
  • Aberdeen, NC1
  • Goldsboro, NC1
  • Gastonia, NC1
  • Graham, NC1
  • Canton, NC1
  • Burgaw, NC1
  • Ayden, NC1
  • Garner, NC1
  • Asheville, NC1
  • Asheboro, NC1
  • Sealevel, NC1
  • Albemarle, NC1
  • Sylva, NC1
  • Snow Hill, NC1
  • Henderson, NC1
  • Jamestown, NC1
  • Jefferson, NC1
  • Kinston, NC1
  • Laurinburg, NC1
  • Warren, PA1
  • Edinboro, PA1
  • Anamosa, IA1
  • Perry, IA1
  • Muscatine, IA1
  • Estherville, IA1
  • Asbury, IA1
  • Marion, IA1
  • Lake Park, IA1
  • Carroll, IA1
  • Pleasant Valley, IA1
  • Clarinda, IA1
  • Sergeant Bluff, IA1
  • Council Bluffs, IA1
  • Donnellson, IA1
  • Webster City, IA1
  • Washington, IA1
  • Sutherland, IA1
  • Gowrie, IA1
  • Lansing, KS1
  • Chanute, KS1
  • Colby, KS1
  • Cottonwood Falls, KS1
  • Downs, KS1
  • El Dorado, KS1
  • Forsyth, MO1
  • Eskridge, KS1
  • Galena, KS1
  • Columbia, MO1
  • Haviland, KS1
  • Hutchinson, KS1
  • Baxter Springs, KS1
  • Leawood, KS1
  • McPherson, KS1
  • Battlefield, MO1
  • Neodesha, KS1
  • Onaga, KS1
  • Oswego, KS1
  • Overland Park, KS1
  • Paola, KS1
  • Peabody, KS1
  • New Florence, MO1
  • Windsor, MO1
  • Strafford, MO1
  • Saint Charles, MO1
  • Yates Center, KS1
  • Wilson, KS1
  • Poplar Bluff, MO1
  • Platte City, MO1
  • Oak Grove, MO1
  • Nixa, MO1
  • Arma, KS1
  • Wakefield, KS1
  • Spring Hill, KS1
  • Smith Center, KS1
  • Pratt, KS1
  • Prairie Village, KS1
  • Malden, MO1
  • Liberty, MO1
  • Pittsburg, KS1
  • Joplin, MO1
  • Independence, MO1
  • Effingham, IL1
  • Lombard, IL1
  • Aledo, IL1
  • Lacon, IL1
  • Knoxville, IL1
  • Kewanee, IL1
  • Hillsboro, IL1
  • Henry, IL1
  • Barry, IL1
  • Carlinville, IL1
  • Greenup, IL1
  • Geneva, IL1
  • Galesburg, IL1
  • Flanagan, IL1
  • Moline, IL1
  • East Moline, IL1
  • Downers Grove, IL1
  • Dixon, IL1
  • Dekalb, IL1
  • Carlyle, IL1
  • Carmi, IL1
  • Chicago, IL1
  • Charleston, IL1
  • Caseyville, IL1
  • Casey, IL1
  • Vandalia, IL1
  • Moweaqua, IL1
  • Pana, IL1
  • Metropolis, IL1
  • Paris, IL1
  • Quincy, IL1
  • Richton Park, IL1
  • Matteson, IL1
  • Mascoutah, IL1
  • Ridgway, IL1
  • Robinson, IL1
  • Rock Island, IL1
  • Marshall, IL1
  • Montrose, CO1
  • Urbana, IL1
  • Sauget, IL1
  • Springfield, IL1
  • Shelbyville, IL1
  • South Beloit, IL1
  • Nebraska City, NE1
  • Deatsville, AL1
  • Lake Charles, LA1
  • Sulphur, LA1
  • Andover, MA1
  • North Andover, MA1
  • Ayer, MA1
  • Norfolk, VA1
  • Virginia Beach, VA1

Merit-based Incentive Payment System (MIPS)

Medicare Care Compare
Final score
75 of 100Reported as group, on the record of 19 clinicians in this group

Clinicians 1,215

Page 1 of 13

Clinicians who reassign their Medicare benefits to this group (1,215) or whom Care Compare lists as members (317).

Sources for this page