JEREMY THEISEN MD NPI 1881954501

NPI Details

Jeremy Theisen, MD is a diagnostic radiology radiology in Ponca City, OK with 13 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jeremy Theisen, MD NPI is 1881954501. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:2012

The provider's business location address is:

1900 N 14TH ST
PONCA CITY, OK
ZIP 74601-035
Phone: (580) 765-0575

The NPI 1881954501 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• X-ray of chest, 1 view (HCPCS:71045)
• Screening mammography (HCPCS:77067)
• X-ray of chest, 2 views (HCPCS:71046)
• Ct scan head or brain without contrast (HCPCS:70450)
• Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Ct scan of chest with contrast (HCPCS:71260)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• Ct scan of chest without contrast (HCPCS:71250)
• Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• Injection of lower or sacral spine facet joint using imaging guidance, second level (HCPCS:64494)
• Injection of substance into lower spine canal using imaging guidance (HCPCS:62323)
• X-ray of hip, 2-3 views (HCPCS:73502)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• Limited ultrasound scan of 1 breast (HCPCS:76642)
• X-ray of knee, 3 views (HCPCS:73562)
• Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance (HCPCS:27096)
• Ct scan of upper spine without contrast (HCPCS:72125)
• X-ray of abdomen, 1 view (HCPCS:74018)
• Mri scan of brain without contrast (HCPCS:70551)
• Complete ultrasound scan behind abdominal cavity (HCPCS:76770)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• X-ray of foot, minimum of 3 views (HCPCS:73630)
• X-ray of knee, 1-2 views (HCPCS:73560)
• Diagnostic mammography of 1 breast (HCPCS:77065)
• Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
• Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS:93971)
• Ultrasound scan of head and neck soft tissue (HCPCS:76536)
• Mri scan of arm joint without contrast (HCPCS:73221)
• Mri scan of leg joint without contrast (HCPCS:73721)
• Ct scan of blood vessels of neck with contrast (HCPCS:70498)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• Ct scan of blood vessels of head with contrast (HCPCS:70496)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint (HCPCS:64636)
• Diagnostic mammography of both breasts (HCPCS:77066)
• Mri scan of brain before and after contrast (HCPCS:70553)
• X-ray of upper spine, 2-3 views (HCPCS:72040)
• Low dose ct scan of chest for lung cancer screening (HCPCS:71271)
• Ct scan of leg without contrast (HCPCS:73700)
• Ultrasound of leg arteries or artery grafts (HCPCS:93925)
• X-ray of ankle, minimum of 3 views (HCPCS:73610)
• X-ray of lower and sacral spine, minimum of 4 views (HCPCS:72110)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• Ct scan of lower spine without contrast (HCPCS:72131)
• Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS:93970)
• Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
• Ct scan of pelvis without contrast (HCPCS:72192)
• Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)
• X-ray of abdomen, 2 views (HCPCS:74019)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• X-ray of pelvis, 1-2 views (HCPCS:72170)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
• Ct scan of blood vessels of chest with contrast (HCPCS:71275)
• Limited ultrasound scan behind abdominal cavity (HCPCS:76775)
• Mri scan of middle spinal canal without contrast (HCPCS:72146)
• X-ray of ribs on side of body, 2 views (HCPCS:71100)
• Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
• X-ray of middle spine, 3 views (HCPCS:72072)
• X-ray of lower leg, 2 views (HCPCS:73590)
• Ct scan of abdominal aorta and both leg arteries with contrast (HCPCS:75635)
• Injection of upper or middle spine facet joint using imaging guidance, second level (HCPCS:64491)
• Injection of trigger points, 1-2 muscles (HCPCS:20552)
• X-ray of foot, 2 views (HCPCS:73620)
• Aspiration and/or injection of fluid from large joint (HCPCS:20610)
• Fluoroscopic guidance for needle placement (HCPCS:77002)
• Complete ultrasound scan of pelvis (HCPCS:76856)
• X-ray of forearm, 2 views (HCPCS:73090)
• X-ray of thigh bone, minimum 2 views (HCPCS:73552)
• Ct scan of face without contrast (HCPCS:70486)
• Ct scan of middle spine without contrast (HCPCS:72128)
• Mri scan of abdomen before and after contrast (HCPCS:74183)
• Ultrasound scan of abdominal aorta (HCPCS:76706)
• Ultrasound of abdomen and pelvis artery and vein blood flow (HCPCS:93976)
• X-ray of elbow, 2 views (HCPCS:73070)
• Mri scan of pelvis before and after contrast (HCPCS:72197)
• X-ray of ankle, 2 views (HCPCS:73600)
• Nuclear medicine study of bone and/or joint whole body (HCPCS:78306)
• Complete ultrasound scan of abdomen (HCPCS:76700)
• Limited ultrasound scan of joint or other extremity structure lacking blood vessels (HCPCS:76882)
• Review by radiologist of ct guidance for needle placement (HCPCS:77012)
• Mri scan of leg without contrast (HCPCS:73718)
• Ct scan of soft tissue of neck with contrast (HCPCS:70491)
• Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance (HCPCS:22513)
• Mri scan of abdomen without contrast (HCPCS:74181)
• X-ray of both hips, 3-4 views (HCPCS:73522)
• X-ray of wrist, 2 views (HCPCS:73100)
• Ct scan of arm without contrast (HCPCS:73200)
• X-ray of elbow, minimum of 3 views (HCPCS:73080)
• Ultrasound study of arm and leg arteries (HCPCS:93922)
• Mri scan of pelvis without contrast (HCPCS:72195)
• Ct scan of blood vessels of abdomen and pelvis with contrast (HCPCS:74174)
• Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
• Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance (HCPCS:64454)
• Fine needle aspiration biopsy using ultrasound guidance, first growth (HCPCS:10005)
• Dxa bone density measurement of forearm, finger, hand, or foot (HCPCS:77081)

The enumeration date for this NPI number is 5/29/2012 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: