DR. LAURA THEIS (M.D.) – Family Medicine Physician, NPI 1417954017

DR. LAURA THEIS (M.D.) is a healthcare provider. based in Santa maria, California. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. A68947 (CA). The NPI Number for DR. LAURA THEIS (M.D.) is 1417954017

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAURA THEIS (M.D.)
NPI
1417954017
Phone
(805) 925-2521
Address
220 S Palisade Dr
Enumeration Date
28 June 2005
Last Update Date
23 February 2024

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
8053105330
Graduation Year
1997 (29 years ago)
PAC ID
3870527146
Group Practice PAC ID
7719967801
Professional Enrollment ID
I20050926000808
Address ID
CA934544618SA821XXSTXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for DR. LAURA THEIS (M.D.)

  • 220 S Palisade Dr

    Suite 104B

    Santa Maria, CA 934548902

    Phone: (805) 925-2521

    Fax: (805) 925-2821

    Type: Location

  • 220, Palisade Drive, Santa Maria, Santa Barbara County, California, 93454, United States

    SUITE 104B

    SANTA MARIA, CA 934548902

    Phone: (805) 925-2521

    Fax: (805) 925-2821

    Type: Mailing

  • 821 E CHAPEL ST STE 103

    SANTA MARIA, CA 934544618

    Phone: (805) 310-5330

    Fax: (805) 310-5339

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050926000808IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes612284$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit250250$0
G0008Administration of influenza virus vaccine141140$0
99213Established patient office or other outpatient visit, 20-29 minutes10087$0
99497Advance care planning, first 30 minutes9696$0
View full utilization report →

Insurance plans in this area (ZIP 93454)

Loading plans...

Provider's Procedures

DR. LAURA THEIS (M.D.) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECA81002Urinalysis, manual test11671
FAMILY MEDICINECA90670Pneumococcal vaccine for injection into muscle4343

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719967801View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What unique ID ties claims to DR. LAURA THEIS (M.D.)?
NPI 1417954017 is assigned to DR. LAURA THEIS (M.D.) under the national enumeration system.
Is DR. LAURA THEIS (M.D.) active in the national directory?
DR. LAURA THEIS (M.D.)'s public NPI profile is in an active state.
What field does DR. LAURA THEIS (M.D.) work in?
You can think of DR. LAURA THEIS (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is DR. LAURA THEIS (M.D.)'s primary listing?
We display Santa Maria, California because that is what the record indicates for DR. LAURA THEIS (M.D.).
How can I contact DR. LAURA THEIS (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

MICHAEL PAUL SCHRAGER (M.D)

Family Medicine Physician
821, East Chapel Street, Santa Maria, Santa Barbara County, California, 93454, United States
NPI: 1437153996

DANIEL LOPEZ (M.D.)

Family Medicine Physician
2050 S BLOSSER RD
NPI: 1265430144

DR. STEVEN RICHARD SABO (MD)

Family Medicine Physician
West Bunny Avenue, Santa Maria, Santa Barbara County, California, 93458, United States
NPI: 1639162910

ETNYRE AND MIKUNI MEDICAL CORPORATION

Family Medicine Physician
301, Miller Street, Santa Maria, Santa Barbara County, California, 93454, United States
NPI: 1922091487

DR. ETHAN ROY ETNYRE (MD)

Family Medicine Physician
2050, South Blosser Road, Santa Maria, Santa Barbara County, California, 93458, United States
NPI: 1225021777

DR. KAREN S MIKUNI (MD)

Family Medicine Physician
2050, South Blosser Road, Santa Maria, Santa Barbara County, California, 93458, United States
NPI: 1497748958

DR. RICHARD L ZACHRICH (MD)

Family Medicine Physician
821, East Chapel Street, Santa Maria, Santa Barbara County, California, 93454, United States
NPI: 1043206204