DR. NICHOLEE RUTH THEISS (MD) – Family Medicine Physician, NPI 1922049048
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. NICHOLEE RUTH THEISS (MD)
805 S BROADWAY ST STE 103
BOULDER, CO 803055972
Phone: (303) 499-0176
Fax: (720) 487-9017
Type: Location
1000 W SOUTH BOULDER RD STE 110
LAFAYETTE, CO 800262753
Phone: (303) 415-4355
Fax: (303) 666-1982
Type: Location
1396, Graham Circle, Canyon Creek, Erie, Boulder County, Colorado, 80516, United States
ERIE, CO 805163617
Phone: (720) 253-5938
Type: Mailing
1396 GRAHAM CIR
ERIE, CO 805163617
Phone: (720) 253-5938
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2024-02-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080808000351 | I | Family Practice | CO | TBD |
| I20240222000162 | I | Family Practice | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 109 | 53 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 19 | 19 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 17 | 13 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14 | 12 | $0 |
Insurance plans in this area (ZIP 80305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | CO |
Reviews
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