DR. ROBERT JAMES III THEOBALD (DO) – Colon & Rectal Surgery Physician, NPI 1396778239
Colon & Rectal Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
208 COLORECTAL SURGERY (PROCTOLOGY) in FL
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Provider Addresses for DR. ROBERT JAMES III THEOBALD (DO)
Bruce B Downs Boulevard, Tampa, Hillsborough County, Florida, 33647, United States
SUITE B
TAMPA, FL 336132709
Phone: (813) 875-2600
Fax: (813) 875-2626
Type: Location
38135, Market Square, Zephyrhills, Pasco County, Florida, 33542, United States
ZEPHYRHILLS, FL 335427505
Phone: (813) 780-1255
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $398.
Total Amount is formed as General ($398) + Research ($0) + Ownership ($0) = $398.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: IRONWOOD PHARMACEUTICALS, INC ($136).
Total Amount
$398
General + Research + Ownership
Payments
22
Total payment records
General Amount
$398
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050926000196 | I | Colorectal Surgery (Proctology) | FL | 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 |
|---|---|---|---|---|
| 46500 | Injection of hemorrhoid | 1,029 | 391 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 220 | 220 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 49 | 42 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 23 | 23 | $0 |
| 46320 | Removal of external hemorrhoid with blood clot | 20 | 19 | $0 |
Insurance plans in this area (ZIP 33613)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| COLORECTAL SURGERY (PROCTOLOGY) | FL | 45378 | Diagnostic examination of large bowel using an endoscope | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Diagnostic Radiology | FL | |
| Gastroenterology, Internal Medicine | IA | |
| Vascular Surgery, General Surgery | FL | |
| Family Practice | KY | |
| Nurse Practitioner | FL | |
| R H E U M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| P S Y C H I A T R Y | FL |
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