DR. JOSE M THECKEDATH (MD) – Allergy & Immunology Physician, NPI 1982798047

DR. JOSE M THECKEDATH (MD) is a healthcare provider. based in Albany, Georgia. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. GA45992 (GA). The NPI Number for DR. JOSE M THECKEDATH (MD) is 1982798047

Main info

Male
Sole Proprietor
52 Years Of Experience
Name
DR. JOSE M THECKEDATH (MD)
NPI
1982798047
Phone
(229) 446-7227
Address
1911 PALMYRA RD
Enumeration Date
3 October 2006
Last Update Date
20 March 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2294467227
Graduation Year
1974 (52 years ago)
PAC ID
2860662822
Professional Enrollment ID
I20110830000437
Address ID
GA317011574AL1911XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

409 DERMATOLOGY in GA

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Provider Addresses for DR. JOSE M THECKEDATH (MD)

  • 1911, Palmyra Road, Albany, Dougherty County, Georgia, 31701, United States

    ALBANY, GA 317011574

    Phone: (229) 446-7227

    Fax: (229) 420-4365

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $701.

Total Amount is formed as General ($701) + Research ($0) + Ownership ($0) = $701.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($264).

Total Amount

$701

General + Research + Ownership

Payments

35

Total payment records

General Amount

$701

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2011-08-30

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
I20110830000437IDermatologyGATBD

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
95117Professional service for multiple injections of allergen1,39151$0
95004Test for allergy using allergenic extract1,25319$0
95165Professional service for preparation and provision of 1 or more antigens1,20442$0
99213Established patient office or other outpatient visit, 20-29 minutes18774$0
94060Test to measure expiratory airflow and volume changes before and after medication administration10141$0
View full utilization report →

Insurance plans in this area (ZIP 31701)

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Provider's Procedures

DR. JOSE M THECKEDATH (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYGA95004Injection of allergenic extracts into skin, accessed through the skin286242
DERMATOLOGYGA95117Injection of incremental dosages of allergen, 2 or more injections119557

Reviews

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Frequently asked questions

Can I cross-check DR. JOSE M THECKEDATH (MD) using NPI 1982798047?
NPI 1982798047 belongs to DR. JOSE M THECKEDATH (MD); compare other details if you need extra assurance.
Would DR. JOSE M THECKEDATH (MD) appear as active to a payer?
You can treat DR. JOSE M THECKEDATH (MD) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DR. JOSE M THECKEDATH (MD)?
DR. JOSE M THECKEDATH (MD)'s record emphasizes Allergy & Immunology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JOSE M THECKEDATH (MD)?
Directory geography for DR. JOSE M THECKEDATH (MD) centers on Albany, Georgia.
When was this NPI issued?
Enumeration for DR. JOSE M THECKEDATH (MD) is noted as October 3, 2006 where the registry provides it.

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