THEODORE STEVEN ROOSEVELT (M.D.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1699754697
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16 ENDOCRINOLOGY in ID
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Provider Addresses for THEODORE STEVEN ROOSEVELT (M.D.)
13909, West Wainwright Drive, Boise, Ada County, Idaho, 83713, United States
BOISE, ID 837131969
Phone: (208) 389-2213
Fax: (208) 389-4659
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 94 Open Payments records for all available years, with a total value of $1,995.
Total Amount is formed as General ($1,995) + Research ($0) + Ownership ($0) = $1,995.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Corcept Therapeutics ($357).
Total Amount
$1,995
General + Research + Ownership
Payments
94
Total payment records
General Amount
$1,995
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
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: 2004-04-29
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 |
|---|---|---|---|---|
| I20040429000405 | I | Endocrinology | ID | 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 | 289 | 116 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 84 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 45 | 39 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 17 | 14 | $0 |
Insurance plans in this area (ZIP 83713)
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