THEA PRISCILLA PRICE (M.D.) – Surgery Physician, NPI 1609018969
Surgery Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
1,422 GENERAL SURGERY in IL
Provider Addresses for THEA PRISCILLA PRICE (M.D.)
1725 WEST HARRISON ST. SUITE 810/818
CHICAGO, IL 60612
Phone: (312) 942-5500
Fax: (312) 563-2080
Type: Mailing
4500 SAN PABLO RD S
JACKSONVILLE, FL 322241865
Phone: (904) 953-2000
Type: Mailing
13001 E 17th Pl
Aurora, CO 800452559
Phone: (303) 724-6031
Type: Location
1725 West Harrison St. Suite 810/818
Chicago, IL 60612
Phone: (312) 942-5500
Fax: (312) 563-2080
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 76 Open Payments records for all available years, with a total value of $52,092.
Total Amount is formed as General ($46,828) + Research ($5,264) + Ownership ($0) = $52,092.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Kerecis Limited ($34,904).
Total Amount
$52,092
General + Research + Ownership
Payments
76
Total payment records
General Amount
$46,828
General payments
Research Amount
$5,264
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Kerecis Limited | $34,904 |
| Baxter Healthcare | $8,310 |
| Acera Surgical, Inc. | $8,083 |
| Smith+Nephew, Inc. | $289 |
| Organogenesis Inc. | $289 |
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: 2024-08-01
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 |
|---|---|---|---|---|
| I20171016000062 | I | General Surgery | IL | TBD |
| I20240801000055 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 105 | 102 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 92 | 48 | $0 |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 60 | 26 | $0 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 49 | 25 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 34 | $0 |
Insurance plans in this area (ZIP 60612)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| G A S T R O E N T E R O L O G Y | FL | |
| Orthopedic Surgery | FL | |
| Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL |
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