DR. THEODORE J WILLIAMS (M.D.) – Family Medicine Physician, NPI 1114914546

DR. THEODORE J WILLIAMS (M.D.) is a healthcare provider. based in Stanley, Kansas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 0422094 (KS). The NPI Number for DR. THEODORE J WILLIAMS (M.D.) is 1114914546

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. THEODORE J WILLIAMS (M.D.)
NPI
1114914546
Phone
(913) 681-8866
Address
15101 GLENWOOD AVE
Enumeration Date
30 September 2005
Last Update Date
31 December 2012

Doctor Profile

Medical School Name
UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Secondary Phone
9135992440
Graduation Year
1984 (42 years ago)
PAC ID
7012098288
Group Practice PAC ID
7012316870
Professional Enrollment ID
I20100630000361
Address ID
KS662101862OV7100XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,421 FAMILY PRACTICE in KS

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Provider Addresses for DR. THEODORE J WILLIAMS (M.D.)

  • 15101, Glenwood Avenue, Blue Valley Hills, Stanley, Overland Park, Johnson County, Kansas, 66223, United States

    STANLEY, KS 662233154

    Phone: (913) 681-8866

    Fax: (913) 338-1311

    Type: Location

  • PO BOX 741331

    ATLANTA, GA 303741331

    Phone: (913) 469-0503

    Fax: (913) 469-5267

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $564.

Total Amount is formed as General ($564) + Research ($0) + Ownership ($0) = $564.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Forte Bio-Pharma LLC ($157).

Total Amount

$564

General + Research + Ownership

Payments

33

Total payment records

General Amount

$564

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2010-06-30

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
I20100630000361IFamily PracticeKSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 66223)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012316870View full group profile
NameSpecialtyState
Pain Management, Interventional Pain Management, Orthopedic Surgery, Osteopathic Manipulative Medicine, Orthopedic Surgery, Osteopathic Manipulative MedicineKS
Nurse PractitionerKS
Pain ManagementKS
Physician AssistantKS
Physical Medicine And RehabilitationKS
Nurse PractitionerKS

Reviews

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Frequently asked questions

Is DR. THEODORE J WILLIAMS (M.D.) listed with a National Provider Identifier?
Yes — DR. THEODORE J WILLIAMS (M.D.) has NPI 1114914546 on file in the registry.
Is there an active status for DR. THEODORE J WILLIAMS (M.D.)?
For scheduling context, DR. THEODORE J WILLIAMS (M.D.) is shown as active in the registry.
How would a patient describe DR. THEODORE J WILLIAMS (M.D.)'s focus?
For DR. THEODORE J WILLIAMS (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Kansas is DR. THEODORE J WILLIAMS (M.D.) registered?
Use Stanley, Kansas as the headline location for DR. THEODORE J WILLIAMS (M.D.) here.
Can I trust this NPI listing for DR. THEODORE J WILLIAMS (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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