THEODORE HOBART WELLING (MD) – Surgery Physician, NPI 1023109683

THEODORE HOBART WELLING (MD) is a healthcare provider. based in Ann arbor, Michigan. specializing in SURGICAL ONCOLOGY, GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. C196248 (CA). The NPI Number for THEODORE HOBART WELLING (MD) is 1023109683

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
THEODORE HOBART WELLING (MD)
NPI
1023109683
Phone
(734) 936-2047
Address
3621 S STATE ST
Enumeration Date
27 September 2006
Last Update Date
17 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8582496753
Graduation Year
1999 (27 years ago)
PAC ID
7618992801
Group Practice PAC ID
3577476761
Professional Enrollment ID
I20240622000590
Address ID
CA920931503LA3855XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

324 SURGICAL ONCOLOGY in CA

Provider Addresses for THEODORE HOBART WELLING (MD)

  • South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States

    700 KMS PLACE

    ANN ARBOR, MI 48108

    Phone: (734) 936-2047

    Type: Mailing

  • 39000 Bob Hope Dr

    Rancho Mirage, CA 922703221

    Phone: (760) 346-7655

    Fax: (760) 773-1667

    Type: Location

  • 200 W Arbor Dr

    San Diego, CA 921039000

    Phone: (800) 926-8273

    Fax: (888) 539-8781

    Type: Location

  • 4303 La Jolla Village Dr Ste 2110

    San Diego, CA 921221396

    Phone: (800) 926-8273

    Fax: (888) 539-8781

    Type: Location

  • 9300 Campus Point Dr

    LA Jolla, CA 920371300

    Phone: (800) 926-8273

    Fax: (888) 539-8781

    Type: Location

  • 1500 East Medical Center Dr

    2nd floor Taubman Ctr Recp F

    Ann Arbor, MI 481095332

    Phone: (734) 936-5738

    Type: Location

  • FILE 57326

    LOS ANGELES, CA 900740001

    Phone: (800) 926-8273

    Type: Mailing

  • 3855 HEALTH SCIENCES DR

    LA JOLLA, CA 920935332

    Phone: (800) 926-8273

    Fax: (888) 539-8781

    Type: Location

  • Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States

    2ND FLOOR TAUBMAN CTR RECP F

    ANN ARBOR, MI 481095332

    Phone: (734) 936-5738

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2024-04-23 • Largest payer in this snapshot: Medtronic, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$19
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: 2024-06-22

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
I20240622000590ISurgical OncologyCATBD

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
99215Established patient office or other outpatient visit, 40-54 minutes3825$0
99205New patient office or other outpatient visit, 60-74 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 48108)

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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: 3577476761View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for THEODORE HOBART WELLING (MD)?
THEODORE HOBART WELLING (MD) — NPI 1023109683 — is the standard way to identify this listing.
Does CMS list THEODORE HOBART WELLING (MD) as active?
Yes — THEODORE HOBART WELLING (MD) is active in the NPI listing used on this page.
What is THEODORE HOBART WELLING (MD) best known for clinically?
Directory data describes THEODORE HOBART WELLING (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is THEODORE HOBART WELLING (MD) based?
THEODORE HOBART WELLING (MD) is tied to Ann Arbor, Michigan in the data we show; additional addresses may exist on the full record.
Is the information about THEODORE HOBART WELLING (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."