DR. THEODOR ASGEIRSSON (MD) – Colon & Rectal Surgery Physician, NPI 1255480067

DR. THEODOR ASGEIRSSON (MD) is a healthcare provider. based in Greenville, Michigan. specializing in Colon & Rectal Surgery Physician. They hold the professional credentials MD. They hold a License No. 217561 (MA). The NPI Number for DR. THEODOR ASGEIRSSON (MD) is 1255480067

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. THEODOR ASGEIRSSON (MD)
NPI
1255480067
Phone
(616) 225-8667
Address
421 S BALDWIN ST
Enumeration Date
10 January 2007
Last Update Date
19 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6164565311
Graduation Year
1998 (28 years ago)
PAC ID
7416145511
Group Practice PAC ID
3870583727
Professional Enrollment ID
I20101215001056
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience66
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for DR. THEODOR ASGEIRSSON (MD)

  • 421, South Baldwin Street, Greenville, Montcalm County, Michigan, 48838, United States

    GREENVILLE, MI 488382102

    Phone: (616) 225-8667

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-12-15

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
I20101215001056IColorectal Surgery (Proctology)MITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48838)

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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: 3870583727View full group profile

Reviews

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Frequently asked questions

Can I cross-check DR. THEODOR ASGEIRSSON (MD) using NPI 1255480067?
NPI 1255480067 belongs to DR. THEODOR ASGEIRSSON (MD); compare other details if you need extra assurance.
Is DR. THEODOR ASGEIRSSON (MD) still an active registrant?
DR. THEODOR ASGEIRSSON (MD) carries an active NPI according to the public dataset.
What kind of doctor is DR. THEODOR ASGEIRSSON (MD)?
DR. THEODOR ASGEIRSSON (MD) is associated with Colon & Rectal Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. THEODOR ASGEIRSSON (MD)?
Travel planning: use Greenville, Michigan as the reference point for DR. THEODOR ASGEIRSSON (MD), then confirm.
Can I trust this NPI listing for DR. THEODOR ASGEIRSSON (MD)?
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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