DR. THEODORE WILLIAM JAMES (M.D.) – Gastroenterology Physician, NPI 1003159559
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
500 GASTROENTEROLOGY in MN
Provider Addresses for DR. THEODORE WILLIAM JAMES (M.D.)
200 1ST ST SW
ROCHESTER, MN 559050001
Phone: (507) 284-2511
Type: Mailing
101 Manning Drive
Chapel Hill, NC 275990005
Phone: (984) 974-5050
Type: Location
43 WHITING HILL RD STE 300
BREWER, ME 044121006
Phone: (207) 973-5000
Type: Mailing
417 STATE ST STE 121
BANGOR, ME 044016630
Phone: (207) 973-4266
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 18 Open Payments records for all available years, with a total value of $869.
Total Amount is formed as General ($869) + Research ($0) + Ownership ($0) = $869.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Gilead Sciences, Inc. ($240).
Total Amount
$869
General + Research + Ownership
Payments
18
Total payment records
General Amount
$869
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Gilead Sciences, Inc. | $240 |
| Olympus Corporation of the Americas | $204 |
| ABBVIE INC. | $154 |
| Lucid Diagnostics Inc. | $102 |
| Takeda Pharmaceuticals U.S.A., Inc. | $85 |
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: 2022-08-23
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 |
|---|---|---|---|---|
| I20201102001423 | I | Gastroenterology | ME | TBD |
| I20220823003908 | I | Gastroenterology | CO | 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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 85 | 85 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 39 | 37 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 33 | 33 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 29 | 27 | $0 |
| 43249 | Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 22 | 18 | $0 |
Insurance plans in this area (ZIP 55905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | NY | |
| Internal Medicine | ME | |
| Family Practice | ME | |
| G A S T R O E N T E R O L O G Y | ME | |
| Internal Medicine | ME | |
| G A S T R O E N T E R O L O G Y | ME | |
| Physician Assistant | ME | |
| Pulmonary Disease, Critical Care (Intensivists) | ME | |
| Orthopedic Surgery | NY | |
| Certified Registered Nurse Anesthetist (Crna) | ME |
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