THEODORE TRUITT (MD) – Otolaryngology Physician, NPI 1740240258

THEODORE TRUITT (MD) is a healthcare provider. based in Saint cloud, Minnesota. specializing in OTOLARYNGOLOGY. They hold the professional credentials MD. They hold a License No. 42775 (MN). The NPI Number for THEODORE TRUITT (MD) is 1740240258

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
THEODORE TRUITT (MD)
NPI
1740240258
Phone
(320) 252-0233
Address
1528 NORTHWAY DR
Enumeration Date
27 March 2006
Last Update Date
28 December 2021

Doctor Profile

Medical School Name
INDIANA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
3203522221
Graduation Year
1995 (31 years ago)
PAC ID
1355322991
Group Practice PAC ID
5496774242
Professional Enrollment ID
I20100521000147
Address ID
MN563781010SA425XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

273 OTOLARYNGOLOGY in MN

Loading map...

Provider Addresses for THEODORE TRUITT (MD)

  • 1528, Northway Drive, St. Cloud, Stearns County, Minnesota, 56303, United States

    SAINT CLOUD, MN 563031255

    Phone: (320) 252-0233

    Fax: (320) 257-1126

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $11,542.

Total Amount is formed as General ($11,542) + Research ($0) + Ownership ($0) = $11,542.

Last reported payment date: 2024-10-10 • Largest payer in this snapshot: Stryker Corporation ($9,699).

Total Amount

$11,542

General + Research + Ownership

Payments

23

Total payment records

General Amount

$11,542

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-10

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: 2010-05-21

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
I20100521000147IOtolaryngologyMNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes162121$0
69210Removal of impacted ear wax131100$0
99203New patient office or other outpatient visit, 30-44 minutes108108$0
99214Established patient office or other outpatient visit, 30-39 minutes7660$0
92504Exam of ear using a microscope6555$0
View full utilization report →

Insurance plans in this area (ZIP 56303)

Loading plans...

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: 5496774242View full group profile
NameSpecialtyState
O T O L A R Y N G O L O G YMN
Qualified Speech Language PathologistMN
O T O L A R Y N G O L O G YMN
Qualified AudiologistMN
O T O L A R Y N G O L O G YAK
O T O L A R Y N G O L O G YMN
Qualified AudiologistMN
Qualified AudiologistMN
Qualified AudiologistMN
Qualified AudiologistMN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for THEODORE TRUITT (MD)?
The registry entry for THEODORE TRUITT (MD) shows NPI 1740240258.
Is THEODORE TRUITT (MD)'s NPI status active today?
Active status means THEODORE TRUITT (MD)'s NPI record is not deactivated in the public file.
What services align with THEODORE TRUITT (MD)'s listing?
THEODORE TRUITT (MD)'s public classification highlights Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to THEODORE TRUITT (MD)?
The directory associates THEODORE TRUITT (MD) with Saint Cloud, Minnesota. Check all listed addresses for suites or satellite offices.
Who maintains THEODORE TRUITT (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

STEPHEN CRAGLE (MD)

Otolaryngology Physician
1528, Northway Drive, St. Cloud, Stearns County, Minnesota, 56303, United States
NPI: 1306806807

RONALD HANSON (MD)

Otolaryngology Physician
1528, Northway Drive, St. Cloud, Stearns County, Minnesota, 56303, United States
NPI: 1972564987

TODD MAGNUSON (MD)

Otolaryngology Physician
1528, Northway Drive, St. Cloud, Stearns County, Minnesota, 56303, United States
NPI: 1841251873

GERALD JURGENS (M.D.)

Otolaryngology Physician
1528, Northway Drive, St. Cloud, Stearns County, Minnesota, 56303, United States
NPI: 1679534689
1528, Northway Drive, St. Cloud, Stearns County, Minnesota, 56303, United States
NPI: 1508882754

MRS. AMY CORINNE DEARKING (M.D.)

Otolaryngology Physician
1528, Northway Drive, St. Cloud, Stearns County, Minnesota, 56303, United States
NPI: 1588828206

DR. DAVID TAYLOR (D.O.)

Otolaryngology Physician
673D MEDICAL GROUP
NPI: 1497011142