ANDREW THOMAS THEUS (PA-C) – Physician Assistant, NPI 1568029239
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
892 PHYSICIAN ASSISTANT in NM
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Provider Addresses for ANDREW THOMAS THEUS (PA-C)
PO BOX 305
EDGEWOOD, NM 870150305
Phone: (706) 575-8004
Type: Mailing
5th Street, Estancia, Torrance County, New Mexico, United States
ESTANCIA, NM 870161155
Phone: (505) 384-2777
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $376.
Total Amount is formed as General ($376) + Research ($0) + Ownership ($0) = $376.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Phathom Pharmaceuticals, Inc. ($96).
Total Amount
$376
General + Research + Ownership
Payments
14
Total payment records
General Amount
$376
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 |
|---|---|
| Phathom Pharmaceuticals, Inc. | $96 |
| Janssen Biotech, Inc. | $56 |
| Takeda Pharmaceuticals U.S.A., Inc. | $51 |
| ABBVIE INC. | $51 |
| PFIZER INC. | $46 |
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: 2019-08-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190808000217 | I | Physician Assistant | NM | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 43 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 40 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 28 | 28 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 28 | 26 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 87015)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | NM | |
| - | NM | |
| - | NM | |
| - | NM | |
| Cardiovascular Disease (Cardiology) | NM | |
| Emergency Medicine | NM | |
| - | NM | |
| - | NM | |
| H E M A T O L O G Y/ O N C O L O G Y | NM |
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