DR. THEO HERBERT POWELL (M.D.) – Surgery Physician, NPI 1164427951

DR. THEO HERBERT POWELL (M.D.) is a healthcare provider. based in Grants pass, Oregon. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. MD11637 (OR). The NPI Number for DR. THEO HERBERT POWELL (M.D.) is 1164427951

Main info

Male
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. THEO HERBERT POWELL (M.D.)
NPI
1164427951
Phone
(541) 476-6644
Address
495 SW RAMSEY AVE
Enumeration Date
17 June 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5414766644
Graduation Year
1974 (52 years ago)
PAC ID
7618917196
Group Practice PAC ID
9234123977
Professional Enrollment ID
I20100701000700
Address ID
OR975275681GR495XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

530 GENERAL SURGERY in OR

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Provider Addresses for DR. THEO HERBERT POWELL (M.D.)

  • 495, Ramsey Avenue, Grants Pass, Josephine County, Oregon, 97527, United States

    GRANTS PASS, OR 97527

    Phone: (541) 476-6644

    Fax: (541) 472-5673

    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: 2010-07-01

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
I20100701000700IGeneral SurgeryORTBD

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
11301Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm2522$0
11310Shaving of skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less1414$0
View full utilization report →

Insurance plans in this area (ZIP 97527)

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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: 9234123977View full group profile
NameSpecialtyState
-OR
Family PracticeOR
Physician AssistantOR
Family PracticeOR
Physician AssistantOR
Internal MedicineOR
Family PracticeGA
P O D I A T R YOR
Internal MedicineOR
Nurse PractitionerOR

Reviews

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Frequently asked questions

Can I use this page to confirm DR. THEO HERBERT POWELL (M.D.)'s NPI?
Yes. DR. THEO HERBERT POWELL (M.D.) is listed with NPI 1164427951 in the public NPI dataset.
Does the file indicate DR. THEO HERBERT POWELL (M.D.) is practicing under active NPI?
Directory data currently reports DR. THEO HERBERT POWELL (M.D.) as active.
What taxonomy line describes DR. THEO HERBERT POWELL (M.D.)?
For research purposes, treat DR. THEO HERBERT POWELL (M.D.) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does DR. THEO HERBERT POWELL (M.D.) serve?
DR. THEO HERBERT POWELL (M.D.)'s listing highlights Grants Pass, Oregon; more addresses can appear in NPPES.
Is the information about DR. THEO HERBERT POWELL (M.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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