DR. THEODOR PESCH (M.D., PH.D.) – Emergency Medicine Physician, NPI 1891711677
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. THEODOR PESCH (M.D., PH.D.)
1001 E 2nd St
Coudersport, PA 169158161
Phone: (814) 274-9300
Fax: (814) 274-0846
Type: Location
449 W 23rd St
Panama City, FL 324054507
Phone: (850) 769-8341
Type: Location
507, East Elizabeth Street, Riverside, Brownsville, Cameron County, Texas, 78520, United States
BROWNSVILLE, TX 785205366
Phone: (956) 346-4134
Type: Mailing
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: 2018-08-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20070201000559 | I | Family Practice | TX | TBD |
| I20130718000483 | I | Emergency Medicine | TN | TBD |
| I20180829001251 | I | Emergency Medicine | FL | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 36 | 36 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 32 | 32 | $0 |
| 99291 | Critical care, first 30-74 minutes | 13 | 12 | $0 |
Insurance plans in this area (ZIP 16915)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | OK | |
| - | MA | |
| - | ME | |
| - | RI | |
| - | ME | |
| - | MA |
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