PETER THEISS (MD) – Neurological Surgery Physician, NPI 1881122513

PETER THEISS (MD) is a healthcare provider. based in Mansfield, Texas. specializing in NEUROSURGERY. They hold the professional credentials MD. They hold a License No. 036152108 (IL). The NPI Number for PETER THEISS (MD) is 1881122513

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
PETER THEISS (MD)
NPI
1881122513
Phone
(214) 948-2076
Address
252 MATLOCK RD STE 234
Enumeration Date
25 May 2017
Last Update Date
21 July 2025

Doctor Profile

Medical School Name
COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Secondary Phone
7086848000
Graduation Year
2017 (9 years ago)
PAC ID
9638441504
Group Practice PAC ID
3072422716
Professional Enrollment ID
I20240723002607
Address ID
IL604532600OA4440XSTXX400

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness95
Years active:9State licenses:2Other names

588 NEUROSURGERY in TX

Provider Addresses for PETER THEISS (MD)

  • 252 MATLOCK RD STE 234

    MANSFIELD, TX 760636565

    Phone: (214) 948-2076

    Type: Location

  • 300 N CANAL ST APT 711

    CHICAGO, IL 606061263

    Phone: (847) 606-9866

    Type: Mailing

  • Neuropsychiatric Institute (NPI), 912, South Wood Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60608, United States

    451N - MC 799

    CHICAGO, ID 60612

    Phone: (847) 606-9866

    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 $996.

Total Amount is formed as General ($996) + Research ($0) + Ownership ($0) = $996.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Stryker Corporation ($461).

Total Amount

$996

General + Research + Ownership

Payments

14

Total payment records

General Amount

$996

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

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: 2025-08-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240723002607INeurosurgeryILTBD
I20250804000938INeurosurgeryTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76063)

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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: 3072422716View full group profile
NameSpecialtyState
Internal MedicineIL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
-IL
Gastroenterology, Internal MedicineWI
-IL
O P H T H A L M O L O G YNY
O T O L A R Y N G O L O G YCA
Certified Registered Nurse Anesthetist (Crna)IA
G A S T R O E N T E R O L O G YFL

Reviews

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Frequently asked questions

Is PETER THEISS (MD) listed with a National Provider Identifier?
Yes — PETER THEISS (MD) has NPI 1881122513 on file in the registry.
Active or inactive — what applies to PETER THEISS (MD)?
You should see PETER THEISS (MD) as active in CMS-hosted NPPES data.
What kind of doctor is PETER THEISS (MD)?
PETER THEISS (MD) is associated with Neurological Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Texas is PETER THEISS (MD) registered?
Use Mansfield, Texas as the headline location for PETER THEISS (MD) here.
When was this NPI issued?
Enumeration for PETER THEISS (MD) is noted as May 25, 2017 where the registry provides it.

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