THEOPOLIS JR. GILLIAM (MD) – Gastroenterology Physician, NPI 1174566558
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
540 GASTROENTEROLOGY in VA
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Provider Addresses for THEOPOLIS JR. GILLIAM (MD)
8580 MAGELLAN PKWY
RICHMOND, VA 232271149
Phone: (804) 765-6650
Fax: (804) 765-6651
Type: Mailing
Main Street, Emporia, Volusia County, Florida, 32180, United States
EMPORIA, VA 238471242
Phone: (434) 594-6603
Fax: (804) 765-6651
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $245.
Total Amount is formed as General ($245) + Research ($0) + Ownership ($0) = $245.
Last reported payment date: 2024-09-07 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($123).
Total Amount
$245
General + Research + Ownership
Payments
2
Total payment records
General Amount
$245
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $123 |
| Phathom Pharmaceuticals, Inc. | $121 |
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: 2009-01-20
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 |
|---|---|---|---|---|
| I20090120000294 | I | Gastroenterology | VA | 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 | 185 | 127 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 88 | 88 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 64 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 58 | 45 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 44 | 44 | $0 |
Insurance plans in this area (ZIP 23227)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| General Surgery | VA | |
| - | VA | |
| - | VA | |
| Cardiac Surgery | VA | |
| - | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| - | VA | |
| Hospice/Palliative Care | VA | |
| Nurse Practitioner | VA | |
| Internal Medicine, Hospice/Palliative Care, Internal Medicine | VA |
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