DR. MARK M THEISS (M.D.) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1669534350
Sports Medicine (Orthopaedic Surgery) Physician
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Profile Insights
NPPES metrics only — not quality of care.
185 SPORTS MEDICINE in VA
Provider Addresses for DR. MARK M THEISS (M.D.)
3300 GALLOWS RD
FALLS CHURCH, VA 220423300
Phone: (703) 776-4001
Fax: (703) 776-7113
Type: Location
PO BOX 37174
BALTIMORE, MD 212973174
Phone: (571) 423-5699
Fax: (571) 423-5698
Type: Mailing
Arlington Boulevard, Pine Spring, West Falls Church, Fairfax, Virginia, 22042-7409, United States
FAIRFAX, VA 220315216
Phone: (703) 573-2218
Fax: (703) 573-2373
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $96.
Total Amount is formed as General ($96) + Research ($0) + Ownership ($0) = $96.
Last reported payment date: 2023-05-19 • Largest payer in this snapshot: KCI USA, Inc. ($96).
Total Amount
$96
General + Research + Ownership
Payments
1
Total payment records
General Amount
$96
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-05-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KCI USA, Inc. | $96 |
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: 2014-06-17
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091106000168 | I | Sports Medicine | DC | TBD |
| I20140617002262 | I | Sports Medicine | 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 |
|---|---|---|---|---|
| J7320 | Hyaluronan or derivitive, genvisc 850, for intra-articular injection, 1 mg | 1,656 | 14 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 437 | 98 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 194 | 115 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 183 | 136 | $0 |
| 73564 | X-ray of knee, 4 or more views | 137 | 130 | $0 |
Insurance plans in this area (ZIP 22042)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ORTHOPEDIC SURGERY | VA | 73562 | X-ray of knee, 3 views | 60 | 42 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | HI | |
| H E M A T O L O G Y | WA | |
| - | VIR | |
| - | IL | |
| Orthopedic Surgery | VA | |
| - | VA | |
| Diagnostic Radiology | VA | |
| General Surgery | CT | |
| - | VA | |
| N E U R O S U R G E R Y | VA |
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