Theodore Hole, M.D.
NPI 1104873611 · Family Medicine Physician · Ventura, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Hole, M.D. is a Family Medicine Physician provider in Ventura, CA (NPI 1104873611).
Provider details
- NPI number
- 1104873611
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- License
- G36661 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
136 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Partial Removal of Spine Bone With Release of Spinal Cord And/Or Nerves, Each Additional Segment63048 | 49 | $33 |
| Partial Removal of Spine Bone With Release of Lower Spinal Cord And/Or Nerves, 1 Segment63047 | 37 | $137 |
| Insertion of Cage Or Mesh Device to Spine Bone and Disc Space During Spine Fusion22853 | 34 | $40 |
| Fusion of Spine in Lower Back With Partial Removal of Spine Bone and Disc22633 | 16 | $293 |
Typical Medicare-allowed amounts for these services range $33–$293 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2007-07-08
Frequently asked questions
- What is Theodore Hole's NPI number?
- Theodore Hole's National Provider Identifier (NPI) is 1104873611, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Hole's specialty?
- Theodore Hole is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Hole located?
- Theodore Hole's practice location on file with NPPES is 2937 Loma Vista Rd, Ventura, CA 93003-2915.
- What is Theodore Hole's phone number?
- The practice phone number listed in the NPPES registry for Theodore Hole is (805) 643-9975.
- Does Theodore Hole accept Medicare?
- Theodore Hole is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Hole's NPI active?
- Yes — Theodore Hole's NPI (1104873611) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.