Theodore Wissink, MD
NPI 1124193503 · Family Medicine Physician · South Burlington, VT
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Wissink, MD is a Family Medicine Physician provider in South Burlington, VT (NPI 1124193503).
Provider details
- NPI number
- 1124193503
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 017817 (ME)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
341 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 116 | $66 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 100 | $78 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 44 | $40 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 37 | $16 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 32 | $68 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 45 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 113 | 35 |
| Gabapentin | 101 | 24 |
| Amlodipine Besylate | 92 | 31 |
| Lisinopril | 79 | 25 |
| Losartan Potassium | 74 | 18 |
| Levothyroxine Sodium | 74 | 20 |
| Omeprazole |
Practice location
Mailing address
Additional practice locations (1)
- 272 Congress StPortland, ME 04101Phone: (207) 874-2466Fax: (207) 774-4625
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2025-12-22
- Certified
- 2025-12-22
Frequently asked questions
- What is Theodore Wissink's NPI number?
- Theodore Wissink's National Provider Identifier (NPI) is 1124193503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Wissink's specialty?
- Theodore Wissink is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Wissink located?
- Theodore Wissink's practice location on file with NPPES is 118 Tilley Dr Ste 201, South Burlington, VT 05403-4450.
- What is Theodore Wissink's phone number?
- The practice phone number listed in the NPPES registry for Theodore Wissink is (802) 847-5550.
- Does Theodore Wissink accept Medicare?
- Theodore Wissink is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Wissink's NPI active?
- Yes — Theodore Wissink's NPI (1124193503) is active in the NPPES registry as of the last update on 2025-12-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.