Roger Theodore, DPM
NPI 1154398402 · Podiatrist · Macon, GA
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Roger Theodore, DPM is a Podiatrist provider in Macon, GA (NPI 1154398402).
Provider details
- NPI number
- 1154398402
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- License
- 000753 (GA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
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
354 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) |
|---|---|---|
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 192 | $41 |
| Removal of Fingernails Or Toenails, 6 Or More Nails11721 | 97 | $22 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, at Least 10 Minutes99307 | 38 | $38 |
| Subsequent Nursing Facility Care With Straightforward Level of Medical Decision Making, Per Day, If Using Time, at Least 10 Minutes99307 | 27 | $37 |
Typical Medicare-allowed amounts for these services range $22–$41 (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
- 2006-03-07
- Last updated
- 2024-08-22
- Certified
- 2024-08-22
Frequently asked questions
- What is Roger Theodore's NPI number?
- Roger Theodore's National Provider Identifier (NPI) is 1154398402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Roger Theodore's specialty?
- Roger Theodore is listed in the NPPES registry with a primary specialty of Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Roger Theodore located?
- Roger Theodore's practice location on file with NPPES is 407 Barrington PT, Macon, GA 31220-8754.
- What is Roger Theodore's phone number?
- The practice phone number listed in the NPPES registry for Roger Theodore is (478) 390-2178.
- Does Roger Theodore accept Medicare?
- Roger Theodore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Roger Theodore's NPI active?
- Yes — Roger Theodore's NPI (1154398402) is active in the NPPES registry as of the last update on 2024-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.