Brian Theune, MD
NPI 1710938642 · Surgery Physician · New Bern, NC
Enrolled with Medicare as Practitioner - Vascular Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Brian Theune, MD is a Surgery Physician provider in New Bern, NC (NPI 1710938642).
Provider details
- NPI number
- 1710938642
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2011-01500 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,979 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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 | 265 | $86 |
| Use of a Drug to Induce Depression of Consciousness By Physician Performing a Procedure, Each Additional 15 Minutes99153 | 213 | $11 |
| Ultrasound Study of Arm and Leg Arteries93922 | 188 | $77 |
| Ultrasound Evaluation of Blood Vessel With Review By Radiologist, Each Additional Vessel37253 | 127 | $160 |
| Ultrasound of Leg Arteries Or Artery Grafts93925 | 126 | $224 |
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 126 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rivaroxabanbrand: Xarelto | 92 | 20 |
| Prednisone | 28 | 11 |
| Famotidine | 22 | 11 |
| Apixabanbrand: Eliquis | 19 | — |
| Warfarin Sodium | 17 | — |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,103 across 52 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 2000 Neuse BlvdNew Bern, NC 28560-3449Phone: (252) 633-8111
Registry dates
- Enumerated
- 2006-05-15
- Last updated
- 2024-10-18
- Certified
- 2024-10-18
Frequently asked questions
- What is Brian Theune's NPI number?
- Brian Theune's National Provider Identifier (NPI) is 1710938642, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Brian Theune's specialty?
- Brian Theune is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Brian Theune located?
- Brian Theune's practice location on file with NPPES is 2203 Neuse Blvd, New Bern, NC 28560-4311.
- What is Brian Theune's phone number?
- The practice phone number listed in the NPPES registry for Brian Theune is (252) 638-8118.
- Does Brian Theune accept Medicare?
- Brian Theune is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Brian Theune's NPI active?
- Yes — Brian Theune's NPI (1710938642) is active in the NPPES registry as of the last update on 2024-10-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.