Theodore Kistemaker, PA-C
NPI 1770523557 · Physician Assistant · Winston Salem, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Kistemaker, PA-C is a Physician Assistant provider in Winston Salem, NC (NPI 1770523557).
Provider details
- NPI number
- 1770523557
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 103628 (NC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing 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
104 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 | 54 | $70 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 50 | $102 |
Typical Medicare-allowed amounts for these services range $70–$102 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 62 | 28 |
| Losartan Potassium | 26 | 15 |
| Lisinopril | 24 | — |
| Gabapentin | 23 | — |
| Metformin Hclbrand: Metformin Hcl Er | 23 | — |
| Doxycycline Hyclate | 18 | 18 |
| Escitalopram Oxalate |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2014-04-28
Frequently asked questions
- What is Theodore Kistemaker's NPI number?
- Theodore Kistemaker's National Provider Identifier (NPI) is 1770523557, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Kistemaker's specialty?
- Theodore Kistemaker is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theodore Kistemaker located?
- Theodore Kistemaker's practice location on file with NPPES is 3333 Brookview Hills Blvd, Winston Salem, NC 27103-5661.
- What is Theodore Kistemaker's phone number?
- The practice phone number listed in the NPPES registry for Theodore Kistemaker is (336) 765-5250.
- Does Theodore Kistemaker accept Medicare?
- Theodore Kistemaker is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Kistemaker's NPI active?
- Yes — Theodore Kistemaker's NPI (1770523557) is active in the NPPES registry as of the last update on 2014-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.