Paul Theiss, PA
NPI 1801198726 · Physician Assistant · Wilmington, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Theiss, PA is a Physician Assistant provider in Wilmington, NC (NPI 1801198726).
Provider details
- NPI number
- 1801198726
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- 001004185 (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 tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
80 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 | 30 | $72 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 26 | $101 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 24 | $103 |
Typical Medicare-allowed amounts for these services range $72–$103 (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 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 92 | 75 |
| Diazepam | 53 | 48 |
| Tizanidine Hcl | 23 | 11 |
| Oxycodone Hcl | 19 | — |
| Cilostazol | 18 | 15 |
| Tramadol Hcl | 18 | 14 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$191 across 10 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 (2)
- 1411 Physicians DrWilmington, NC 28401-7338Phone: (910) 343-0811Fax: (910) 343-5719
- 2131 S 17th StWilmington, NC 28401-7407Phone: (910) 772-9202Fax: (910) 772-9452
Registry dates
- Enumerated
- 2010-11-29
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Frequently asked questions
- What is Paul Theiss's NPI number?
- Paul Theiss's National Provider Identifier (NPI) is 1801198726, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Paul Theiss's specialty?
- Paul Theiss is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Paul Theiss located?
- Paul Theiss's practice location on file with NPPES is 2800 Ashton Dr, Wilmington, NC 28412-2575.
- What is Paul Theiss's phone number?
- The practice phone number listed in the NPPES registry for Paul Theiss is (910) 799-2262.
- Does Paul Theiss accept Medicare?
- Paul Theiss is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Paul Theiss's NPI active?
- Yes — Paul Theiss's NPI (1801198726) is active in the NPPES registry as of the last update on 2026-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.