Jeremy Theisen, MD
NPI 1881954501 · Diagnostic Radiology Physician · Ponca City, OK
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jeremy Theisen, MD is a Diagnostic Radiology Physician provider in Ponca City, OK (NPI 1881954501).
Provider details
- NPI number
- 1881954501
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD-23144 (HI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
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
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
11,086 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) |
|---|---|---|
| X-Ray of Chest, 1 View71045 | 1,934 | $8 |
| Screening Mammography77067 | 893 | $34 |
| Screening 3d Breast Mammography77063 | 807 | $26 |
| X-Ray of Chest, 2 Views71046 | 606 | $10 |
| Ct Scan Head Or Brain Without Contrast70450 | 534 | $37 |
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 391 | $81 |
Practice location
Mailing address
Additional practice locations (5)
- 1 Capital WayPennington, NJ 08534-2520Phone: (609) 303-4000
- 310 Salem Woodstown RdSalem, NJ 08079-2064Phone: (856) 339-6054Fax: (856) 935-6714
- 750 Brunswick AveTrenton, NJ 08638-4143Phone: (609) 394-6000
- 920 Sl Young BlvdOklahoma City, OK 73104-5036Phone: (405) 271-5963
- 920 Sl Young BlvdOklahoma City, OK 73104-5036Phone: (405) 271-5963
Registry dates
- Enumerated
- 2012-05-29
- Last updated
- 2025-09-23
- Certified
- 2025-09-23
Frequently asked questions
- What is Jeremy Theisen's NPI number?
- Jeremy Theisen's National Provider Identifier (NPI) is 1881954501, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeremy Theisen's specialty?
- Jeremy Theisen is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Jeremy Theisen located?
- Jeremy Theisen's practice location on file with NPPES is 1900 N 14th St, Ponca City, OK 74601-2035.
- What is Jeremy Theisen's phone number?
- The practice phone number listed in the NPPES registry for Jeremy Theisen is (580) 765-0575.
- Does Jeremy Theisen accept Medicare?
- Jeremy Theisen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jeremy Theisen's NPI active?
- Yes — Jeremy Theisen's NPI (1881954501) is active in the NPPES registry as of the last update on 2025-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.