Theo Hodge, MD
NPI 1912007725 · Infectious Disease Physician · Washington, DC
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theo Hodge, MD is a Infectious Disease Physician provider in Washington, DC (NPI 1912007725).
Provider details
- NPI number
- 1912007725
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD18133 (DC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
398 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 130 | $141 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 116 | $101 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 46 | $199 |
| Admn Sarscov2 Vacc 1 Dose90480 | 40 | $47 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 33 | $16 |
| Administration of Influenza Virus VaccineG0008 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 49 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 150 | 20 |
| Atorvastatin Calcium | 113 | 31 |
| Rosuvastatin Calcium | 97 | 29 |
| Olmesartan Medoxomil | 71 | 18 |
| Dolutegravir Sodium/Lamivudinebrand: Dovato | 68 | — |
| Amlodipine Besylate | 66 | 19 |
| Albuterol Sulfate |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$161,410 across 194 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
Registry dates
- Enumerated
- 2006-09-22
- Last updated
- 2023-05-17
- Certified
- 2023-05-17
Frequently asked questions
- What is Theo Hodge's NPI number?
- Theo Hodge's National Provider Identifier (NPI) is 1912007725, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theo Hodge's specialty?
- Theo Hodge is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Theo Hodge located?
- Theo Hodge's practice location on file with NPPES is 1140 Varnum St Ne, Washington, DC 20017-2151.
- What is Theo Hodge's phone number?
- The practice phone number listed in the NPPES registry for Theo Hodge is (405) 220-2854.
- Does Theo Hodge accept Medicare?
- Theo Hodge is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theo Hodge's NPI active?
- Yes — Theo Hodge's NPI (1912007725) is active in the NPPES registry as of the last update on 2023-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.