Theodore R. Wissink, MD
NPI 1124193503ActiveIndividual· Family Medicine· South Burlington, VT
Family Medicine (MD) in South Burlington, Vermont, trained at University of Minnesota Medical School (class of 2004). Their prescriptions cost Medicare Part D more than their services did: $232,193 for 2,058 claims, against $18,181 paid for services in 2024.
Overview
| NPI | 1124193503 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Nov 21, 2006 |
| Last updated in NPPES | Dec 22, 2025 |
| Certified by provider | Dec 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 042.0019084 | VT |
| Family Medicine | 207Q00000X | 017817 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (ME); Practitioner - Family Practice (VT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 185 |
|---|---|
| Services billed | 403 across 26 procedure codes |
| Paid by Medicare | $18,181 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,058 · 4,602 30-day fills |
|---|---|
| Patients | 238 |
| Total drug cost | $232,193 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | University of Minnesota Medical School |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical groups
- MainehealthPortland, ME · 2,633 clinicians
- University of Vermont Medical Center IncBurlington, VT · 1,208 clinicians
Hospital affiliations
- Mainehealth Maine Medical CenterPortland, ME
- Univ. of Vermont - Fletcher Allen Health CareBurlington, VT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family medicine physicians in South Burlington
- 1033521778
- 1124042627
- 1124524434
- 1134160419
- 1346431780
- 1467815225
- 1629344106
- 1770542631
- 1902957020
- 1477896108
- 1043419930
- 1194413534
All 22 family medicine physicians in South Burlington · All family medicine physicians in Vermont