Robert W. Theakston, M.D.
NPI 1255374492ActiveIndividual· General Practice· Fort Payne, AL
General Practice (M.D.) with Newgen Alabama Billing LLC, practicing in Fort Payne, Alabama. Their prescriptions cost Medicare Part D more than their services did: $772,110 for 9,973 claims, against $98,434 paid for services in 2024. Lists Dekalb Regional Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1255374492 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Jun 14, 2006 |
| Last updated in NPPES | Oct 3, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 19991 | AL |
| Emergency Medicine | 207P00000X | 19991 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (AL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 441 |
|---|---|
| Services billed | 2,722 across 58 procedure codes |
| Paid by Medicare | $98,434 |
Part D prescriptions in 2024
| Prescriptions (claims) | 9,973 · 19,493 30-day fills |
|---|---|
| Patients | 651 |
| Total drug cost | $772,110 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | General Practice |
Medical group
- Newgen Alabama Billing LLCSheffield, AL · 96 clinicians
Hospital affiliations
- Dekalb Regional Medical CenterFort Payne, AL
- Memorial Healthcare System, IncChattanooga, TN
Other facilities
- Centerwell Home HealthHome health agency · Rainbow City, AL
- Enhabit Home HealthHome health agency · Hoover, AL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other General Practice providers in Fort Payne
- 1376870741