Nihil C. Theodore, M.D.
NPI 1326049008ActiveIndividual· Family Medicine· Manassas, VA
Family Medicine (M.D.) in Manassas, Virginia, trained at Tufts University School of Medicine (class of 2002). In 2024 Medicare paid $92,192 for 426 patients, and Part D covered 464 of their prescriptions, 89% of them generic. Janssen Pharmaceuticals, Inc was the largest of 2 companies reporting payments in 2024, $214.17 in all, mostly food and beverage.
Overview
| NPI | 1326049008 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Aug 3, 2005 |
| Last updated in NPPES | Feb 24, 2023 |
| Certified by provider | Feb 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 0101238129 | VA |
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 - Hospitalist (VA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 426 |
|---|---|
| Services billed | 937 across 19 procedure codes |
| Paid by Medicare | $92,192 |
Part D prescriptions in 2024
| Prescriptions (claims) | 464 · 552 30-day fills |
|---|---|
| Patients | 153 |
| Total drug cost | $26,886 |
| Generic share | 89% of claims |
Education and affiliations
| Medical school | Tufts University School of Medicine |
|---|---|
| Graduation year | 2002 |
| Medicare specialty | Hospitalist |
| Secondary specialties | Family Practice |
Medical group
- Uva Community Health Medical Group LLCBristow, VA · 340 clinicians
Hospital affiliations
- Inova Fairfax HospitalFalls Church, VA
- University of Virginia Medical CenterCharlottesville, VA
- Uva Health Culpeper Medical CenterCulpeper, VA
- Uva Health Haymarket Medical CenterHaymarket, VA
- Uva Health Prince William Medical CenterManassas, VA
Industry payments (Open Payments)
- 2024$214.17 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Janssen Pharmaceuticals, Inc | $116.67 | 1 |
| Boston Scientific Corporation | $97.50 | 1 |
What the 2024 payments were for
- Food and Beverage$214.17 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 72 family medicine physicians in Manassas · All family medicine physicians in Virginia