Andrew Thomas Theus, PA-C
NPI 1568029239ActiveIndividual· Physician Assistant· Estancia, NM
Physician Assistant (PA-C) with Presbyterian Healthcare Services, practicing in Estancia, New Mexico. Their prescriptions cost Medicare Part D more than their services did: $242,584 for 1,401 claims, against $12,934 paid for services in 2024. Madrigal Pharmaceuticals was the largest of 9 companies reporting payments in 2025, $1,291 in all, mostly food and beverage. Lists Presbyterian Hospital as a hospital affiliation.
Overview
| NPI | 1568029239 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 28, 2019 |
| Last updated in NPPES | Jul 16, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA2019-0052 | NM |
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 - Physician Assistant (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 210 |
|---|---|
| Services billed | 259 across 8 procedure codes |
| Paid by Medicare | $12,934 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,401 · 2,327 30-day fills |
|---|---|
| Patients | 475 |
| Total drug cost | $242,584 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Presbyterian Healthcare ServicesAlbuquerque, NM · 1,395 clinicians
Hospital affiliation
- Presbyterian HospitalAlbuquerque, NM
Industry payments (Open Payments)
- 2025$1,291 · 33 payments from 9 companies
- 2024$269.30 · 10 payments from 6 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Madrigal Pharmaceuticals | $287.81 | 5 |
| Abbvie Inc. | $264.38 | 11 |
| Janssen Biotech, Inc. | $247.77 | 8 |
| Gilead Sciences, Inc. | $148.69 | 3 |
| Regeneron Healthcare Solutions, Inc. | $146.53 | 2 |
What the 2025 payments were for
- Food and Beverage$1,291 · 33 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Estancia
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