Jason Theodore
NPI 1629535521ActiveIndividual· Physician Assistant· Lincoln, NE
Physician Assistant with Mission Health Community Multispecialty Providers LLC and 2 other groups, practicing in Lincoln, Nebraska. Their prescriptions cost Medicare Part D more than their services did: $37,557 for 131 claims, against $11,702 paid for services in 2024. Lists Memorial Mission Hospital and Asheville Surgery Ce as a hospital affiliation.
Overview
| NPI | 1629535521 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Feb 27, 2019 |
| Last updated in NPPES | Sep 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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 (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 60 |
|---|---|
| Services billed | 214 across 3 procedure codes |
| Paid by Medicare | $11,702 |
Part D prescriptions in 2024
| Prescriptions (claims) | 131 · 141 30-day fills |
|---|---|
| Patients | 30 |
| Total drug cost | $37,557 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Mission Health Community Multispecialty Providers LLCAsheville, NC · 601 clinicians
- The Neil Group IncHigh Point, NC · 20 clinicians
- Freedom House Recovery Center IncChapel Hill, NC · 12 clinicians
Hospital affiliation
- Memorial Mission Hospital and Asheville Surgery CeAsheville, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 306 physician assistants in Lincoln · All physician assistants in Nebraska