Theodore B. Gellert, PA-C
NPI 1689852196ActiveIndividual· Physician Assistant, Surgical· Albuquerque, NM
Physician Assistant, Surgical (PA-C) with Unm Hospital, practicing in Albuquerque, New Mexico. Their prescriptions cost Medicare Part D more than their services did: $8,992 for 28 claims, against $2,196 paid for services in 2024. Lists Unm Hospital as a hospital affiliation.
Overview
| NPI | 1689852196 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Feb 6, 2008 |
| Last updated in NPPES | Jul 14, 2023 |
| Certified by provider | Jul 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | PA2007-0036 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 | 18 |
|---|---|
| Services billed | 42 across 2 procedure codes |
| Paid by Medicare | $2,196 |
Part D prescriptions in 2024
| Prescriptions (claims) | 28 · 42 30-day fills |
|---|---|
| Total drug cost | $8,992 |
| Generic share | 71% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Unm HospitalAlbuquerque, NM · 395 clinicians
Hospital affiliation
- Unm HospitalAlbuquerque, NM
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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