Todd A. Theobald, M.D.
NPI 1720077993ActiveIndividual· Ophthalmology· Lafayette, CO
Ophthalmology (M.D.) in Lafayette, Colorado, trained at St. Louis College of Physicians and Surgeons (class of 2001). Their prescriptions cost Medicare Part D more than their services did: $58,442 for 1,881 claims, against $8,525 paid for services in 2024.
Overview
| NPI | 1720077993 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 19, 2005 |
| Last updated in NPPES | Jun 21, 2021 |
| Certified by provider | Jun 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | DR.0057386 | CO |
| Ophthalmology | 207W00000X | 2009032081 | MO |
| Ophthalmology | 207W00000X | 0101237885 | VA |
| Ophthalmology | 207W00000X | 74395 | GA |
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 - Ophthalmology (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 98 across 12 procedure codes |
| Paid by Medicare | $8,525 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,881 · 3,938 30-day fills |
|---|---|
| Patients | 433 |
| Total drug cost | $58,442 |
| Generic share | 84% of claims |
Education and affiliations
| Medical school | St. Louis College of Physicians and Surgeons |
|---|---|
| Graduation year | 2001 |
| Medicare specialty | Ophthalmology |
Medical group
- Colorado Permanente Medical Group PCDenver, CO · 1,327 clinicians
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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