Doctor profile · Federal record
Dr. Theppanya Keolasy, MD
Family Medicine Physician (CMS: Family Practice) · Roanoke, IN
- NPI 1124028881
- Accepts Medicare
- MIPS 81.2 / 100 · 2023
- 25 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
577 Geiger Dr Ste C
Roanoke, IN 467838877
(260) 672-5950
fax (260) 672-0939 - Mailing address
-
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 468451701
Credentials & registration
- NPI registered
- July 2005 — 21 yrs on file
- Profile last updated
- December 22, 2022
- Year of graduation
- 2001 — 25 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Indiana #01058795A
- Medicaid (2)
- IN #200502100A · IN #200956680
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124028881. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
887
Distinct HCPCS
10
Medicare allowed
$68,020
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 333 | 184 | $119 | |
36415 |
Insertion of needle into vein for collection of blood sample | 83 | 81 | $8 | |
83036 |
Hemoglobin a1c level | 80 | 45 | $9 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 78 | 62 | $82 | |
G0008 |
Administration of influenza virus vaccine | 61 | 60 | $28 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 57 | 57 | $123 | |
96372 |
Injection of drug or substance under skin or into muscle | 38 | 27 | $13 | |
90682 |
Influenza vaccine, quadrivalent derived from recombinant dna | 30 | 30 | $70 | |
90662 |
Influenza vaccine split virus, preservative free | 29 | 29 | $53 | |
J1040 |
Injection, methylprednisolone acetate, 80 mg | 29 | 23 | $12 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 56. This provider delivers 16× the peer median.Open Payments
Industry payments received
All-time total
$366
Transactions
4
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 3 | $244.73 | |
| AstraZeneca Pharmaceuticals LP | 1 | $121.15 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
4,109
Patients
1,121
Total drug cost
$207,032
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 561 | 137 | $8,479 |
| Atorvastatin Calcium | Generic | 542 | 153 | $4,895 |
| Amlodipine Besylate | Generic | 492 | 132 | $2,579 |
| Lisinopril | Generic | 377 | 102 | $2,461 |
| Rosuvastatin Calcium | Generic | 312 | 84 | $6,828 |
| Omeprazole | Generic | 273 | 73 | $3,523 |
| Pantoprazole Sodium | Generic | 241 | 72 | $3,233 |
| Metformin Hcl Er (Metformin Hcl) | Brand | 214 | 61 | $3,337 |
| Hydrochlorothiazide | Generic | 194 | 55 | $727 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 178 | 56 | $5,604 |
Hospital affiliations
Frequently asked questions
What is Dr. Theppanya Keolasy's medical specialty?
Dr. Theppanya Keolasy practices Family Medicine Physician in Roanoke, IN.
Where does Dr. Theppanya Keolasy practice?
Dr. Theppanya Keolasy practices at 577 Geiger Dr Ste C, Roanoke, IN 467838877. Office phone: 2606725950.
What is Dr. Theppanya Keolasy's NPI?
Dr. Theppanya Keolasy's National Provider Identifier (NPI) is 1124028881, issued by NPPES.
Does Dr. Theppanya Keolasy accept Medicare assignment?
Yes. Dr. Theppanya Keolasy accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theppanya Keolasy commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Hemoglobin a1c level (HCPCS 83036). Source: CMS Medicare Physician & Other Practitioners file.