Doctor profile · Federal record
Dr. Theodore Vander Velde, MD
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Saint Louis, MO
- NPI 1417967068
- Accepts Medicare
- MIPS 79.3 / 100 · 2023
- 33 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
510 S Kingshighway Blvd, Dept Radiology
Saint Louis, MO 631101016
(314) 362-7200
fax (314) 747-4189 - Mailing address
-
Po Box 7412011
Chicago, IL 606742011
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- April 17, 2025
- Year of graduation
- 1993 — 33 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State license (1)
- Missouri #103886
- Medicaid
- MO #209834803
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417967068. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
3,330
Distinct HCPCS
10
Medicare allowed
$69,334
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
73502 |
X-ray of hip, 2-3 views | 204 | 193 | $11 | |
73030 |
X-ray of shoulder, minimum of 2 views | 141 | 123 | $9 | |
73030 |
X-ray of shoulder, minimum of 2 views | 139 | 119 | $9 | |
73560 |
X-ray of knee, 1-2 views | 134 | 119 | $8 | |
73564 |
X-ray of knee, 4 or more views | 122 | 101 | $11 | |
73562 |
X-ray of knee, 3 views | 116 | 97 | $9 | |
72170 |
X-ray of pelvis, 1-2 views | 112 | 106 | $8 | |
73630 |
X-ray of foot, minimum of 3 views | 98 | 77 | $8 | |
73630 |
X-ray of foot, minimum of 3 views | 95 | 81 | $8 | |
71045 |
X-ray of chest, 1 view | 92 | 88 | $9 |
In context: peer comparison
Among 146 peers in Saint Louis Diagnostic Radiology Physician, average services per provider: 96. This provider delivers 35× the peer median.Open Payments
Industry payments received
All-time total
$891
Transactions
7
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 2 | $261.81 | |
| Bone Support INC. | 2 | $236.25 | |
| Bard Peripheral Vascular, INC. | 1 | $199.05 | |
| Galvanize Therapeutics, INC | 1 | $134.00 | |
| Penumbra, INC. | 1 | $60.19 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Theodore Vander Velde's medical specialty?
Dr. Theodore Vander Velde practices Diagnostic Radiology Physician in Saint Louis, MO.
Where does Dr. Theodore Vander Velde practice?
Dr. Theodore Vander Velde practices at 510 S Kingshighway Blvd, Saint Louis, MO 631101016. Office phone: 3143627200.
What is Dr. Theodore Vander Velde's NPI?
Dr. Theodore Vander Velde's National Provider Identifier (NPI) is 1417967068, issued by NPPES.
Does Dr. Theodore Vander Velde accept Medicare assignment?
Yes. Dr. Theodore Vander Velde accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theodore Vander Velde commonly perform?
Top Medicare-reported procedures in 2023: X-ray of hip, 2-3 views (HCPCS 73502); X-ray of shoulder, minimum of 2 views (HCPCS 73030); X-ray of shoulder, minimum of 2 views (HCPCS 73030). Source: CMS Medicare Physician & Other Practitioners file.