Doctor profile · Federal record
Dr. Theodore Kistemaker, PA-C
Physician Assistant · Winston Salem, NC
- NPI 1770523557
- Accepts Medicare
- 24 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3333 Brookview Hills Blvd, Ste 207
Winston Salem, NC 271035661
(336) 765-5250
fax (336) 659-0953 - Mailing address
-
1701 Westchester Dr, Ste 850
High Point, NC 272627008
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- April 28, 2014
- Year of graduation
- 2002 — 24 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- North Carolina #103628
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1770523557. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
111
Distinct HCPCS
3
Medicare allowed
$7,284
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 71 | 63 | $72 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 21 | 21 | $95 | |
36415 |
Insertion of needle into vein for collection of blood sample | 19 | 17 | $8 |
In context: peer comparison
Among 176 peers in Winston Salem Physician Assistant, average services per provider: 59. This provider delivers 1.9× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
135
Patients
55
Total drug cost
$3,213
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amlodipine Besylate | Generic | 36 | 19 | $300 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 18 | 11 | $392 |
| Gabapentin | Generic | 17 | 0 | $1,961 |
| Losartan Potassium | Generic | 16 | 0 | $260 |
| Azithromycin | Generic | 13 | 13 | $57 |
| Lisinopril | Generic | 12 | 0 | $26 |
| Prednisone | Generic | 12 | 12 | $30 |
| Duloxetine Hcl | Generic | 11 | 0 | $188 |
Frequently asked questions
What is Dr. Theodore Kistemaker's medical specialty?
Dr. Theodore Kistemaker practices Physician Assistant in Winston Salem, NC.
Where does Dr. Theodore Kistemaker practice?
Dr. Theodore Kistemaker practices at 3333 Brookview Hills Blvd, Winston Salem, NC 271035661. Office phone: 3367655250.
What is Dr. Theodore Kistemaker's NPI?
Dr. Theodore Kistemaker's National Provider Identifier (NPI) is 1770523557, issued by NPPES.
Does Dr. Theodore Kistemaker accept Medicare assignment?
Yes. Dr. Theodore Kistemaker accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theodore Kistemaker commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415). Source: CMS Medicare Physician & Other Practitioners file.