Doctor profile · Federal record
Dr. Theodore Derse, MD
Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Family Medicine Physician · Zebulon, NC
- NPI 1336254515
- Accepts Medicare
- 34 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1260 N Arendell Ave
Zebulon, NC 275978730
(919) 235-1965 - Additional location
-
3115 Lewis Ave
Zion, IL 600993099
(847) 746-3752
fax (847) 746-9144 - Mailing address
-
Po Box 602195
Charlotte, NC 282602195
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- March 25, 2024
- Year of graduation
- 1992 — 34 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (3)
- North Carolina #2022-01023 · Wisconsin #34915 · Illinois #036139601
- Medicaid (2)
- WI #34175800 · IL #036139601
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1336254515. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
380
Distinct HCPCS
6
Medicare allowed
$30,182
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 178 | 161 | $86 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 94 | 94 | $105 | |
81003 |
Automated urinalysis test | 46 | 42 | $2 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 29 | 28 | $121 | |
87635 |
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 19 | 19 | $50 | |
87651 |
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 14 | 14 | $34 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 63. This provider delivers 6.0× the peer median.Open Payments
Industry payments received
All-time total
$295
Transactions
15
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Novo Nordisk Inc | 10 | $177.27 | |
| Lilly USA, LLC | 3 | $61.94 | |
| ABBVIE INC. | 1 | $34.21 | |
| Kyowa Kirin, Inc. | 1 | $21.44 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
205
Patients
192
Total drug cost
$2,359
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 37 | 36 | $665 |
| Methylprednisolone | Generic | 28 | 28 | $248 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 27 | 22 | $715 |
| Prednisone | Generic | 25 | 23 | $69 |
| Ciprofloxacin Hcl | Generic | 22 | 21 | $137 |
| Cephalexin | Generic | 20 | 20 | $171 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 17 | 15 | $180 |
| Azithromycin | Generic | 15 | 15 | $94 |
| Cyclobenzaprine Hcl | Generic | 14 | 12 | $80 |
Hospital affiliations
Frequently asked questions
What is Dr. Theodore Derse's medical specialty?
Dr. Theodore Derse practices Family Medicine Physician in Zebulon, NC.
Where does Dr. Theodore Derse practice?
Dr. Theodore Derse practices at 1260 N Arendell Ave, Zebulon, NC 275978730. Office phone: 9192351965.
What is Dr. Theodore Derse's NPI?
Dr. Theodore Derse's National Provider Identifier (NPI) is 1336254515, issued by NPPES.
Does Dr. Theodore Derse accept Medicare assignment?
Yes. Dr. Theodore Derse accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theodore Derse commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); New patient office or other outpatient visit (HCPCS 99203); Automated urinalysis test (HCPCS 81003). Source: CMS Medicare Physician & Other Practitioners file.