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 .

NPPES Updated May 11, 2026
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

NPPES · NUCC
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

OIG LEIE Updated May 11, 2026

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

CMS Provider Utilization
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

CMS Open Payments
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

Food and Beverage
$295

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
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

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
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.