Doctor profile · Federal record
Dr. Andrew Theus, PA-C
Physician Assistant · Estancia, NM
- NPI 1568029239
- Accepts Medicare
- MIPS 83.0 / 100 · 2023
- 7 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
903 5Th St # C
Estancia, NM 870161155
(505) 384-2777 - Mailing address
-
Po Box 305
Edgewood, NM 870150305
Credentials & registration
- NPI registered
- May 2019 — 7 yrs on file
- Profile last updated
- July 16, 2019
- Year of graduation
- 2019 — 7 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- New Mexico #PA2019-0052
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1568029239. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
168
Distinct HCPCS
5
Medicare allowed
$10,589
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 45 | 43 | $80 | |
36415 |
Insertion of needle into vein for collection of blood sample | 40 | 32 | $8 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 28 | 28 | $54 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 28 | 26 | $117 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $68 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 34. This provider delivers 4.9× the peer median.Open Payments
Industry payments received
All-time total
$239
Transactions
9
Manufacturers
6
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Phathom Pharmaceuticals, Inc. | 2 | $95.89 | |
| Janssen Biotech, Inc. | 2 | $55.51 | |
| PFIZER INC. | 2 | $31.91 | |
| Celltrion USA Inc. | 1 | $20.99 | |
| Mallinckrodt Hospital Products Inc. | 1 | $20.62 | |
| ABBVIE INC. | 1 | $13.98 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,224
Patients
643
Total drug cost
$20,921
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 130 | 72 | $2,733 |
| Levothyroxine Sodium | Generic | 120 | 60 | $2,410 |
| Famotidine | Generic | 113 | 58 | $1,834 |
| Lisinopril | Generic | 102 | 51 | $1,211 |
| Hydrochlorothiazide | Generic | 85 | 42 | $487 |
| Rosuvastatin Calcium | Generic | 85 | 42 | $1,521 |
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 74 | 74 | $1,468 |
| Pantoprazole Sodium | Generic | 73 | 46 | $1,834 |
| Metformin Hcl | Generic | 70 | 28 | $703 |
| Atorvastatin Calcium | Generic | 68 | 32 | $977 |
Frequently asked questions
What is Dr. Andrew Theus's medical specialty?
Dr. Andrew Theus practices Physician Assistant in Estancia, NM.
Where does Dr. Andrew Theus practice?
Dr. Andrew Theus practices at 903 5Th St # C, Estancia, NM 870161155. Office phone: 5053842777.
What is Dr. Andrew Theus's NPI?
Dr. Andrew Theus's National Provider Identifier (NPI) is 1568029239, issued by NPPES.
Does Dr. Andrew Theus accept Medicare assignment?
Yes. Dr. Andrew Theus accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Andrew Theus 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); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.