Doctor profile · Federal record
Dr. Jeremy Theisen, MD
Diagnostic Radiology Physician (CMS: Diagnostic Radiology) · Diagnostic Radiology Physician · Internal Medicine Physician · Diagnostic Radiology Physician · Ponca City, OK
- NPI 1881954501
- Accepts Medicare
- MIPS 93.0 / 100 · 2023
- 14 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 5 locations .
- Primary practice
-
1900 N 14Th St
Ponca City, OK 746012035
(580) 765-0575 - Additional location
-
1 Capital Way
Pennington, NJ 085342520
(609) 303-4000 - Additional location
-
310 Salem Woodstown RD
Salem, NJ 080792064
(856) 339-6054
fax (856) 935-6714 - Additional location
-
750 Brunswick Ave
Trenton, NJ 086384143
(609) 394-6000 - Additional location
-
920 Sl Young Blvd
Oklahoma City, OK 731045036
(405) 271-5963
Show 2 more locations
Credentials & registration
- NPI registered
- May 2012 — 14 yrs on file
- Profile last updated
- September 23, 2025
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 2085R0202X — NUCC code
- State licenses (3)
- Oklahoma #29296 · Hawaii #MD-23144 · New Jersey #25IA12501900
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1881954501. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
11,169
Distinct HCPCS
10
Medicare allowed
$396,132
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
71045 |
X-ray of chest, 1 view | 2,029 | 1,326 | $8 | |
77067 |
Screening mammography | 945 | 945 | $34 | |
70450 |
Ct scan head or brain without contrast | 634 | 572 | $38 | |
71046 |
X-ray of chest, 2 views | 470 | 437 | $10 | |
77063 |
Screening 3d breast mammography | 460 | 460 | $27 | |
74177 |
Ct scan of abdomen and pelvis with contrast | 454 | 425 | $83 | |
77080 |
Dxa bone density measurement of hip, pelvis, spine | 384 | 384 | $9 | |
71260 |
Ct scan of chest with contrast | 262 | 241 | $52 | |
74176 |
Ct scan of abdomen and pelvis without contrast | 231 | 225 | $79 | |
71250 |
Ct scan of chest without contrast | 181 | 178 | $48 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 98. This provider delivers 114× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Jeremy Theisen's medical specialty?
Dr. Jeremy Theisen practices Diagnostic Radiology Physician in Ponca City, OK.
Where does Dr. Jeremy Theisen practice?
Dr. Jeremy Theisen practices at 1900 N 14Th St, Ponca City, OK 746012035. Office phone: 5807650575.
What is Dr. Jeremy Theisen's NPI?
Dr. Jeremy Theisen's National Provider Identifier (NPI) is 1881954501, issued by NPPES.
Does Dr. Jeremy Theisen accept Medicare assignment?
Yes. Dr. Jeremy Theisen accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jeremy Theisen commonly perform?
Top Medicare-reported procedures in 2023: X-ray of chest, 1 view (HCPCS 71045); Screening mammography (HCPCS 77067); Ct scan head or brain without contrast (HCPCS 70450). Source: CMS Medicare Physician & Other Practitioners file.