Doctor profile · Federal record
Dr. Nicole Theofanis, PA-C
Physician Assistant · Wormleysburg, PA
- NPI 1720467897
- Accepts Medicare
- MIPS 79.0 / 100 · 2023
- 11 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1000 N Front St
Wormleysburg, PA 170431021
(717) 731-0101
fax (717) 731-8359 - Mailing address
-
409 S 2Nd St, Suite 2F
Harrisburg, PA 171041612
Credentials & registration
- NPI registered
- May 2015 — 11 yrs on file
- Profile last updated
- June 26, 2019
- Year of graduation
- 2015 — 11 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Pennsylvania #MA057597
- Medicaid
- PA #103153338
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1720467897. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
110
Distinct HCPCS
1
Medicare allowed
$11,494
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 110 | 74 | $104 |
In context: peer comparison
Among 1 peers in Wormleysburg Physician Assistant, average services per provider: 110. This provider delivers 1.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
979
Patients
251
Total drug cost
$250,479
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Spironolactone | Generic | 162 | 44 | $820 |
| Metoprolol Succinate | Generic | 123 | 35 | $3,103 |
| Jardiance (Empagliflozin) | Brand | 117 | 27 | $98,013 |
| Entresto (Sacubitril/Valsartan) | Brand | 103 | 26 | $97,757 |
| Furosemide | Generic | 82 | 33 | $442 |
| Bumetanide | Generic | 70 | 19 | $1,972 |
| Eliquis (Apixaban) | Brand | 62 | 17 | $44,564 |
| Lisinopril | Generic | 49 | 13 | $398 |
| Carvedilol | Generic | 34 | 13 | $550 |
| Clopidogrel (Clopidogrel Bisulfate) | Brand | 33 | 12 | $293 |
Frequently asked questions
What is Dr. Nicole Theofanis's medical specialty?
Dr. Nicole Theofanis practices Physician Assistant in Wormleysburg, PA.
Where does Dr. Nicole Theofanis practice?
Dr. Nicole Theofanis practices at 1000 N Front St, Wormleysburg, PA 170431021. Office phone: 7177310101.
What is Dr. Nicole Theofanis's NPI?
Dr. Nicole Theofanis's National Provider Identifier (NPI) is 1720467897, issued by NPPES.
Does Dr. Nicole Theofanis accept Medicare assignment?
Yes. Dr. Nicole Theofanis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nicole Theofanis commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.