Doctor profile · Federal record
Dr. Benjamin Theobald, MD
Emergency Medicine Physician (CMS: Emergency Medicine) · Spartanburg, SC
- NPI 1053846287
- Accepts Medicare
- MIPS 96.1 / 100 · 2023
- 9 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
101 E Wood St
Spartanburg, SC 293033040
(864) 560-7025
fax (864) 560-7388 - Mailing address
-
Po Box 743070
Atlanta, GA 303743070
Credentials & registration
- NPI registered
- April 2017 — 9 yrs on file
- Profile last updated
- January 4, 2021
- Year of graduation
- 2017 — 9 yrs since
- Specialty taxonomy
- 207P00000X — NUCC code
- State license (1)
- South Carolina #41006
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1053846287. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
915
Distinct HCPCS
5
Medicare allowed
$86,407
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
93010 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 317 | 306 | $8 | |
99284 |
Emergency department visit with moderate level of medical decision making | 223 | 221 | $115 | |
99285 |
Emergency department visit with high level of medical decision making | 222 | 220 | $168 | |
99283 |
Emergency department visit with low level of medical decision making | 77 | 76 | $68 | |
99291 |
Critical care, first 30-74 minutes | 76 | 76 | $205 |
In context: peer comparison
Among 25 peers in this city , average services per provider: 123. This provider delivers 7.4× the peer median.Open Payments
Industry payments received
All-time total
$14
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PFIZER INC. | 1 | $14.03 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
168
Patients
167
Total drug cost
$1,196
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cephalexin | Generic | 59 | 58 | $329 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 25 | 25 | $88 |
| Ondansetron Odt (Ondansetron) | Brand | 25 | 25 | $169 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 18 | 18 | $210 |
| Prednisone | Generic | 18 | 18 | $57 |
| Nitrofurantoin Mono-Macro (Nitrofurantoin Monohyd/M-Cryst) | Brand | 12 | 12 | $246 |
| Azithromycin | Generic | 11 | 11 | $97 |
Hospital affiliations
Frequently asked questions
What is Dr. Benjamin Theobald's medical specialty?
Dr. Benjamin Theobald practices Emergency Medicine Physician in Spartanburg, SC.
Where does Dr. Benjamin Theobald practice?
Dr. Benjamin Theobald practices at 101 E Wood St, Spartanburg, SC 293033040. Office phone: 8645607025.
What is Dr. Benjamin Theobald's NPI?
Dr. Benjamin Theobald's National Provider Identifier (NPI) is 1053846287, issued by NPPES.
Does Dr. Benjamin Theobald accept Medicare assignment?
Yes. Dr. Benjamin Theobald accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Benjamin Theobald commonly perform?
Top Medicare-reported procedures in 2023: Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS 93010); Emergency department visit with moderate level of medical decision making (HCPCS 99284); Emergency department visit with high level of medical decision making (HCPCS 99285). Source: CMS Medicare Physician & Other Practitioners file.