Doctor profile · Federal record
Dr. Theodora Squire
Student in an Organized Health Care Education/Training Program (CMS: Physician Assistant) · Glen Allen, VA
- NPI 1417591660
- Accepts Medicare
- MIPS 80.8 / 100 · 2023
- 5 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2151 Old Brick RD
Glen Allen, VA 230605837
(703) 850-8981
Credentials & registration
- NPI registered
- October 2019 — 7 yrs on file
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 390200000X — NUCC code
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417591660. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
295
Distinct HCPCS
6
Medicare allowed
$28,101
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 69 | 65 | $112 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 67 | 67 | $84 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 65 | 64 | $72 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 57 | 57 | $144 | |
99202 |
New patient office or other outpatient visit, 15-29 minutes | 24 | 24 | $54 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 13 | 13 | $45 |
In context: peer comparison
Among 1 peers in Glen Allen Student in an Organized Health Care Education/Training Program, average services per provider: 49. This provider delivers 6.0× the peer median.Open Payments
Industry payments received
All-time total
$2,781
Transactions
144
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbvie INC. | 46 | $649.27 | |
| Janssen Biotech, INC. | 22 | $584.38 | |
| Takeda Pharmaceuticals U.S.A., INC. | 18 | $369.01 | |
| Ipsen Biopharmaceuticals, INC | 7 | $175.38 | |
| Lilly USA, LLC | 6 | $153.06 | |
| Celgene Corporation | 11 | $149.57 | |
| Regeneron Healthcare Solutions, INC. | 7 | $144.28 | |
| Pfizer INC. | 6 | $115.14 | |
| Celltrion USA INC. | 5 | $95.98 | |
| Ardelyx, INC. | 4 | $88.38 | |
| Genzyme Corporation | 3 | $57.93 | |
| Vivus LLC | 3 | $55.00 | |
| Gilead Sciences, INC. | 2 | $48.06 | |
| Ironwood Pharmaceuticals, INC | 2 | $41.80 | |
| Phathom Pharmaceuticals, INC. | 2 | $36.99 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
64
Patients
18
Total drug cost
$66,898
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 27 | 18 | $387 |
| Omeprazole | Generic | 22 | 0 | $191 |
| Zenpep (Lipase/Protease/Amylase) | Brand | 15 | 0 | $66,320 |
Hospital affiliations
Frequently asked questions
What is Dr. Theodora Squire's medical specialty?
Dr. Theodora Squire practices Student in an Organized Health Care Education/Training Program in Glen Allen, VA.
Where does Dr. Theodora Squire practice?
Dr. Theodora Squire practices at 2151 Old Brick RD, Glen Allen, VA 230605837. Office phone: 7038508981.
What is Dr. Theodora Squire's NPI?
Dr. Theodora Squire's National Provider Identifier (NPI) is 1417591660, issued by NPPES.
Does Dr. Theodora Squire accept Medicare assignment?
Yes. Dr. Theodora Squire accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theodora Squire commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99203); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.