Doctor profile · Federal record
Dr. Theodore Wissink, MD
Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · South Burlington, VT
- NPI 1124193503
- Accepts Medicare
- 22 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
118 Tilley Dr Ste 201
South Burlington, VT 054034450
(802) 847-5550
fax (802) 847-3646 - Additional location
-
272 Congress St
Portland, ME 04101
(207) 874-2466
fax (207) 774-4625 - Mailing address
-
111 Colchester Ave
Burlington, VT 054011473
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- December 22, 2025
- Year of graduation
- 2004 — 22 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Vermont #042.0019084 · Maine #017817
- Medicaid (2)
- ME #432952299 · NH #30207877
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1124193503. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
322
Distinct HCPCS
6
Medicare allowed
$22,272
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 145 | 101 | $78 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 63 | 53 | $62 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 43 | 43 | $69 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 42 | 18 | $38 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 17 | 15 | $127 | |
97810 |
Acupuncture, initial 15 minutes | 12 | 11 | $30 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 63. This provider delivers 5.1× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
760
Patients
227
Total drug cost
$14,235
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 110 | 37 | $2,529 |
| Levothyroxine Sodium | Generic | 79 | 24 | $1,325 |
| Lisinopril | Generic | 75 | 25 | $583 |
| Amlodipine Besylate | Generic | 70 | 26 | $494 |
| Gabapentin | Generic | 59 | 16 | $1,469 |
| Omeprazole | Generic | 43 | 20 | $695 |
| Rosuvastatin Calcium | Generic | 40 | 14 | $1,363 |
| Tamsulosin Hcl | Generic | 40 | 14 | $1,427 |
| Duloxetine Hcl | Generic | 37 | 0 | $1,101 |
| Losartan Potassium | Generic | 37 | 12 | $445 |
Hospital affiliations
Frequently asked questions
What is Dr. Theodore Wissink's medical specialty?
Dr. Theodore Wissink practices Family Medicine Physician in South Burlington, VT.
Where does Dr. Theodore Wissink practice?
Dr. Theodore Wissink practices at 118 Tilley Dr Ste 201, South Burlington, VT 054034450. Office phone: 8028475550.
What is Dr. Theodore Wissink's NPI?
Dr. Theodore Wissink's National Provider Identifier (NPI) is 1124193503, issued by NPPES.
Does Dr. Theodore Wissink accept Medicare assignment?
Yes. Dr. Theodore Wissink accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theodore Wissink commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.