Active NPI 1871795203 Individual Practitioner Male Practitioner

Dr. Theodore S. Haley , MD

Surgery • Gilbert, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Haley, MD is a certified Surgery practicing in Gilbert, AZ. With approximately 22 years of clinical experience since graduating from University Of Arizona College Of Medicine in 2004, Dr. Haley delivers high-quality medical care to the local community at 3367 S. MERCY RD.

Dr. Haley is affiliated with Arizona Advanced Surgery Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, repair of groin hernia using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3367 S. Mercy Rd
#210

Gilbert, AZ 85297

Telephone 4809694138

Fax 4809690630

Associated Practice Facility / Clinic

🏢 Advanced Surgical Associates, Ltd. Facility NPI 1073655171

Medicare Profile & Education

Medical School

University Of Arizona College Of Medicine

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Gilbert, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +4.0 yrs vs City Avg

City Avg: 18.0 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

30 Specialists

Practicing in Gilbert, AZ (801 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Haley (22 Years) 22 Yrs

Gilbert Specialty Average (18.0 Years) 18.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	70	70	$491.00	$168.07
99213 Established patient office or other outpatient visit, typically 15 minutes	31	27	$266.00	$91.67
49650 Repair of groin hernia using an endoscope	26	26	$1412.04	$378.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$330.00	$112.09
47562 Removal of gallbladder using an endoscope	22	22	$1676.75	$544.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	17	$377.00	$127.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$491.38	$160.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$330.23	$106.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	12	$209.00	$76.67
49650 Repair of groin hernia using an endoscope	22	22	$1215.88	$355.70
99213 Established patient office or other outpatient visit, typically 15 minutes	22	18	$266.27	$87.36
47562 Removal of gallbladder using an endoscope	22	22	$1450.10	$467.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$397.00	$126.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	29	$268.33	$88.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$329.10	$107.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	17	$209.09	$69.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$495.07	$162.81
49650 Repair of groin hernia using an endoscope	22	22	$1412.95	$302.15
49568 Placement of mesh to repair incisional or abdominal hernia	19	19	$667.37	$192.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$397.18	$130.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	15	$583.00	$193.04
49560 Repair of incisional or abdominal hernia	14	14	$1893.11	$481.73
47562 Removal of gallbladder using an endoscope	12	12	$1510.50	$388.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$331.06	$109.28
99213 Established patient office or other outpatient visit, typically 15 minutes	43	28	$263.44	$89.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	17	$212.00	$70.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$494.97	$165.29
49650 Repair of groin hernia using an endoscope	29	29	$1324.47	$318.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$589.00	$196.15
47562 Removal of gallbladder using an endoscope	24	24	$1604.79	$473.77
49568 Placement of mesh to repair incisional or abdominal hernia	22	21	$687.45	$204.34
49560 Repair of incisional or abdominal hernia	19	19	$1944.79	$595.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	14	$113.00	$37.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	20	$144.00	$72.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	36	$403.00	$201.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$213.06	$103.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$325.06	$154.71
47562 Removal of gallbladder using an endoscope	27	27	$1041.46	$481.79
99213 Established patient office or other outpatient visit, typically 15 minutes	23	19	$148.00	$74.09
49650 Repair of groin hernia using an endoscope	21	21	$558.14	$183.46
49568 Placement of mesh to repair incisional or abdominal hernia	16	15	$309.56	$157.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$215.00	$107.36
49560 Repair of incisional or abdominal hernia	13	12	$904.19	$477.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	83	27	$144.39	$72.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$327.55	$162.35
99213 Established patient office or other outpatient visit, typically 15 minutes	43	34	$147.21	$73.26
49568 Placement of mesh to repair incisional or abdominal hernia	28	28	$373.28	$172.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$215.22	$106.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	21	$275.30	$135.68
G0168 Wound closure utilizing tissue adhesive(s) only	23	23	$101.09	$11.51
49650 Repair of groin hernia using an endoscope	22	22	$816.40	$344.56
49560 Repair of incisional or abdominal hernia	20	19	$1063.60	$505.15
47562 Removal of gallbladder using an endoscope	20	20	$980.15	$466.38
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$405.50	$200.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$215.92	$107.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	92	37	$144.00	$71.80
G0168 Wound closure utilizing tissue adhesive(s) only	84	74	$185.17	$13.74
99213 Established patient office or other outpatient visit, typically 15 minutes	61	44	$146.00	$71.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$328.00	$159.44
49568 Placement of mesh to repair incisional or abdominal hernia	31	31	$397.94	$174.03
47562 Removal of gallbladder using an endoscope	25	25	$1011.28	$464.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	23	$276.00	$134.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$216.00	$105.68
49560 Repair of incisional or abdominal hernia	19	19	$1178.00	$508.98
49650 Repair of groin hernia using an endoscope	18	18	$575.56	$242.99
49561 Repair of trapped incisional or abdominal hernia	14	13	$838.45	$315.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	111	52	$139.47	$71.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	60	60	$330.93	$161.72
G0168 Wound closure utilizing tissue adhesive(s) only	60	51	$208.00	$13.90
99213 Established patient office or other outpatient visit, typically 15 minutes	51	37	$145.94	$70.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	29	$394.42	$200.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$268.56	$135.08
47562 Removal of gallbladder using an endoscope	24	24	$878.88	$408.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	11	$76.00	$38.75
49650 Repair of groin hernia using an endoscope	22	22	$705.32	$311.60
49568 Placement of mesh to repair incisional or abdominal hernia	22	21	$386.91	$185.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$215.00	$106.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$215.14	$105.99
49324 Insertion of abdominal cavity catheter using an endoscope	11	11	$683.18	$329.58

Medical Specialties & State Licenses

CMS Verified: 2022-08-23

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AZ 41538

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License AZ 76320

Hospital & Practice Group Affiliations

Arizona Advanced Surgery Llc

2320 N 3rd St, Phoenix, AZ 850041303

Phone: 6023400201

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. J. Rula , MD

Surgery

NPI 1053317180

Doctor of Medicine (M.D.)

Dr. Jeffrey Salomone , MD

Surgery - Surgical Critical Care

NPI 1093897506

Doctor of Medicine (M.D.)

Chad Summers , PA-C

Physician Assistant - Surgical

NPI 1104556992

Physician Assistant (Certified)

Dr. Lawrence Damore , MD

Surgery

NPI 1174529200

Doctor of Medicine (M.D.)

Franchesca Alexander , PA-C

Physician Assistant - Surgical

NPI 1174995245

Physician Assistant (Certified)

Lauren Anderson , PA

Physician Assistant - Surgical

NPI 1205676277

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Business Mailing Address August 23, 2022

Registered at 2320 N 3RD ST, PHOENIX, AZ 850041303 (Tel: 6022589900)

📍

Updated Practice Location March 01, 2018

Registered at 3367 S. MERCY RD, #210, GILBERT, AZ 85297 (Tel: 4809694138)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2018

Surgery (License #76320 in AZ)

✅

NPI Profile Active August 07, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 07, 2017

Registered at 3645 SOUTH ROME STREET, SUITE 204, GILBERT, AZ 85297 (Tel: 4809694138)

📍

Updated Business Mailing Address August 07, 2017

Registered at 2945 SOUTH DOBSON RD, MESA, AZ 85202 (Tel: 4809694138)

👤

Provider Name / Credentials Updated August 07, 2017

Recorded as THEODORE HALEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2017

Surgery (License #76320 in AZ)

✅

NPI Profile Active August 12, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 12, 2015

Registered at 3645 SOUTH ROME STREET, SUITE 204, GILBERT, AZ 85297 (Tel: 4809694138)

📍

Updated Business Mailing Address August 12, 2015

Registered at 2945 SOUTH DOBSON RD, MESA, AZ 85202 (Tel: 4809694138)

👤

Provider Name / Credentials Updated August 12, 2015

Recorded as THEODORE HALEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2015

Surgery (License #41538 in AZ)

🟢

Initial NPI Registration & Enumeration June 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871795203

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 05, 2007

Last Update: August 23, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2320 N 3rd St

Phoenix, AZ 850041303

Phone: 6022589900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.