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Active NPI 1295896041 Individual Practitioner Male Practitioner

Dr. Theodore Edmund Staahl , MD

Specialist • Modesto, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Staahl, MD is a certified Specialist practicing in Modesto, CA. With approximately 55 years of clinical experience since completing medical education in 1971, Dr. Staahl delivers high-quality medical care to the local community at 1329 SPANOS CT STE A-1.

Dr. Staahl accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

1329 Spanos Ct Ste A-1

Modesto, CA 953552806

Telephone 2095775700
Fax 2095775968
Associated Practice Facility / Clinic
🏢 Theodore E. Staahl Md Inc Facility NPI 1467767541

Medicare Profile & Education

Medical School

Other

Graduation Year

1971

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Modesto, CA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
55 Yrs +19.8 yrs vs City Avg
City Avg: 35.2 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
154 Specialists

Practicing in Modesto, CA (6446 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
27.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Staahl (55 Years) 55 Yrs
Modesto Specialty Average (35.2 Years) 35.2 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
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
31 31 $305.00 $221.93

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA G037452

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1329 SPANOS CT STE A-1, MODESTO, CA 953552806 (Tel: 2095775700)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1329 SPANOS CT STE A-1, MODESTO, CA 953552806 (Tel: 2095775700)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as THEODORE STAAHL, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #G037452 in CA)

🟢
Initial NPI Registration & Enumeration December 13, 2006

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: 1295896041
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2006
Last Update: July 09, 2007
Sole Proprietor: Yes

Mailing Address

1329 Spanos Ct Ste A-1

Modesto, CA 953552806

Phone: 2095775700

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.