Active NPI 1982708509 Individual Practitioner Male Practitioner

Dr. William Leon Theus , MD

Surgery • Calhoun, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. William Theus, MD is a certified Surgery practicing in Calhoun, GA. With approximately 38 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 1988, Dr. Theus delivers high-quality medical care to the local community at 1035 RED BUD RD NE STE 200.

Dr. Theus is affiliated with Adventist Health System Georgia Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare, biopsy of large bowel 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

1035 Red Bud Rd Ne Ste 200

Calhoun, GA 307016010

Telephone 7066028300

Fax 7066256955

Associated Practice Facility / Clinic

🏢 North West Georgia Surgical Associates Facility NPI 1215082490

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Calhoun, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +17.0 yrs vs City Avg

City Avg: 21.0 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

9 Specialists

Practicing in Calhoun, GA (1046 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Theus (38 Years) 38 Yrs

Calhoun Specialty Average (21.0 Years) 21.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	78	63	$270.00	$84.06
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	39	39	$769.00	$238.18
45380 Biopsy of large bowel using an endoscope	32	32	$608.00	$144.75
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$418.00	$97.06
45378 Diagnostic exam of large bowel using a flexible endoscope	29	29	$560.00	$167.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$500.00	$157.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	21	$382.00	$120.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$337.00	$104.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$168.00	$52.47
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$371.00	$89.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	70	56	$269.10	$85.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	45	$381.00	$121.76
45378 Diagnostic exam of large bowel using a flexible endoscope	38	38	$645.34	$168.39
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	37	$509.86	$92.72
45380 Biopsy of large bowel using an endoscope	31	31	$608.00	$152.63
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	30	30	$845.27	$243.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$498.29	$155.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$336.58	$106.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$167.50	$53.36
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$638.36	$169.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	85	$272.92	$83.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$507.00	$154.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	47	$383.78	$119.39
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	44	43	$1163.00	$108.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	41	$170.00	$53.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$340.00	$104.19
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	36	20	$215.00	$66.25
45380 Biopsy of large bowel using an endoscope	36	36	$1322.39	$133.42
45378 Diagnostic exam of large bowel using a flexible endoscope	28	28	$1048.00	$176.79
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	25	25	$1405.00	$224.69
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$220.00	$65.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$309.00	$98.22

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	87	41	$217.00	$68.66
99213 Established patient office or other outpatient visit, typically 15 minutes	78	69	$273.74	$85.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	45	$390.00	$120.55
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	41	$167.78	$51.87
45380 Biopsy of large bowel using an endoscope	44	44	$1327.68	$136.34
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	41	41	$1400.63	$242.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$339.00	$107.00
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	37	$1157.08	$102.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$508.00	$157.53
45378 Diagnostic exam of large bowel using a flexible endoscope	30	29	$995.60	$169.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	22	$311.00	$94.98
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$219.00	$69.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	15	11	$116.00	$37.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	67	$226.00	$69.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	59	$328.00	$105.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$500.00	$154.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	40	$137.00	$43.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	45	45	$1115.93	$121.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	23	$222.00	$71.90
45380 Biopsy of large bowel using an endoscope	35	35	$1282.63	$106.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	32	31	$1348.03	$250.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$325.00	$104.12
45378 Diagnostic exam of large bowel using a flexible endoscope	20	20	$1001.00	$177.56
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	15	$320.00	$103.37
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$230.00	$68.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	56	$135.00	$41.20
99213 Established patient office or other outpatient visit, typically 15 minutes	74	67	$224.00	$70.53
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	58	58	$1313.59	$245.31
45380 Biopsy of large bowel using an endoscope	54	54	$1253.00	$116.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	48	48	$1076.00	$94.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	41	$328.00	$104.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	21	$223.00	$69.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$499.00	$159.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$328.00	$100.49
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$982.00	$180.95
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$981.00	$176.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	21	$319.00	$102.57
45378 Diagnostic exam of large bowel using a flexible endoscope	21	21	$968.67	$171.08
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$230.00	$66.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	98	84	$219.00	$68.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	54	$322.00	$99.69
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	57	57	$1292.00	$253.65
45380 Biopsy of large bowel using an endoscope	53	53	$1221.00	$118.11
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	49	49	$1026.00	$118.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$326.00	$96.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$498.00	$158.24
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	28	$772.00	$97.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	26	$130.00	$41.55
45378 Diagnostic exam of large bowel using a flexible endoscope	26	26	$961.00	$169.76
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$961.00	$186.89
99202 New patient office or other outpatient visit, typically 20 minutes	14	14	$224.00	$61.50
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	11	11	$958.00	$186.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	117	$219.00	$67.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$494.81	$154.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$326.00	$97.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	60	$322.00	$100.06
45380 Biopsy of large bowel using an endoscope	65	64	$1221.00	$129.88
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	61	61	$1026.00	$111.64
45378 Diagnostic exam of large bowel using a flexible endoscope	53	53	$961.00	$173.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	52	51	$1292.00	$252.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	20	$620.00	$193.27
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$772.00	$101.29
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$961.00	$185.07

Medical Specialties & State Licenses

CMS Verified: 2020-01-02

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License GA 037091

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000553979D (GA)

Hospital & Practice Group Affiliations

Adventist Health System Georgia Inc

1035 Red Bud Rd Ne, Calhoun, GA 307016010

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Briton Jordan , MD

Surgery

NPI 1114916582

Doctor of Medicine (M.D.)

Dr. Patrick Meyer , MD

Surgery

NPI 1144753344

Doctor of Medicine (M.D.)

Jeana Handley , FNP-C

Nurse Practitioner - Family

NPI 1174915821

Family Nurse Practitioner (Certified)

Dr. Carl Lokko , MD

Surgery

NPI 1346506359

Doctor of Medicine (M.D.)

Dr. Joel Box , MD

Surgery

NPI 1508960121

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 02, 2020

Registered at 1035 RED BUD RD NE STE 200, CALHOUN, GA 307016010 (Tel: 7066028300)

📍

Updated Business Mailing Address December 19, 2018

Registered at PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 307037013

✅

NPI Profile Active December 28, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 28, 2016

Registered at 1035 REDBUD RD, STE 105, CALHOUN, GA 30701 (Tel: 7066028300)

📍

Updated Business Mailing Address December 28, 2016

Registered at PO BOX 12938, CALHOUN, GA 307037013 (Tel: 7066027800)

👤

Provider Name / Credentials Updated December 28, 2016

Recorded as WILLIAM THEUS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2016

Surgery (License #037091 in GA)

🟢

Initial NPI Registration & Enumeration September 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. William Theus. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1982708509

Entity Type:

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

Enumeration Date: September 12, 2006

Last Update: January 02, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 12938, C/o Clinic Management

Calhoun, GA 307037013

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.