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Active NPI 1508034596 Individual Practitioner Male Practitioner

Dr. Theodore D. Fifer , MD FACS

Surgery - Plastic and Reconstructive Surgery • Effingham, IL

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Fifer, MD FACS is a registered healthcare professional specializing in Surgery - Plastic and Reconstructive Surgery in Effingham, IL. Practice services are available at 14900 N COURT 9 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14900 N Court 9

Effingham, IL 624017640

Telephone 2179946162
Fax 2173427094

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Effingham, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.0 Yrs
State Avg: 24.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Effingham, IL (138 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License IL 036084136

A surgeon who specializes in plastic and reconstructive surgery.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License IL 036084136

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
036-084136 (IL)
Commercial Insurance / Payer ID Blue Cross
025-00076 (IL)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 12, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 12, 2012

Registered at 14900 N COURT 9, EFFINGHAM, IL 624017640 (Tel: 2179946162)

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Updated Business Mailing Address December 12, 2012

Registered at 14900 N COURT 9, EFFINGHAM, IL 624017640 (Tel: 2179946162)

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Provider Name / Credentials Updated December 12, 2012

Recorded as THEODORE FIFER, M.D. FACS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2012

Plastic Surgery (License #036084136 in IL)

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Initial NPI Registration & Enumeration February 13, 2008

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: 1508034596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2008
Last Update: December 12, 2012
Sole Proprietor: Yes

Mailing Address

14900 N Court 9

Effingham, IL 624017640

Phone: 2179946162

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.