Active NPI 1043293657 Individual Practitioner Female Practitioner

Darla R Theobald , NP

Nurse Practitioner • Mankato, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Darla Theobald, NP is a certified Nurse Practitioner practicing in Mankato, MN. With approximately 37 years of clinical experience since completing medical education in 1989, Darla Theobald delivers high-quality medical care to the local community at 1025 MARSH ST.

Darla Theobald is affiliated with Mayo Clinic Health System-Southwest Minnesota Region and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, test to measure oxygen level in blood using ear or finger device continuously overnight. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1025 Marsh St

Mankato, MN 560014752

Telephone 5076254031

Associated Practice Facility / Clinic

🏢 Mayo Clinic Health System-Southwest Minnesota Region Facility NPI 1154302487

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Mankato, MN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +27.8 yrs vs City Avg

City Avg: 9.2 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

63 Specialists

Practicing in Mankato, MN (2609 Statewide)

Telehealth Adoption Rate

30.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

73.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Theobald (37 Years) 37 Yrs

Mankato Specialty Average (9.2 Years) 9.2 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
99213 Established patient office or other outpatient visit, typically 15 minutes	390	237	$126.00	$55.39
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	146	98	$55.00	$14.03
99213 Established patient office or other outpatient visit, typically 15 minutes	71	56	$210.00	$78.32
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	66	61	$307.00	$26.42
94729 Test to examine how well the lungs exchange gases	59	59	$29.00	$7.45
94726 Determination of lung volumes using plethysmography	58	58	$149.00	$10.09
94060 Test to measure expiratory airflow and volume changes before and after medication administration	52	52	$164.00	$8.62
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	44	42	$104.00	$20.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	40	$187.00	$81.93
94010 Test to measure expiratory airflow and volume	26	26	$98.00	$6.86
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	26	19	$55.00	$14.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$299.00	$111.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$85.00	$29.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$313.00	$111.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	351	237	$122.70	$54.58
94729 Test to examine how well the lungs exchange gases	214	210	$111.00	$7.35
94726 Determination of lung volumes using plethysmography	193	190	$212.00	$9.96
94060 Test to measure expiratory airflow and volume changes before and after medication administration	188	184	$222.00	$8.50
94010 Test to measure expiratory airflow and volume	131	122	$126.00	$6.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	58	$239.30	$80.87
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	61	54	$295.00	$26.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$285.00	$109.85
94070 Test to measure lung airway sensitivity	14	14	$313.00	$23.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	474	299	$118.34	$55.47
94729 Test to examine how well the lungs exchange gases	371	355	$154.00	$7.50
94726 Determination of lung volumes using plethysmography	338	323	$177.00	$10.16
94060 Test to measure expiratory airflow and volume changes before and after medication administration	332	320	$220.00	$8.69
94010 Test to measure expiratory airflow and volume	255	221	$126.00	$6.88
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	126	115	$65.90	$20.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	86	81	$224.05	$82.46
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	71	63	$284.00	$27.23
94070 Test to measure lung airway sensitivity	26	26	$371.00	$23.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$277.00	$112.26
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	13	13	$36.00	$10.04
99443 Telephone medical discussion with physician, 21-30 minutes	13	12	$171.00	$82.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	426	268	$121.56	$56.68
94729 Test to examine how well the lungs exchange gases	225	225	$149.00	$7.63
94060 Test to measure expiratory airflow and volume changes before and after medication administration	209	209	$213.00	$8.84
94726 Determination of lung volumes using plethysmography	208	208	$171.00	$10.34
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	195	176	$70.39	$19.71
94010 Test to measure expiratory airflow and volume	139	125	$122.00	$7.03
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	118	103	$275.00	$27.99
99213 Established patient office or other outpatient visit, typically 15 minutes	89	80	$201.00	$78.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	50	$225.02	$83.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	31	$296.00	$110.81
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	18	16	$37.00	$10.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$293.42	$114.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	451	264	$166.68	$66.62
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	131	122	$67.41	$20.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	113	85	$274.00	$90.05
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	83	71	$273.00	$26.78
94010 Test to measure expiratory airflow and volume	34	34	$121.56	$7.24
94060 Test to measure expiratory airflow and volume changes before and after medication administration	31	31	$254.23	$11.29
94729 Test to examine how well the lungs exchange gases	31	31	$181.58	$7.86
94726 Determination of lung volumes using plethysmography	30	30	$209.00	$10.65
99443 Telephone medical discussion with physician, 21-30 minutes	29	29	$175.00	$66.57
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	26	19	$24.00	$10.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$240.53	$109.46
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	11	11	$54.00	$21.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	556	330	$242.00	$91.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	324	288	$83.00	$19.54
94010 Test to measure expiratory airflow and volume	136	103	$193.00	$30.48
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	105	89	$268.00	$25.61
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	42	24	$40.00	$12.51
94729 Test to examine how well the lungs exchange gases	27	27	$246.00	$7.78
94726 Determination of lung volumes using plethysmography	27	27	$280.00	$10.55
94060 Test to measure expiratory airflow and volume changes before and after medication administration	25	25	$349.00	$11.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$375.00	$133.39
G0008 Administration of influenza virus vaccine	15	15	$10.00	$9.80
90662 Influenza vaccine split virus, preservative free	12	12	$50.00	$49.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	332	195	$237.00	$89.46
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	176	155	$81.00	$18.36
94010 Test to measure expiratory airflow and volume	114	90	$188.34	$30.41
94726 Determination of lung volumes using plethysmography	94	93	$274.00	$10.38
94729 Test to examine how well the lungs exchange gases	93	93	$241.00	$7.66
94060 Test to measure expiratory airflow and volume changes before and after medication administration	81	81	$342.00	$10.99
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	29	28	$262.00	$24.35
94010 Test to measure expiratory airflow and volume	16	16	$189.00	$7.06
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	14	12	$39.00	$11.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	405	211	$231.00	$89.08
94010 Test to measure expiratory airflow and volume	225	128	$165.09	$30.38
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	125	113	$79.00	$17.14
36415 Insertion of needle into vein for collection of blood sample	32	29	$31.06	$2.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	22	$379.00	$119.10
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	21	19	$141.00	$24.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$358.00	$135.59
94729 Test to examine how well the lungs exchange gases	15	15	$235.00	$7.64
94726 Determination of lung volumes using plethysmography	15	15	$268.00	$10.34
94060 Test to measure expiratory airflow and volume changes before and after medication administration	14	14	$334.00	$10.95
G0008 Administration of influenza virus vaccine	12	12	$10.00	$9.80

Medical Specialties & State Licenses

CMS Verified: 2020-09-18

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MN 1113

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License MN R1159484

Hospital & Practice Group Affiliations

Mayo Clinic Health System-Southwest Minnesota Region

1025 Marsh St, Mankato, MN 560014752

Phone: 5076254031

Mayo Clinic Health System-Southwest Minnesota Region

101 Martin Luther King Dr, Mankato, MN 560016460

Phone: 5073856500

Secondary Practice Locations

1015 Marsh St

Mankato, MN 560015294

Phone: 5073894700

Practice Associates & Co-Workers

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

40 Associated Practitioners

Kristin Clifford , CNP

Nurse Practitioner

NPI 1003508318

Certified Nurse Practitioner

Elizabeth Cumberland , NP

Nurse Practitioner - Family

NPI 1013359108

Nurse Practitioner

Omar Ferrer , ARNP

Nurse Practitioner

NPI 1013576594

Advanced Registered Nurse Practitioner

Sharon Brandt , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013989169

Certified Registered Nurse Anesthetist

Dr. Ripudamanjit Singh , MD

Internal Medicine - Interventional Cardiology

NPI 1013993930

Doctor of Medicine (M.D.)

Dr. Laurence O'connor , MD

Urology

NPI 1023019734

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location September 18, 2020

Registered at 1025 MARSH ST, MANKATO, MN 560014752 (Tel: 5076254031)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address July 08, 2007

Registered at 1025 MARSH ST, MANKATO, MN 560014752 (Tel: 5076254031)

📍

Updated Practice Location July 08, 2007

Registered at 1015 MARSH ST, MANKATO, MN 560015294 (Tel: 5073894700)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as DARLA THEOBALD, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #R1159484 in MN)

🟢

Initial NPI Registration & Enumeration November 29, 2005

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: 1043293657

Entity Type:

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

Enumeration Date: November 29, 2005

Last Update: September 18, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1025 Marsh St

Mankato, MN 560014752

Phone: 5076254031

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

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