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Deactivated NPI 1073629929 Deactivated / Inactive NPI Male Practitioner

Dr. Theophilus Shickel Painter , MD

Allergy & Immunology • Austin, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Theophilus Painter has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 22, 2006
NPI Deactivation Date September 04, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Theophilus Painter, MD was a registered Allergy & Immunology practicing in Austin, TX. Throughout an active medical career spanning 18 years, Dr. Painter provided care at the practice location at 800 W 34TH ST until profile deactivation on 2024-09-04.

Historical Medicare Part B clinical services included injection of incremental dosages of allergen, professional service for preparation and provision of, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

800 W 34th St
Ste 201

Austin, TX 78705

Telephone 5124545821
Fax 5124599137
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Allergy & Immunology in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.6 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
31 Specialists

Practicing in Austin, TX (346 Statewide)

Telehealth Adoption Rate
29.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
37.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
95115 Injection of incremental dosages of allergen
555 29 $30.00 $9.34
95165 Professional service for preparation and provision of 1 or more antigens
275 29 $16.50 $14.38
99213 Established patient office or other outpatient visit, typically 15 minutes
70 54 $100.00 $74.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
69 16 $8.00 $1.54
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
34 15 $15.00 $6.43

Medical Specialties & State Licenses

Allergy & Immunology Primary Specialty

NUCC Taxonomy Code: 207K00000X

State License TX B9692

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. Edward Peters , MD

Allergy & Immunology

NPI 1255342184

Doctor of Medicine (M.D.)

Dr. Robert Cook , MD

Allergy & Immunology

NPI 1407813645

Doctor of Medicine (M.D.)

Deanna Weibel , RN, FNP-C

Nurse Practitioner

NPI 1417071747

Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Paul Vigo , MD

Allergy & Immunology

NPI 1518063817

Doctor of Medicine (M.D.)

Dr. Maria Gutierrez , MD

Allergy & Immunology

NPI 1679678213

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated September 04, 2024

Record deactivated on September 04, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 800 W 34TH ST, STE 201, AUSTIN, TX 78705 (Tel: 5124545821)

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Updated Business Mailing Address July 08, 2007

Registered at 800 W 34TH ST, STE 201, AUSTIN, TX 78705 (Tel: 5124545821)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THEOPHILUS PAINTER, MD

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

Allergy & Immunology (License #B9692 in TX)

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Initial NPI Registration & Enumeration August 22, 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: 1073629929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2006
Last Update: July 08, 2007
Deactivation Date: September 04, 2024

Mailing Address

800 W 34th St, Ste 201

Austin, TX 78705

Phone: 5124545821

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.