DR. THEODORE JOSEPH JERDEE M.D.
NPI 1104806397
Radiology - Diagnostic Radiology in Travis Afb, CA
NPI Status: Active since January 23, 2006
Contact Information
101 BODIN CIR
60 MDG/SGQX
TRAVIS AFB, CA
ZIP 94535
Phone: (707) 423-7182
- Individual
- Male
- Radiology
- Diagnostic Radiology
- PECOS Enrolled
About THEODORE JERDEE
This page provides the complete NPI Profile along with additional information for Theodore Jerdee, a provider established in Travis Afb, California with a medical specialization in Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1104806397 assigned on January 2006. The practitioner's primary taxonomy code is 2085R0202X with license number C53747 (CA). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1104806397
- Provider Name
- DR. THEODORE JOSEPH JERDEE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 101 BODIN CIR 60 MDG/SGQX TRAVIS AFB, CA 94535
- Location Phone
- (707) 423-7182
- Mailing Address
- 101 BODIN CIR 60 MDG/SGQX TRAVIS AFB, CA 94535
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-23-2006
- Last Update Date
- 07-25-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C53747
- License State
- CA
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 22461 (OK) |
Medicare Participation & PECOS Enrollment Status
Theodore Jerdee is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 94535 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $98.85
- Minimum New Patient Price $65.02
- Maximum New Patient Price $191.95
- Average New Patient Copayment $24.71
- Minimum New Patient Copayment $16.25
- Maximum New Patient Copayment $47.98
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $80.24
- Minimum Established Patient Price $21.86
- Maximum Established Patient Price $157.69
- Average Established Patient Copayment $20.06
- Minimum Established Patient Copayment $5.46
- Maximum Established Patient Copayment $39.42
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 8 | 0 | 6 | 3 | 9 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 16 | 0 | 12 | 3 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 6 + 0 + 1 + 2 + 3 + 1 + 8 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1104806397 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1760476584 | DR. CONSTANCE ANN HUFF D.D.S. Individual | Dentist (Pediatric Dentistry) | 101 BODIN CIR DAVID GRANT MEDICAL CENTER / 60TH DENTAL SQUADRON TRAVIS AFB, CA 94535 (707) 423-7001 |
| 1811981467 | DR. PETER JOSEPH CHENAILLE M.D. Individual | Pediatrics (Pediatric Hematology-Oncology) | 101 BODIN CIR DEPARTMENT OF PEDIATRICS TRAVIS AFB, CA 94535 (707) 423-5312 |
| 1861486425 | DR. KYLE JERRY MICHAELIS MD Individual | Internal Medicine (Cardiovascular Disease) | 101 BODIN CIR TRAVIS AFB, CA 94535 (707) 423-5011 |
| 1972598480 | DR. PATRICK JAMES KEARNEY M.D., M.P.H. Individual | Preventive Medicine (Undersea and Hyperbaric Medicine) | 101 BODIN CIR TRAVIS AFB, CA 94535 (707) 423-3987 |
| 1841287513 | DR. KEVIN PAUL MULLIGAN PSY.D. Individual | Clinical Neuropsychologist | 101 BODIN CIR DAVID GRANT MEDICAL CENTER TRAVIS AFB, CA 94535 (707) 423-5174 |
| 1619964285 | WILLIAM ANTHONY KIEFFER PH.D Individual | Social Worker (Clinical) | 101 BODIN CIR TRAVIS AFB, CA 94535 (707) 423-3701 |
| 1770570723 | DR. SCOTT RIISE M.D. Individual | Family Medicine (Sports Medicine) | 101 BODIN CIR 60TH MDOS/SGOL TRAVIS AFB, CA 94535 (707) 423-7372 |
| 1427047174 | MS. DONNA HEITER CRNA Individual | Nurse Anesthetist, Certified Registered | 101 BODIN CIR 60 MDG/SGCSA TRAVIS AFB, CA 94535 (707) 423-3590 |
| 1407847098 | MRS. TRISHA KAE VORACHEK RD Individual | Dietitian, Registered | 101 BODIN CIR 60 MDTS/SGQD TRAVIS AFB, CA 94535 (707) 423-7405 |
| 1225019292 | DR. WILLIAM ANTHONY SATTERFIELD PH.D. Individual | Psychologist (Clinical) | 101 BODIN CIR 60 MDG/SGOHH TRAVIS AFB, CA 94535 (707) 423-5174 |
| 1114908084 | DR. EDWARD FRANCIS MITNITSKY DDS Individual | Dentist (General Practice) | 101 BODIN CIR 60TH DENTAL SQUADRON/SGDT TRAVIS AFB, CA 94535 (707) 423-7072 |
| 1376524132 | DR. DENNIS WILLIAM KELLY JR. D.D.S., M.S. Individual | Dentist (General Practice) | 101 BODIN CIR TRAVIS AFB, CA 94535 (707) 423-7055 |
| 1548241367 | DR. NATHAN T SCHWAMBURGER D.D.S. Individual | Dentist (General Practice) | 101 BODIN CIR TRAVIS AFB, CA 94535 (707) 423-3351 |
| 1689655433 | MR. BRUCE FEWKES CRNA Individual | Nurse Anesthetist, Certified Registered | 101 BODIN CIR TRAVIS AFB, CA 94535 (707) 423-3585 |
| 1447231998 | DR. VINCENT CHUNG-HON HU D.D.S. Individual | Dentist (General Practice) | 101 BODIN CIR TRAVIS AFB, CA 94535 (707) 423-7011 |
| 1477534915 | DR. ROBERT HIDEO JUDY DDS Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 101 BODIN CIR TRAVIS AFB, CA 94535 (707) 423-7052 |
| 1336120732 | DR. KYLE CAMERON NUNLEY DDS Individual | Dentist (Periodontics) | 101 BODIN CIR 60TH DENTAL SQUADRON (AMC)- DEPARTMENT OF THE AIR FORCE TRAVIS AFB, CA 94535 (707) 423-7025 |
| 1346222718 | DR. JAMES H YAO DMD Individual | Dentist (Endodontics) | 101 BODIN CIR TRAVIS AFB, CA 94535 (707) 423-7083 |
| 1053394056 | MR. JOSHUA JON STEFANIK PT Individual | Physical Therapist (Orthopedic) | 101 BODIN CIR TRAVIS AFB, CA 94535 (707) 423-7899 |
| 1750365003 | USAF Organization | General Acute Care Hospital | 101 BODIN CIR TRAVIS AFB FAIRFIELD, CA 94535 (707) 423-7899 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104806397, enumerated in the NPI registry as an "individual" on January 23, 2006
The provider is located at 101 Bodin Cir 60 Mdg/sgqx Travis Afb, Ca 94535 and the phone number is (707) 423-7182
The provider's speciality is Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $98.85 with an average copayment of $24.71 for new patient appointments. Established patients should expect a typical charge of $80.24 and an average copayment of 20.06. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on January 23, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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