Theresa Foreman
Emergency Medicine โข Kettering, OH
3535 Southern Blvd
Kettering, OH 454291221
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Theresa Foreman is listed in NPPES under Emergency Medicine.
-
NPI assigned on April 8, 2014; this date does not establish years in practice.
-
Published CMS data list 413 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
-
Published Part B service records, 2024:
- 99285 โ Emergency department visit with high level of medical decision making: 167 service units.
- 93010 โ Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only: 141 service units.
- 99284 โ Emergency department visit with moderate level of medical decision making: 74 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 5 records in the table ยท Guide: How to read Medicare Part B data
-
Published CMS data list 123 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
-
Published Part D records, 2024:
- Doxycycline Hyclate โ 27 prescription fills, including refills.
- Prednisone โ 21 prescription fills, including refills.
- Ondansetron Odt (Ondansetron) โ 18 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 7 records in the table ยท Guide: How to read Medicare Part D prescriber data
-
Close to the middle for Medicare Part B services among clinicians listed under Emergency Medicine in Kettering, OH (2024, 110 clinicians with data). Median for this group: 408. Middle half: 280 to 575.
More Medicare Part B services than 65% of clinicians listed under Emergency Medicine in Ohio (2024, 2,055 clinicians with data). Median for this group: 317. Middle half: 182 to 477.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
-
Medicare Part B services went from 493 in 2020 to 413 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
3535 Southern Blvd
Kettering, OH 454291221
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 10 distinct additional practice-address records in Beavercreek, OH; Centerville, OH; Dayton, OH and 7 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 2 distinct group names: Emergency Medicine Specialists Inc; Southeastern Emergency Physicians Llc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Louisville School Of Medicine
2014
What Public CMS Data Show
Emergency Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
295 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $41,269 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $30,876 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
123 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$606 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019โ2025.
Years since graduation
12 years (graduated 2014)
CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2014
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Theresa Foreman has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Theresa Foreman as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Kettering and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Emergency Medicine in Kettering, OH (2024, 110 clinicians with data). Median for this group: 408. Middle half: 280 to 575.
More Medicare Part B services than 65% of clinicians listed under Emergency Medicine in Ohio (2024, 2,055 clinicians with data). Median for this group: 317. Middle half: 182 to 477.
Medicare-allowed amount
A lower Medicare-allowed amount than 65% of clinicians listed under Emergency Medicine in Kettering, OH (2024, 110 clinicians with data). Median for this group: $50,554. Middle half: $38,381 to $63,908.
Close to the middle for clinicians listed under Emergency Medicine in Ohio (2024, 2,055 clinicians with data). Median for this group: $39,994. Middle half: $23,011 to $58,136.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Emergency Medicine in Kettering, OH (2024, 110 clinicians with data). Median for this group: $38,862. Middle half: $30,019 to $49,247.
Close to the middle for clinicians listed under Emergency Medicine in Ohio (2024, 2,055 clinicians with data). Median for this group: $30,587. Middle half: $17,377 to $44,685.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Emergency Medicine in Kettering, OH (2024, 105 clinicians with data). Median for this group: 106. Middle half: 51 to 208.
Close to the middle for clinicians listed under Emergency Medicine in Ohio (2024, 1,764 clinicians with data). Median for this group: 96. Middle half: 42 to 175.
Part D drug cost
Close to the middle for clinicians listed under Emergency Medicine in Kettering, OH (2024, 105 clinicians with data). Median for this group: $725. Middle half: $314 to $1,359.
Close to the middle for clinicians listed under Emergency Medicine in Ohio (2024, 1,764 clinicians with data). Median for this group: $536. Middle half: $229 to $1,099.
147 active clinicians are listed under Emergency Medicine with a practice address in Kettering, OH (3,004 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Kettering
0% of these 147 clinicians have the CMS telehealth indicator.
70.1% of these 147 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services decreased 16% from 493 in 2020 to 413 in 2024.
- 2020: 493
- 2021: 521
- 2022: 379
- 2023: 429
- 2024: 413
-
Medicare-allowed amount
Medicare-allowed amount decreased 16% from $49,141 in 2020 to $41,269 in 2024.
- 2020: $49,141
- 2021: $54,998
- 2022: $38,286
- 2023: $44,311
- 2024: $41,269
-
Paid by Medicare
Paid by Medicare decreased 21% from $39,013 in 2020 to $30,876 in 2024.
- 2020: $39,013
- 2021: $42,134
- 2022: $28,414
- 2023: $32,936
- 2024: $30,876
-
Medicare Part D prescriptions
Medicare Part D prescriptions increased 78% from 69 in 2020 to 123 in 2024.
- 2020: 69
- 2021: 76
- 2022: 90
- 2023: 150
- 2024: 123
-
30-day fills
30-day fills increased 78% from 69 in 2020 to 123 in 2024.
- 2020: 69
- 2021: 76
- 2022: 90
- 2023: 150
- 2024: 123
-
Part D drug cost
Part D drug cost went from $460 in 2020 to $606 in 2024.
- 2020: $460
- 2021: $550
- 2022: $574
- 2023: $1,011
- 2024: $606
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99285
Emergency department visit with high level of medical decision making
|
167 | 165 | $1191.00 | $166.98 |
|
93010
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
|
141 | 135 | $49.00 | $7.62 |
|
99284
Emergency department visit with moderate level of medical decision making
|
74 | 72 | $771.00 | $115.94 |
|
99283
Emergency department visit with low level of medical decision making
|
19 | 19 | $516.00 | $68.19 |
|
99291
Critical care, first 30-74 minutes
|
12 | 12 | $1240.00 | $202.81 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Doxycycline Hyclate | Doxycycline Hyclate | 27 | 187 | $153.56 | 27 |
| Prednisone | Prednisone | 21 | 140 | $55.57 | 20 |
| Ondansetron Odt | Ondansetron | 18 | 97 | $174.14 | 18 |
| Amoxicillin-Clavulanate Potass | Amoxicillin/Potassium Clav | 17 | 127 | $119.21 | 17 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 14 | 38 | $25.40 | 14 |
| Methocarbamol | Methocarbamol | 14 | 116 | $30.66 | 14 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 12 | 47 | $47.54 | 12 |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-05-07NUCC Taxonomy Code: 207P00000X
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - EMERGENCY MEDICINE
I20251201000644
KY
2668774274
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Southeastern Emergency Physicians Llc
989 Medical Park Dr, Maysville, KY 410568750
Phone: 6067595311
Emergency Medicine Specialists Inc
4000 Miamisburg Centerville Rd, Miamisburg, OH 453427615
Phone: 9373848791
Secondary Practice Locations
4000 Miamisburg Centerville Rd
Miamisburg, OH 453427615
Phone: 9373848791
1141 N Monroe Dr
Xenia, OH 453851619
Phone: 9373522500
3535 Pentagon Blvd
Beavercreek, OH 454311705
Phone: 9377024500
100 Kettering Way
Franklin, OH 450051155
Phone: 9374584700
8701 Old Troy Pike
Huber Heights, OH 454241066
Phone: 9375583338
6147 State Route 122
Middletown, OH 450055201
Phone: 5132613410
600 W Main St
Troy, OH 453732928
Phone: 9379807010
450 Washington Jackson Rd Ste F
Eaton, OH 453208699
Phone: 9374568376
405 W Grand Ave
Dayton, OH 454057538
Phone: 9377233211
1997 Miamisburg Centerville Rd
Centerville, OH 454593811
Phone: 9374016228
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Nurse Practitioner
Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Emergency Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Internal Medicine - Critical Care Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 3131 NEWMARK DR STE 220, MIAMISBURG, OH 453425400 (Tel: 9374364658)
NPI status registered as active in NPPES database
Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373958166)
Registered at 8280 YANKEE ST, CENTERVILLE, OH 454581806
Recorded as THERESA FOREMAN
Emergency Medicine (license number reported to NPPES: OH 35.130755)
NPI status registered as active in NPPES database
Registered at 1 MEDICAL CENTER DRIVE, PO 9149, MORGANTOWN, WV 265069149 (Tel: 3042937215)
Registered at PO BOX 9149, 1 MEDICAL CENTER DRIVE, MORGANTOWN, WV 265069149 (Tel: 3042937215)
Recorded as THERESA FOREMAN
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Emergency Medicine Providers in Kettering
- Robert Nichols
- Jamie Bonner
- Dr. Darrel Phong, DO
- Jonathon Stewart
- Dr. Adriana Dinatti, DO
- Dr. Usman Asad, MD
Mailing Address
3131 Newmark Dr Ste 220
Miamisburg, OH 453425400
Phone: 9374364658