Dr. Theresa A. Shouse
- Gender: Female
- Sole propriator: No
- NPI: 1467406058
Dr. Theresa A. Shouse M.D.
Pediatrician
She is located at 6200 West Parker Road #410 in Plano, TX 75093. Can help patients with the following: Abdominal Pain, Headache, Muscular Dystrophy, Nausea and Vomiting, Stuttering, Urinary Tract Infection (UTI). Her National Provider Identifier (NPI) number is 1467406058. Appointment can be made via the phone number (972) 981-8380. She is affiliated with 1 practices.
Conditions treated
Dr. Theresa A. Shouse, being an pediatrician, treats the following conditions. Please be advised that this list may not be complete. For the full list of conditions treated, consult directly with Dr. Theresa A. Shouse.
- Abdominal Pain
- Allergic Reaction
- Anemia
- Anencephaly
- Asthma
- Autism
- Bee and Wasp Stings
- Birth Defects
- Bronchitis
- Cerebral Palsy (CP)
- Childhood Behavioral and Emotional Disorders
- Childhood Obesity
- Chronic Cough
- Cleft Palate and Cleft Lip
- Colic
- Common Cold
- Croup
- Developmental Delays
- Down Syndrome
- Dyslexia
- Eczema
- Edwards Syndrome
- Enuresis
- Fetal Alcohol Syndrome (FAS)
- Fever
- Food Poisoning
- Fragile X Syndrome (FXS)
- General Care
- Hay Fever
- Head Lice
- Headache
- Hives
- Infant Care
- Influenza
- Jaundice
- Kawasaki Disease
- Learning Disability
- Migraine
- Muscular Dystrophy
- Nausea and Vomiting
- Noonan Syndrome
- Parenting
- Pervasive Developmental Disorders (PDD)
- Phenylketonuria (PKU)
- Pinworm Infection
- Prescription Refill
- Reye Syndrome
- Rickets
- Sinusitis
- Skin Rash
- Sore Throat
- Speech Disorders
- Stuttering
- Sudden Infant Death Syndrome (SIDS)
- Tourette Syndrome
- Turner Syndrome
- Upper Respiratory Infection (URI)
- Urinary Tract Infection (UTI)
- Williams Syndrome
- Wilson-Turner Syndrome
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Theresa A. Shouse as in-network for the following 2026 plans.
Health plans
Baylor Scott and White Health Plan
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 10 plans from Baylor Scott and White Health Plan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| BSW Diabetes Care Gold HMO 014 | HMO · Gold | Bswpremierhmo | Accepting new patients |
| BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) | HMO · Gold | Bswpremierhmo | Accepting new patients |
| BSW Elite Gold HMO 004 | HMO · Gold | Bswpremierhmo | Accepting new patients |
| BSW Elite Gold HMO 012 | HMO · Gold | Bswpremierhmo | Accepting new patients |
| BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) | HMO · Silver | Bswpremierhmo | Accepting new patients |
| BSW Prime Silver HMO 008 | HMO · Silver | Bswpremierhmo | Accepting new patients |
| BSW Prime Silver HMO 005 | HMO · Silver | Bswpremierhmo | Accepting new patients |
| BSW Savers Bronze HMO H S A 006 | HMO · Expanded Bronze | Bswpremierhmo | Accepting new patients |
| BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay) | HMO · Expanded Bronze | Bswpremierhmo | Accepting new patients |
| BSW Savers Bronze HMO H S A 009 | HMO · Expanded Bronze | Bswpremierhmo | Accepting new patients |
UnitedHealthcare
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 14 plans from UnitedHealthcare
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) | HMO · Expanded Bronze | Non Preferred | Not accepting new patients |
| UHC Bronze Essential ($0 Virtual Urgent Care) | HMO · Bronze | Non Preferred | Not accepting new patients |
| UHC Bronze Standard | HMO · Expanded Bronze | Non Preferred | Not accepting new patients |
| UHC Bronze Standard+ (Dental + Vision) | HMO · Expanded Bronze | Non Preferred | Not accepting new patients |
| UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) | HMO · Gold | Non Preferred | Not accepting new patients |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) | HMO · Gold | Non Preferred | Not accepting new patients |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx) | HMO · Gold | Non Preferred | Not accepting new patients |
| UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) | HMO · Gold | Non Preferred | Not accepting new patients |
| UHC Gold Standard | HMO · Gold | Non Preferred | Not accepting new patients |
| UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx) | HMO · Silver | Non Preferred | Not accepting new patients |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision) | HMO · Silver | Non Preferred | Not accepting new patients |
| UHC Silver Standard | HMO · Silver | Non Preferred | Not accepting new patients |
| UHC Silver Value ($0 Virtual Urgent Care) | HMO · Silver | Non Preferred | Not accepting new patients |
| UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision) | HMO · Silver | Non Preferred | Not accepting new patients |
WellPoint
Network data as of Sep 10, 2026, as reported by the insurer.
Show all 21 plans from WellPoint
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Wellpoint Essential Bronze 4000 HSA (+ Incentives) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Expanded Bronze | Participating | Accepting new patients |
| Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Expanded Bronze | Participating | Accepting new patients |
| Wellpoint Essential Catastrophic (+ Incentives) | HMO · Catastrophic | Participating | Accepting new patients |
| Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Gold | Participating | Accepting new patients |
| Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Gold | Participating | Accepting new patients |
| Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Gold | Participating | Accepting new patients |
| Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Wellpoint Essential Gold POS 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Gold | Participating | Accepting new patients |
| Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients |
| Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients |
| Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients |
| Wellpoint Essential Silver 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO · Silver | Participating | Accepting new patients |
| Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
| Wellpoint Essential Silver POS 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS · Silver | Participating | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Theresa A. Shouse is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Theresa A. Shouse is enrolled to bill Medicare as a Practitioner - Pediatric Medicine .
Bills through: Dallas Physician Medical Services For Children Inc
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Cranial Technologies | $171 |
| Shire North American Group | $152 |
| Galderma International | $119 |
Other
| Food and Beverage | $936 |
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Questions & Answers
What conditions does Dr. Theresa A. Shouse treat?
Dr. Theresa A. Shouse provides treatment for Abdominal Pain, Headache, Muscular Dystrophy, Nausea and Vomiting, Stuttering, Urinary Tract Infection (UTI). For the full list see this list.
Does Dr. Theresa A. Shouse accept patients with UnitedHealthcare?
Yes, Dr. Theresa A. Shouse is listed in-network for UnitedHealthcare through the ACA Marketplace (Obamacare/HealthCare.gov). See the Marketplace plans section for details.
Does Dr. Theresa A. Shouse have affiliation with practices?
Dr. Theresa A. Shouse is affiliated with Pediatric Associates of Plano.
Where can you meet with Dr. Theresa A. Shouse?
Dr. Theresa A. Shouse's office is located at 6200 West Parker Road #410 in Plano, TX 75093.