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THEODORE J PATSOS MD
NPI 1013024637
Surgery in Milford, MA

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
91 WATER ST, MILFORD, MA 01757(508) 458-4250(508) 458-4251 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 5, 2020, Apr 26, 2017, Jan 26, 2017 (3 updates tracked since 2017).

About Theodore J Patsos Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE J PATSOS MD (NPI 1013024637) is an individual surgery provider in Milford, Massachusetts, licensed in Massachusetts (54640) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthcare-marlborough Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (1981).

NPPES Registry Identity

NPI1013024637
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameTHEODORE J PATSOSCredential: MD
Location Address91 WATER STMilford, MA 01757-3039
Mailing AddressPo Box 415348Boston, MA 02241-5348
Phone(508) 458-4250
Fax(508) 458-4251
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1981
Enumeration DateAugust 23, 2006
Last NPPES UpdateNovember 5, 20203 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1013024637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 54640
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
91 WATER ST, Milford, MA 01757
Open in Google Maps ↗

Other Identifiers 2

Medicaid110044118AMA
OtherJ05312Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodore J Patsos Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072569490
PECOS Enrollment IDI20050329000192
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
58 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
57 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services29 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
32 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
26 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Umass Memorial Healthcare-Marlborough Hospital

Acute Care Hospitals · Marlborough, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220049
Location157 Union StreetMarlborough, MA 01752 · Middlesex County
Emergency services

Milford Regional Medical Center

Acute Care Hospitals · Milford, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220090
Location14 Prospect StreetMilford, MA 01757 · Worcester County
Emergency services Birthing friendly

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01757 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW C RADE M.D.
Surgery
91 WATER ST
MILFORD, MA 01757
Worcester County (508) 458-4276
DR. HAYLEY MARSHALL-DROHAN D.O.
Obstetrics & Gynecology
91 WATER ST
MILFORD, MA 01757
Worcester County (508) 458-4200
AMY ABBOT M.D.
Orthopaedic Surgery
91 WATER ST
MILFORD, MA 01757
Worcester County (508) 458-4300
MOLLY ANN PHILIP FNP
Nurse Practitioner
91 WATER ST
MILFORD, MA 01757
Worcester County (508) 458-4205
ERICA J. BAILEY CNP
Nurse Practitioner
91 WATER ST
MILFORD, MA 01757
Worcester County (508) 458-4200
ROBERT CANNING M.D.
Surgery
91 WATER ST
MILFORD, MA 01757
Worcester County (508) 458-4250
MS. MARCEL RAE DROZ PA-C
Physician Assistant
91 WATER ST
MILFORD, MA 01757
Worcester County (508) 458-4250
DR. DAVID P. MAGIT M.D.
Orthopaedic Surgery (Sports Medicine)
91 WATER ST, DEPT OF ORTHOPEDICS
MILFORD, MA 01757
Worcester County (508) 458-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Patsos's NPI number?

The NPI number for Theodore Patsos is 1013024637. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Where is Theodore Patsos located?

Theodore Patsos practices at 91 Water St, Milford, MA 01757. The listed phone number is (508) 458-4250.

What is Theodore Patsos's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Theodore Patsos enrolled in Medicare?

Yes. Theodore Patsos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Theodore Patsos affiliated with any hospitals?

According to CMS data, Theodore Patsos is affiliated with Umass Memorial Healthcare-Marlborough Hospital, Milford Regional Medical Center and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Theodore Patsos was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.