THEODORE K. GREGORIUS M.D.
NPI 1013950450
Orthopaedic Surgery in Newport Beach, CA

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
360 SAN MIGUEL DR STE 701, NEWPORT BEACH, CA 92660(949) 759-3600(949) 759-5017 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2022, Jan 16, 2018 (2 updates tracked since 2018).

About Theodore K. Gregorius M.d. NPPES

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

THEODORE K. GREGORIUS M.D. (NPI 1013950450) is an individual orthopaedic surgery provider in Newport Beach, California, licensed in California (A84930) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2000).

NPPES Registry Identity

NPI1013950450
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTHEODORE K. GREGORIUSCredential: M.D.
Location Address360 SAN MIGUEL DR STE 701Newport Beach, CA 92660-5927
Mailing Address360 San Miguel Dr Ste 701Newport Beach, CA 92660-5927 · (949) 759-3600 · Fax (909) 881-7593
Fax(949) 759-5017
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2000
Enumeration DateJune 14, 2006
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
NPI 1013950450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in CA · A84930
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

360 SAN MIGUEL DR STE 701, Newport Beach, CA 92660

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 K. Gregorius M.d. 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 ID8921029984
PECOS Enrollment IDI20051219000214
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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,200 services92 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
144 services92 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
142 services95 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.
124 services84 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
108 services71 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
104 services104 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment L3960
DME-Orthotic Devices · category DF000N
2 suppliers13 claims13 services$746.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Specialist
360 SAN MIGUEL DR STE 701
NEWPORT BEACH, CA 92660
Preferred Provider Organization
360 SAN MIGUEL DR STE 701
NEWPORT BEACH, CA 92660
Specialist
360 SAN MIGUEL DR STE 701
NEWPORT BEACH, CA 92660
Physician Assistant
360 SAN MIGUEL DR STE 701
NEWPORT BEACH, CA 92660

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 Gregorius's NPI number?

The NPI number for Theodore Gregorius is 1013950450. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Theodore Gregorius located?

Theodore Gregorius practices at 360 San Miguel Dr Ste 701, Newport Beach, CA 92660. The listed phone number is (949) 759-3600.

What is Theodore Gregorius's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Theodore Gregorius enrolled in Medicare?

Yes. Theodore Gregorius 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.

When was this NPI record last updated?

The NPPES record for Theodore Gregorius was last updated on February 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.