DR. THEODORE RAYMOND PACHECO M.D.
NPI 1023097201
Internal Medicine - Cardiovascular Disease in Lorain, OH

Q: What is Theodore Pacheco's NPI number?

The NPI number for Theodore Pacheco is 1023097201. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Q: What is Theodore Pacheco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Pacheco was last updated on January 7, 2021. 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.

Active since January 16, 2006PECOS EnrolledAccepts Medicare Assignment

3600 KOLBE RD, SUITE 127, LORAIN, OH 44053(440) 414-9200(216) 201-5582 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2021, Apr 6, 2020, Apr 17, 2019 (3 updates tracked since 2019).

On this page

About Dr. Theodore Raymond Pacheco M.d. NPPES

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

DR. THEODORE RAYMOND PACHECO M.D. (NPI 1023097201) is an individual cardiovascular disease provider in Lorain, Ohio, licensed in Ohio (35065306) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Fisher-titus Hospital, and is a graduate of Creighton University School Of Medicine (1988).

NPPES Registry Identity

NPI1023097201

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. THEODORE RAYMOND PACHECOCredential: M.D.

Location Address3600 KOLBE RD, SUITE 127Lorain, OH 44053-1654

Mailing Address3600 Kolbe Rd, Suite 127Lorain, OH 44053-1654 · (440) 414-9200 · Fax (216) 201-5582

Phone(440) 414-9200

Fax(216) 201-5582

Sole ProprietorNo

Medical School CMSCreighton University School Of MedicineGraduated 1988

Enumeration DateJanuary 16, 2006

Last NPPES UpdateJanuary 7, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 7, 2021

✔ NPI 1023097201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in OH · 35065306

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

3600 KOLBE RD, Lorain, OH 44053

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Other Identifiers 6

Other341221800068OH · Caresource

Other000000128727OH · Anthem

Other060023253Railroad Medicare

OtherE65306OH · Summacare

Medicaid0972863OH

Other100399OH · Kaiser

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodore Raymond Pacheco 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 ID1456258334

PECOS Enrollment IDI20040511000976

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.

Medicare Billing Reassignments

Medicare enrollment records show Theodore Pacheco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health-Regional Medical Center LLC

Same address

Radiation Oncology

3700 KOLBE RD, ATTN: PRE SERVICE CENTER MANAGER
Lorain, OH 44053

Reassigned Medicare billing, Ohio enrollment
9 clinicians in this Medicare group

NPI 1558527184 (440) 989-3801

University Primary Care Practices Inc

0.1 mi

Pediatrics

3600 KOLBE RD STE 120
Lorain, OH 44053

Reassigned Medicare billing, Ohio enrollment
1,437 clinicians in this Medicare group

NPI 1851422315 (440) 282-7408

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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.

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.

505 services322 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

413 services210 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

240 services240 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

135 services116 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

101 services101 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

101 services101 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

95 services95 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

66 services59 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.

52 services39 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

49 services32 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.

47 services47 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.

37 services37 patients

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.

27 services27 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

23 services15 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

21 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Fisher-Titus Hospital

Acute Care Hospitals · Norwalk, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360065

Location272 Benedict AvenueNorwalk, OH 44857 · Huron County

Emergency services Birthing friendly

Uh St John Medical Center

Acute Care Hospitals · Westlake, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360123

Location29000 Center Ridge RoadWestlake, OH 44145 · Cuyahoga County

Emergency services

Uh Cleveland Medical Center

Acute Care Hospitals · Cleveland, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360137

Location11100 Euclid AvenueCleveland, OH 44106 · Cuyahoga County

Emergency services Birthing friendly

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360145

Location630 East River StreetElyria, OH 44035 · Lorain County

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360172

Location3700 Kolbe RoadLorain, OH 44053 · Lorain County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44053 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

Other Providers at the Same Location NPPES 20

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

PIARA L ARORA M.D.

Internal Medicine

3600 KOLBE RD, STE 227
LORAIN, OH 44053

Lorain County (440) 960-3304

DR. JOHN WILLIAM SCHAEFFER M.D.

Internal Medicine (Cardiovascular Disease)

3600 KOLBE RD, SUITE 127
LORAIN, OH 44053

Lorain County (440) 414-9200

WOMENS PROFESSIONAL SERVICES CORP

Obstetrics & Gynecology

3600 KOLBE RD, 210
LORAIN, OH 44053

Lorain County (440) 960-3912

MONICA ISABELLA MD

Surgery

3600 KOLBE RD
LORAIN, OH 44053

Lorain County (440) 960-4522

DR. FRANK MICHAEL SABO JR. M.D.

Orthopaedic Surgery

3600 KOLBE RD, STE 100
LORAIN, OH 44053

Lorain County (440) 233-8181

LORAIN ASC LP

Nurse Anesthetist, Certified Registered

3600 KOLBE RD, SUITE 19
LORAIN, OH 44053

Lorain County (440) 960-7277

MR. RYLAN WIKLE

Physician Assistant

3600 KOLBE RD
LORAIN, OH 44053

Lorain County (440) 930-6015

THEOPHILUS ARTHUR-MENSAH MD INC

Social Worker (Clinical)

3600 KOLBE RD, SUITE 011
LORAIN, OH 44053

Lorain County (440) 989-2819

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 Pacheco's NPI number?

The NPI number for Theodore Pacheco is 1023097201. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Theodore Pacheco located?

Theodore Pacheco practices at 3600 Kolbe Rd Suite 127, Lorain, OH 44053. The listed phone number is (440) 414-9200.

What is Theodore Pacheco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Theodore Pacheco enrolled in Medicare?

Yes. Theodore Pacheco 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.

Which organizations bill Medicare for Theodore Pacheco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Pacheco reassigns Medicare benefits to 2 organizations: Mercy Health-Regional Medical Center LLC (Lorain, OH) and University Primary Care Practices Inc (Lorain, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Pacheco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Pacheco accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Theodore Pacheco as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Theodore Pacheco affiliated with any hospitals?

According to CMS data, Theodore Pacheco is affiliated with Fisher-Titus Hospital, Uh St John Medical Center, Uh Cleveland Medical Center, University Hospitals - Elyria Medical Center and Mercy Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Theodore Pacheco was last updated on January 7, 2021. 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.