THEODORE IOANNIS MARKOU MD
NPI 1043576309
Internal Medicine - Infectious Disease in Randolph, NJ

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
82.56/100
CMS Quality Rating
765 ROUTE 10 E STE 201, RANDOLPH, NJ 07869(973) 989-0068 Get Directions Write a Review

NPPES record last updated: July 10, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodore Ioannis Markou Md NPPES

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

THEODORE IOANNIS MARKOU MD (NPI 1043576309) is an individual infectious disease provider in Randolph, New Jersey, licensed in New Jersey (25MA10087900) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Rutgers New Jersey Medical School (2012).

NPPES Registry Identity

NPI1043576309
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameTHEODORE IOANNIS MARKOUCredential: MD
Location Address765 ROUTE 10 E STE 201Randolph, NJ 07869-1925
Mailing Address105 Raider Blvd, Suite 101Hillsborough, NJ 08844 · (908) 281-0221
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2012
Enumeration DateApril 11, 2012
Last NPPES UpdateJuly 10, 2017
NPI 1043576309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in NJ · 25MA10087900
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
765 ROUTE 10 E STE 201, Randolph, NJ 07869

Accepted Insurance

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 Ioannis Markou 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 ID42587487
PECOS Enrollment IDI20170606002084
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.

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.
1,403 services578 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.
1,249 services424 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.
439 services390 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.
302 services287 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
134 services130 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.
50 services47 patients

Hospital Affiliations CMS Care Compare 4

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310017
Location97 West ParkwayPompton Plains, NJ 07444 · Morris County
Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07869 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
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.

82.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.4
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Internal Medicine (Infectious Disease)
765 ROUTE 10 E STE 201
RANDOLPH, NJ 07869
Nurse Practitioner (Adult Health)
765 ROUTE 10 E STE 201
RANDOLPH, NJ 07869
Nurse Practitioner
765 ROUTE 10 E STE 201
RANDOLPH, NJ 07869
Nurse Practitioner
765 ROUTE 10 E STE 201
RANDOLPH, NJ 07869
Nurse Practitioner (Adult Health)
765 ROUTE 10 E STE 201
RANDOLPH, NJ 07869
Nurse Practitioner (Family)
765 ROUTE 10 E STE 201
RANDOLPH, NJ 07869
Nurse Practitioner
765 ROUTE 10 E STE 201
RANDOLPH, NJ 07869
Internal Medicine (Infectious Disease)
765 ROUTE 10 E STE 201
RANDOLPH, NJ 07869

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 Markou's NPI number?

The NPI number for Theodore Markou is 1043576309. It was assigned to this individual provider in the NPPES registry on April 11, 2012.

Where is Theodore Markou located?

Theodore Markou practices at 765 Route 10 E Ste 201, Randolph, NJ 07869. The listed phone number is (973) 989-0068.

What is Theodore Markou's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Theodore Markou enrolled in Medicare?

Yes. Theodore Markou 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.

What insurance does Theodore Markou accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Theodore Markou 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 Markou affiliated with any hospitals?

According to CMS data, Theodore Markou is affiliated with Hackensack University Medical Center, Morristown Medical Center, Chilton Medical Center and Saint Clare's Hospital/ Denville Campus.

When was this NPI record last updated?

The NPPES record for Theodore Markou was last updated on July 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.