THEODOROS VLACHOS M.D.
NPI 1063472165
Obstetrics & Gynecology in Royal Oak, MI

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
91.66/100
CMS Quality Rating
3535 W 13 MILE RD STE 329, ROYAL OAK, MI 48073(248) 551-1399 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodoros Vlachos M.d. NPPES

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

THEODOROS VLACHOS M.D. (NPI 1063472165) is an individual obstetrics & gynecology provider in Royal Oak, Michigan, licensed in Michigan (4301054774) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Wayne State University School Of Medicine (1989).

NPPES Registry Identity

NPI1063472165
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameTHEODOROS VLACHOSCredential: M.D.
Location Address3535 W 13 MILE RD STE 329Royal Oak, MI 48073-6770
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Sole ProprietorYes
Medical School CMSWayne State University School Of MedicineGraduated 1989
Enumeration DateMarch 24, 2006
Last NPPES UpdateOctober 23, 2020
NPPES CertifiedOctober 23, 2020
NPI 1063472165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MI · 4301054774
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3535 W 13 MILE RD STE 329, Royal Oak, MI 48073

Other Identifiers 2

Other160F376970MI · Bcbsm
Medicaid4769978MI

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

Theodoros Vlachos 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 ID4981632825
PECOS Enrollment IDI20050801000960
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.

Hospital Affiliations CMS Care Compare

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

91.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.95
Promoting Interoperability100
Improvement Activities40
Cost69.01

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.

Obstetrics & Gynecology
3535 W 13 MILE RD STE 329
ROYAL OAK, MI 48073
Obstetrics & Gynecology
3535 W 13 MILE RD STE 329
ROYAL OAK, MI 48073
Obstetrics & Gynecology
3535 W 13 MILE RD STE 329
ROYAL OAK, MI 48073
Obstetrics & Gynecology
3535 W 13 MILE RD STE 329
ROYAL OAK, MI 48073

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 Theodoros Vlachos's NPI number?

The NPI number for Theodoros Vlachos is 1063472165. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Theodoros Vlachos located?

Theodoros Vlachos practices at 3535 W 13 Mile Rd Ste 329, Royal Oak, MI 48073. The listed phone number is (248) 551-1399.

What is Theodoros Vlachos's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Theodoros Vlachos enrolled in Medicare?

Yes. Theodoros Vlachos 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 Theodoros Vlachos accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Theodoros Vlachos 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 Theodoros Vlachos affiliated with any hospitals?

According to CMS data, Theodoros Vlachos is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Theodoros Vlachos was last updated on October 23, 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.