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MR. THEODORE T NYAME MD
NPI 1104050855
Plastic Surgery in Charlotte, NC

Active since May 11, 2009Opted out of Medicare · through Jan 4, 2028
2215 RANDOLPH ROAD, CHARLOTTE, NC 28207(704) 372-6846(704) 342-0752 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2018, Nov 10, 2015 (2 updates tracked since 2015).

About Mr. Theodore T Nyame Md NPPES

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

MR. THEODORE T NYAME MD (NPI 1104050855) is an individual plastic surgery provider in Charlotte, North Carolina, licensed in North Carolina (2015-01420) and active in the NPI registry since May 2009. He has opted out of Medicare through January 4, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104050855
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameMR. THEODORE T NYAMECredential: MD
Location Address2215 RANDOLPH ROADCharlotte, NC 28207
Mailing Address2215 Randolph RoadCharlotte, NC 28207 · (704) 372-6846 · Fax (704) 342-0752
Phone(704) 372-6846
Fax(704) 342-0752
Sole ProprietorNo
Enumeration DateMay 11, 2009
Last NPPES UpdateAugust 24, 20182 updates tracked since enumeration
✔ NPI 1104050855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in NC · 2015-01420
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2215 RANDOLPH ROAD, Charlotte, NC 28207
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Theodore T Nyame Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2016 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2016
Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 3

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

JARROD RYAN DANIEL MD
Plastic Surgery
2215 RANDOLPH ROAD
CHARLOTTE, NC 28207
Mecklenburg County (704) 372-6846
JACK FRIEDMAN SCHEUER III MD
Plastic Surgery
2215 RANDOLPH ROAD
CHARLOTTE, NC 28207
Mecklenburg County (704) 372-6846
DR. JAMES WALTER DUTTON JR. M.D.
Surgery
2215 RANDOLPH ROAD
CHARLOTTE, NC 28207
Mecklenburg County (704) 372-6846

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 Nyame's NPI number?

The NPI number for Theodore Nyame is 1104050855. It was assigned to this individual provider in the NPPES registry on May 11, 2009.

Where is Theodore Nyame located?

Theodore Nyame practices at 2215 Randolph Road, Charlotte, NC 28207. The listed phone number is (704) 372-6846.

What is Theodore Nyame's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Theodore Nyame enrolled in Medicare?

No. Theodore Nyame has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Theodore Nyame was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.