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DIMITRA THEODOROPOULOS M.D., FACS
NPI 1124120498
Surgery in Great Neck, NY

Active since September 05, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
310 E SHORE RD, SUITE 203, GREAT NECK, NY 11023(516) 482-8657(516) 829-0002 Get Directions Write a Review

NPPES record last updated: April 1, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dimitra Theodoropoulos M.d., Facs NPPES

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

DIMITRA THEODOROPOULOS M.D., FACS (NPI 1124120498) is an individual surgery provider in Great Neck, New York, licensed in New York (251938) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1124120498
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameDIMITRA THEODOROPOULOSCredential: M.D., FACS
Location Address310 E SHORE RD, SUITE 203Great Neck, NY 11023-2410
Mailing Address310 E Shore Rd, Suite 203Great Neck, NY 11023-2410 · (516) 482-8657 · Fax (516) 829-0002
Phone(516) 482-8657
Fax(516) 829-0002
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateSeptember 5, 2006
Last NPPES UpdateApril 1, 2009
✔ NPI 1124120498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in NY · 251938✔ Licensed in MI · 4301081475
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License 251938 (NY), 4301081475 (MI)
310 E SHORE RD, Great Neck, NY 11023
Open in Google Maps ↗

Other Names 1

Former Name (1)Dimitra Barabouti

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

Dimitra Theodoropoulos M.d., Facs 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 ID8527119619
PECOS Enrollment IDI20090701000242
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 6

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.
83 services39 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.
37 services37 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.
28 services28 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
24 services20 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.
17 services14 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11023 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
2 suppliers12 claims300 services$3.01 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
3 suppliers16 claims315 services$2.31 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers14 claims455 services$0.22 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 20

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

DR. ROBERT DON HERMAN
Internal Medicine (Gastroenterology)
310 E SHORE RD, 206
GREAT NECK, NY 11023
Nassau County (516) 487-7677
DR. GINA SUE KWAK M.D.
Internal Medicine (Gastroenterology)
310 E SHORE RD, 206
GREAT NECK, NY 11023
Nassau County (516) 487-7677
DR. STEPHEN ROBERT SIEGEL M.D.
Internal Medicine (Gastroenterology)
310 E SHORE RD, 206
GREAT NECK, NY 11023
Nassau County (516) 487-7677
DR. MICHAEL JOEL GOLDSTEIN M.D.
Internal Medicine (Gastroenterology)
310 E SHORE RD, 206
GREAT NECK, NY 11023
Nassau County (516) 487-7677
DR. JOEL GOLDBERG MD
Internal Medicine (Cardiovascular Disease)
310 E SHORE RD, SUITE 104
GREAT NECK, NY 11023
Nassau County (516) 829-9550
KENNETH J ROSENTHAL MD
Ophthalmology
310 E SHORE RD, SUITE 102
GREAT NECK, NY 11023
Nassau County (516) 466-8989
DR. NANCY SUE WOLFIN M.D.
Dermatology (Procedural Dermatology)
310 E SHORE RD, 204
GREAT NECK, NY 11023
Nassau County (516) 829-4464
DR. JOSE LUIS SELIGSON M.D.
Psychiatry & Neurology (Psychiatry)
310 E SHORE RD, SUITE 301
GREAT NECK, NY 11023
Nassau County (516) 482-1541

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 Dimitra Theodoropoulos's NPI number?

The NPI number for Dimitra Theodoropoulos is 1124120498. It was assigned to this individual provider in the NPPES registry on September 5, 2006. The provider is also known as Dimitra Barabouti.

Where is Dimitra Theodoropoulos located?

Dimitra Theodoropoulos practices at 310 E Shore Rd Suite 203, Great Neck, NY 11023. The listed phone number is (516) 482-8657.

What is Dimitra Theodoropoulos's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dimitra Theodoropoulos enrolled in Medicare?

Yes. Dimitra Theodoropoulos 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.

Is Dimitra Theodoropoulos affiliated with any hospitals?

According to CMS data, Dimitra Theodoropoulos is affiliated with North Shore University Hospital.

When was this NPI record last updated?

The NPPES record for Dimitra Theodoropoulos was last updated on April 1, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.