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DR. THEODORE HARRY STATHOS MD
NPI 1144265315
Pediatrics - Pediatric Gastroenterology in Lone Tree, CO

Active since June 19, 2006Opted out of Medicare · through Apr 11, 2028
9224 TEDDY LANE, SUITE 200, LONE TREE, CO 80124(303) 790-1515(303) 790-1989 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodore Harry Stathos Md NPPES

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

DR. THEODORE HARRY STATHOS MD (NPI 1144265315) is an individual pediatric gastroenterology provider in Lone Tree, Colorado, licensed in Colorado (33634) and active in the NPI registry since June 2006. He has opted out of Medicare through April 11, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1144265315
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. THEODORE HARRY STATHOSCredential: MD
Location Address9224 TEDDY LANE, SUITE 200Lone Tree, CO 80124-6799
Mailing Address9224 Teddy Ln, Suite 220Lone Tree, CO 80124-6798 · (303) 790-1515 · Fax (303) 790-1989
Phone(303) 790-1515
Fax(303) 790-1989
Sole ProprietorNo
Enumeration DateJune 19, 2006
Last NPPES UpdateSeptember 28, 2010
✔ NPI 1144265315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in CO · 33634
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
9224 TEDDY LANE, Lone Tree, CO 80124
Open in Google Maps ↗

Other Identifiers 12

Medicaid200295450 AOK
Other1699895755Group Npi
Other04018362CO · Group Medicaid
Other84127410413NE · Group Medicaid
Other18498NE · Medical License
Medicaid$$$$$$$$$01NE
Other200293420 AOK · Group Medicaid
Other8301AWY · Medical License
Other109864100WY · Group Medicaid
Medicaid1144265315WY
Medicaid01336346CO
Other33634CO · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Theodore Harry Stathos 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 April 11, 2016 through April 11, 2028.

Opt-Out Effective DateApril 11, 2016
Opt-Out In Effect ThroughApril 11, 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 80124 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Other Providers at the Same Location NPPES

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

DR. SANDY H OESTERREICHER MD
Pediatrics (Pediatric Gastroenterology)
9224 TEDDY LANE, #200
LONE TREE, CO 80124
Douglas County (303) 790-1515

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 Stathos's NPI number?

The NPI number for Theodore Stathos is 1144265315. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Theodore Stathos located?

Theodore Stathos practices at 9224 Teddy Lane Suite 200, Lone Tree, CO 80124. The listed phone number is (303) 790-1515.

What is Theodore Stathos's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Theodore Stathos enrolled in Medicare?

No. Theodore Stathos has opted out of Medicare through April 11, 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.

What insurance does Theodore Stathos accept?

Health plans from Blue Cross Blue Shield of Wyoming list Theodore Stathos 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.

When was this NPI record last updated?

The NPPES record for Theodore Stathos was last updated on September 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.