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GEORGIOS ORTHOPOULOS MD
NPI 1174866024
Surgery in Springfield, MA

Active since March 28, 2013PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
2 MEDICAL CENTER DRIVE, SUITE 308, SPRINGFIELD, MA 01107(413) 794-7020(413) 794-2670 Get Directions Write a Review

NPPES record last updated: July 25, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Georgios Orthopoulos Md NPPES

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

GEORGIOS ORTHOPOULOS MD (NPI 1174866024) is an individual surgery provider in Springfield, Massachusetts, licensed in Massachusetts (274893) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Winchester Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1174866024
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameGEORGIOS ORTHOPOULOSCredential: MD
Location Address2 MEDICAL CENTER DRIVE, SUITE 308Springfield, MA 01107
Mailing Address280 Chestnut Street, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700
Phone(413) 794-7020
Fax(413) 794-2670
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 28, 2013
Last NPPES UpdateJuly 25, 2018
✔ NPI 1174866024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 274893
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.
2 MEDICAL CENTER DRIVE, Springfield, MA 01107
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Accepted Insurance

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

Georgios Orthopoulos 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 ID9133351059
PECOS Enrollment IDI20180718003458
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 8

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
45 services45 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.
44 services43 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.
34 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services21 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.
20 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services16 patients

Hospital Affiliations CMS Care Compare

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

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

FREDERIQUE PINTO M.D.
Surgery
2 MEDICAL CENTER DRIVE, STE 301
SPRINGFIELD, MA 01107
Hampden County (413) 794-8020
JONATHAN EITAN MILLER M.D.
Plastic Surgery
2 MEDICAL CENTER DRIVE, SUITE 206
SPRINGFIELD, MA 01107
Hampden County (413) 794-5363
MRS. CYNTHIA M. LUCAS PA
Physician Assistant (Surgical)
2 MEDICAL CENTER DRIVE, STE 308
SPRINGFIELD, MA 01107
Hampden County (413) 794-7020
DANIEL RETTORI TEIXEIRA PA
Physician Assistant (Surgical)
2 MEDICAL CENTER DRIVE, SUITE 301
SPRINGFIELD, MA 01107
Hampden County (413) 794-8020
BREE KAIZEN PA
Physician Assistant (Surgical)
2 MEDICAL CENTER DRIVE
SPRINGFIELD, MA 01107
Hampden County (413) 794-5550
MAZEN RAFIQUE AL-MANSOUR M.B.B.S
Surgery
2 MEDICAL CENTER DRIVE, SUITE 308
SPRINGFIELD, MA 01107
Hampden County (413) 794-7020
DR. GABRIEL E RYB M.D.
Surgery (Surgical Critical Care)
2 MEDICAL CENTER DRIVE
SPRINGFIELD, MA 01107
Hampden County (413) 794-8020
KATIE S. NASON M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2 MEDICAL CENTER DRIVE, SUITE 205
SPRINGFIELD, MA 01107
Hampden County (413) 794-8050

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 Georgios Orthopoulos's NPI number?

The NPI number for Georgios Orthopoulos is 1174866024. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Georgios Orthopoulos located?

Georgios Orthopoulos practices at 2 Medical Center Drive Suite 308, Springfield, MA 01107. The listed phone number is (413) 794-7020.

What is Georgios Orthopoulos's specialty?

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

Is Georgios Orthopoulos enrolled in Medicare?

Yes. Georgios Orthopoulos 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 Georgios Orthopoulos accept?

Health plans from Anthem Blue Cross and Blue Shield list Georgios Orthopoulos 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 Georgios Orthopoulos affiliated with any hospitals?

According to CMS data, Georgios Orthopoulos is affiliated with Winchester Hospital.

When was this NPI record last updated?

The NPPES record for Georgios Orthopoulos was last updated on July 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.