DR. MIRANDA THEODORE MD
NPI 1184070088
Internal Medicine - Pulmonary Disease in Boston, MA

Active since May 10, 2016PECOS EnrolledAccepts Medicare Assignment
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST., BOSTON, MA 02114(617) 643-0596 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2022, May 10, 2016 (2 updates tracked since 2016).

About Dr. Miranda Theodore Md NPPES

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

DR. MIRANDA THEODORE MD (NPI 1184070088) is an individual pulmonary disease provider in Boston, Massachusetts, licensed in Massachusetts (277061) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (2016).

NPPES Registry Identity

NPI1184070088
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MIRANDA THEODORECredential: MD
Location AddressMASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.Boston, MA 02114
Mailing AddressMassachusetts General Hospital, 55 Fruit St.Boston, MA 02114 · (617) 643-0596
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 2016
Enumeration DateMay 10, 2016
Last NPPES UpdateApril 25, 20222 updates tracked since enumeration
NPPES CertifiedApril 25, 2022
NPI 1184070088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in MA · 277061
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 266944 (MA)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 277061 (MA)
MASSACHUSETTS GENERAL HOSPITAL, Boston, MA 02114

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

Dr. Miranda Theodore 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 ID6800182502
PECOS Enrollment IDI20210129000234
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.

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.
176 services46 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.
120 services79 patients
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.
84 services32 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
58 services39 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.
36 services27 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.
27 services25 patients

Hospital Affiliations CMS Care Compare 5

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Wentworth-Douglass Hospital

Acute Care Hospitals · Dover, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300018
Location789 Central AveDover, NH 03820 · Strafford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02114 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims24 services$15.62 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers17 claims17 services$3.16 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers37 claims37 services$72.06 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.

Internal Medicine (Cardiovascular Disease)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Internal Medicine
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Internal Medicine (Nephrology)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Thoracic Surgery (Cardiothoracic Vascular Surgery)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Pediatrics
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114
Surgery (Surgical Oncology)
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114
Student in an Organized Health Care Education/Training Program
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT STREET
BOSTON, MA 02114
Orthopaedic Surgery
MASSACHUSETTS GENERAL HOSPITAL, 55 FRUIT ST.
BOSTON, MA 02114

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 Miranda Theodore's NPI number?

The NPI number for Miranda Theodore is 1184070088. It was assigned to this individual provider in the NPPES registry on May 10, 2016.

Where is Miranda Theodore located?

Miranda Theodore practices at Massachusetts General Hospital 55 Fruit St., Boston, MA 02114. The listed phone number is (617) 643-0596.

What is Miranda Theodore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Miranda Theodore enrolled in Medicare?

Yes. Miranda Theodore 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 Miranda Theodore accept?

Health plans from Anthem Blue Cross and Blue Shield list Miranda Theodore 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 Miranda Theodore affiliated with any hospitals?

According to CMS data, Miranda Theodore is affiliated with North Shore Medical Center -, Massachusetts General Hospital, Newton-Wellesley Hospital, Brigham And Women's Hospital and Wentworth-Douglass Hospital.

When was this NPI record last updated?

The NPPES record for Miranda Theodore was last updated on April 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.