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DR. THEMISTOCLES PROTOPSALTIS M.D.
NPI 1245407659
Orthopaedic Surgery in New York, NY

Active since May 14, 2008PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
333 E 38TH ST, 6TH FLOOR, NEW YORK, NY 10016(646) 501-7200 Get Directions Write a Review

NPPES record last updated: July 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2021, Mar 26, 2021, Mar 29, 2017 (3 updates tracked since 2017).

About Dr. Themistocles Protopsaltis M.d. NPPES

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

DR. THEMISTOCLES PROTOPSALTIS M.D. (NPI 1245407659) is an individual orthopaedic surgery provider in New York, New York, licensed in New York (237631) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Columbia University College Of Physicians And Surgeons (2001).

NPPES Registry Identity

NPI1245407659
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. THEMISTOCLES PROTOPSALTISCredential: M.D.
Location Address333 E 38TH ST, 6TH FLOORNew York, NY 10016-2772
Mailing Address333 E 38th StNew York, NY 10016-2772
Phone(646) 501-7200
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2001
Enumeration DateMay 14, 2008
Last NPPES UpdateJuly 7, 20213 updates tracked since enumeration
NPPES CertifiedJuly 7, 2021
✔ NPI 1245407659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NY · 237631
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
333 E 38TH ST, New York, NY 10016
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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. Themistocles Protopsaltis M.d. 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 ID1658412028
PECOS Enrollment IDI20100107000208, I20100715000183
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 11

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.

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.
308 services189 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.
129 services129 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.
93 services86 patients
Computer-assisted spinal procedure 61783
A computer-assisted spinal procedure is a surgical technique that uses computer technology for improved precision. It involves creating a 3D image of your spine to guide the surgeon during the operation. This method enhances accuracy, reduces risk, and promotes quicker recovery.
46 services45 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
32 services22 patients
Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047
This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.
28 services27 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

VICTORIA MARIE STOFF PA-C
Physician Assistant
333 E 38TH ST
NEW YORK, NY 10016
New York County (646) 501-7208
NATALIE AZAR MD
Internal Medicine (Rheumatology)
333 E 38TH ST, NYU CENTER FOR MUSCULOSKELETAL CARE
NEW YORK, NY 10016
New York County (646) 501-7400
MS. SAMANTHA NARDILLA FNP
Nurse Practitioner (Family)
333 E 38TH ST
NEW YORK, NY 10016
New York County (646) 501-7200
KELLY FAITH DENNIS
Nurse Practitioner (Acute Care)
333 E 38TH ST
NEW YORK, NY 10016
New York County (646) 501-7440
JENNIFER MCNALLY I
Social Worker
333 E 38TH ST
NEW YORK, NY 10016
New York County (646) 501-7070
DR. MICHAEL J ALAIA M.D.
Orthopaedic Surgery (Sports Medicine)
333 E 38TH ST, NYU HOSPITAL FOR JOINT DISEASES
NEW YORK, NY 10016
New York County (646) 501-7041
HARRY H SHEN MD
Internal Medicine (Rheumatology)
333 E 38TH ST, NYU CENTER FOR MUSCULOSKELETAL CARE
NEW YORK, NY 10016
New York County (646) 501-7400
SALVADOR ELIGADO PORTUGAL D.O.
Physical Medicine & Rehabilitation
333 E 38TH ST, 6TH FLOOR
NEW YORK, NY 10016
New York County (646) 501-7200

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 Themistocles Protopsaltis's NPI number?

The NPI number for Themistocles Protopsaltis is 1245407659. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Themistocles Protopsaltis located?

Themistocles Protopsaltis practices at 333 E 38th St 6th Floor, New York, NY 10016. The listed phone number is (646) 501-7200.

What is Themistocles Protopsaltis's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Themistocles Protopsaltis enrolled in Medicare?

Yes. Themistocles Protopsaltis 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 Themistocles Protopsaltis affiliated with any hospitals?

According to CMS data, Themistocles Protopsaltis is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Themistocles Protopsaltis was last updated on July 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.