DR. THEODORE V TSO D.M.D.
NPI 1285040980
Dentist - Prosthodontics in Cleveland, OH
About Dr. Theodore V Tso D.m.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THEODORE V TSO D.M.D. (NPI 1285040980) is an individual prosthodontics provider in Cleveland, Ohio, licensed in Ohio (30.027372) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Theodore V Tso D.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.
Medicare Billing Reassignments
3Medicare enrollment records show Theodore Tso reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cleveland, OH 44195
- Reassigned Medicare billing, Ohio enrollment
- 7,608 clinicians in this Medicare group
Lancaster, CA 93535
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: County Of Los Angeles
- 435 clinicians in this Medicare group
Duarte, CA 91010
- Reassigned Medicare billing, California enrollment
- 1,335 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cleveland Clinic
Acute Care Hospitals · Cleveland, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CLEVELAND, OH 44195
CLEVELAND, OH 44195
CLEVELAND, OH 44195
CLEVELAND, OH 44195
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 Tso's NPI number?
The NPI number for Theodore Tso is 1285040980. It was assigned to this individual provider in the NPPES registry on July 2, 2014. The provider is also known as Dr. Ted V Tso D.M.D..
Where is Theodore Tso located?
Theodore Tso practices at 9500 Euclid Ave, Cleveland, OH 44195. The listed phone number is (626) 215-3907.
What is Theodore Tso's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.
Is Theodore Tso enrolled in Medicare?
Yes. Theodore Tso 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.
Which organizations bill Medicare for Theodore Tso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Tso reassigns Medicare benefits to 3 organizations: The Cleveland Clinic Foundation (Cleveland, OH), County Of Los Angeles Auditor Controller (Lancaster, CA) and City Of Hope Medical Foundation (Duarte, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Tso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Tso accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and DentaQuest Insurance Company Inc- OH list Theodore Tso 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 Theodore Tso affiliated with any hospitals?
According to CMS data, Theodore Tso is affiliated with Cleveland Clinic.
When was this NPI record last updated?
The NPPES record for Theodore Tso was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Theodore V Tso, D.M.D. · NPI 1285040980
Prosthodontics provider in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since July 2, 2014.
## Identity
- **NPI:** 1285040980 (Entity type: Individual)
- **Enumerated:** July 2, 2014
- **Primary specialty:** Dentist - Prosthodontics · taxonomy 1223P0700X
- **State license:** 30.027372 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 9500 EUCLID AVE, Cleveland, OH 44195-2527
- **Phone:** (626) 215-3907
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): The Cleveland Clinic Foundation (NPI 1679525919, Cleveland, OH); County Of Los Angeles Auditor Controller (NPI 1366453045, Lancaster, CA); City Of Hope Medical Foundation (NPI 1871886366, Duarte, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Univ Of Pennsylvania School Of Dental Medicine, class of 2014
## Record status
- **NPPES last updated:** April 4, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1285040980) · Data from the CMS NPPES public registry.