Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. THEODORA PAPPA MD, PHD
NPI 1285154674
Internal Medicine - Endocrinology, Diabetes & Metabolism in Boston, MA

Active since June 27, 2017PECOS Enrolled
15 PARKMAN ST, BOSTON, MA 02114(617) 726-8720 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 6, 2026, Jul 6, 2021, Jul 14, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Theodora Pappa Md, Phd NPPES

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

DR. THEODORA PAPPA MD, PHD (NPI 1285154674) is an individual endocrinology, diabetes & metabolism provider in Boston, Massachusetts, licensed in Massachusetts (279830) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1285154674
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. THEODORA PAPPACredential: MD, PHD
Location Address15 PARKMAN STBoston, MA 02114-3117
Mailing Address221 Longwood AveBoston, MA 02115-5817 · (617) 732-5666
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 27, 2017
Last NPPES UpdateOctober 6, 20266 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1285154674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MA · 279830
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 278465 (MA), 125.071464 (IL)
15 PARKMAN ST, Boston, MA 02114

Secondary Practice Locations 2

Location 1221 Longwood AveBoston, MA 02115-5817 · Phone (617) 732-5666
Location 255 Fruit StBoston, MA 02114-2621 · Phone (617) 724-5246

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. Theodora Pappa Md, Phd 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 ID4183040413
PECOS Enrollment IDI20210713000795
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 3

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 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.
44 services37 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 services13 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

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

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$189.49 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.

Nurse Practitioner (Adult Health)
15 PARKMAN ST, WAC 440
BOSTON, MA 02114
Physical Therapist
15 PARKMAN ST
BOSTON, MA 02114
Psychiatry & Neurology (Geriatric Psychiatry)
15 PARKMAN ST, PSYCHIATRY OUTPATIENT DEPARTMENT WAC 812
BOSTON, MA 02114
Physical Therapist (Neurology)
15 PARKMAN ST, ROOM 134
BOSTON, MA 02114
Physical Therapist
15 PARKMAN ST
BOSTON, MA 02114
Physical Therapist
15 PARKMAN ST, WACC 134
BOSTON, MA 02114
Physical Therapist
15 PARKMAN ST
BOSTON, MA 02114
Psychiatry & Neurology (Psychiatry)
15 PARKMAN ST, WAC 8 PSYCHIATRY OUTPATIENT DEPARTMENT
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 Theodora Pappa's NPI number?

The NPI number for Theodora Pappa is 1285154674. It was assigned to this individual provider in the NPPES registry on June 27, 2017.

Where is Theodora Pappa located?

Theodora Pappa practices at 15 Parkman St, Boston, MA 02114. The listed phone number is (617) 726-8720.

What is Theodora Pappa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Theodora Pappa enrolled in Medicare?

Yes. Theodora Pappa 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 Theodora Pappa accept?

Health plans from Anthem Blue Cross and Blue Shield list Theodora Pappa 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 Theodora Pappa affiliated with any hospitals?

According to CMS data, Theodora Pappa is affiliated with North Shore Medical Center -, Massachusetts General Hospital, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Theodora Pappa was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.