THEODORE TSOMIDES MD, PHD
NPI 1285612754
Hospitalist in Raleigh, NC

Q: What is Theodore Tsomides's NPI number?

The NPI number for Theodore Tsomides is 1285612754. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Q: What is Theodore Tsomides's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Tsomides was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 05, 2006PECOS Enrolled

3024 NEW BERN AVE, RALEIGH, NC 27610(919) 350-2800(919) 350-0225 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 7, 2023, Apr 14, 2021 (2 updates tracked since 2021).

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About Theodore Tsomides Md, Phd NPPES

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

THEODORE TSOMIDES MD, PHD (NPI 1285612754) is an individual hospitalist provider in Raleigh, North Carolina, licensed in North Carolina (200001625) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285612754

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameTHEODORE TSOMIDESCredential: MD, PHD

Location Address3024 NEW BERN AVERaleigh, NC 27610-1247

Mailing Address2920 Highwoods BlvdRaleigh, NC 27604-0010 · (877) 498-4490

Phone(919) 350-2800

Fax(919) 350-0225

Sole ProprietorNo

Enumeration DateJanuary 5, 2006

Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration

NPPES CertifiedApril 14, 2021

✔ NPI 1285612754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NC · 200001625

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

3024 NEW BERN AVE, Raleigh, NC 27610

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Other Identifiers 2

Other130F7Blue Cross Blue Shield

Medicaid89130F7NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodore Tsomides Md, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Theodore Tsomides reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wakemed Specialists Group, LLC

Same address

Otolaryngology

3024 NEW BERN AVE
Raleigh, NC 27610

Reassigned Medicare billing, North Carolina enrollment
997 clinicians in this Medicare group

NPI 1053976415 (919) 350-7856

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 4

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.

72 services34 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.

43 services25 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

25 services25 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.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27610 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

VALERIE J RINEHAMMER PNP

Nurse Practitioner (Pediatrics)

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-7846

WAKEMED FACULTY PRACTICE PLAN

Pediatrics (Pediatric Critical Care Medicine)

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-8000

DR. KAREN NEFF CHILTON M.D.

Pediatrics (Pediatric Critical Care Medicine)

3024 NEW BERN AVE, SUITE 307 - PEDIATRICS
RALEIGH, NC 27610

Wake County (919) 350-8493

DR. SAMER TAJ-ELDIN M.D.

Internal Medicine (Critical Care Medicine)

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-7270

VIRGINIA GRACE CATES PA-C

Physician Assistant

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-5318

MS. KAYLA ANNE CADDEN PA-C

Physician Assistant (Surgical)

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-7331

DON M. ARMSTRONG MD

Obstetrics & Gynecology

3024 NEW BERN AVE
RALEIGH, NC 27610

Wake County (919) 350-7084

KATHLEEN A ROWE NP

Nurse Practitioner

3024 NEW BERN AVE, SUITE 304
RALEIGH, NC 27610

Wake County (919) 350-8729

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 Tsomides's NPI number?

The NPI number for Theodore Tsomides is 1285612754. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Theodore Tsomides located?

Theodore Tsomides practices at 3024 New Bern Ave, Raleigh, NC 27610. The listed phone number is (919) 350-2800.

What is Theodore Tsomides's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Theodore Tsomides enrolled in Medicare?

Yes. Theodore Tsomides is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theodore Tsomides's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Tsomides reassigns Medicare benefits to Wakemed Specialists Group, LLC (Raleigh, NC). The 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 Tsomides's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theodore Tsomides was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.