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CASSANDRA THEODORIS NP
NPI 1316411481
Nurse Practitioner - Acute Care in Brockton, MA

Active since January 11, 2019PECOS EnrolledAccepts Medicare Assignment
91.41/100
CMS Quality Rating
110 LIBERTY ST, BROCKTON, MA 02301(508) 894-0400 Get Directions Write a Review

NPPES record last updated: June 2, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2019, Jan 11, 2019 (2 updates tracked since 2019).

About Cassandra Theodoris Np NPPES

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

CASSANDRA THEODORIS NP (NPI 1316411481) is an individual acute care provider in Brockton, Massachusetts, licensed in Massachusetts (RN2312573) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, is affiliated with Northeast Hospital Corporation, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1316411481
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameCASSANDRA THEODORISCredential: NP
Location Address110 LIBERTY STBrockton, MA 02301-5521
Mailing Address1440 Eastern AveMalden, MA 02148-6112
Phone(508) 894-0400
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 11, 2019
Last NPPES UpdateJune 2, 20222 updates tracked since enumeration
NPPES CertifiedJune 2, 2022
✔ NPI 1316411481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MA · RN2312573
Also ListedNurse PractitionerTaxonomy 363L00000X · License RN2312573 (MA)
110 LIBERTY ST, Brockton, MA 02301
Open in Google Maps ↗

Other Names 1

Former Name (1)Cassandra Desjardins

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Cassandra Theodoris Np 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 ID5193065696
PECOS Enrollment IDI20190320001019
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 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.

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.
51 services44 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.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Northeast Hospital Corporation

Acute Care Hospitals · Beverly, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220033
Location85 Herrick StreetBeverly, MA 01915 · Essex County
Emergency services Birthing friendly

Winchester Hospital

Acute Care Hospitals · Winchester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220105
Location41 Highland AvenueWinchester, MA 01890 · Middlesex County
Emergency services Birthing friendly

Lahey Hospital & Medical Center, Burlington

Acute Care Hospitals · Burlington, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220171
Location41 & 45 Mall RoadBurlington, MA 01803 · Middlesex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02301 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

91.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.87
Promoting Interoperability100
Improvement Activities40

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.

MR. RICHARD DUONG PA-C
Physician Assistant
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 565-3055
MRS. RENA B LEVY MSN, FNP-BC
Nurse Practitioner (Family)
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 894-0400
DR. KEVIN RAYMOND GENDREAU M.D.
Family Medicine (Obesity Medicine)
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 894-0400
XIN HE
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 894-0400
DR. SENA J LEE MD
Dermatology
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 580-1020
NITA MEHTA MD
Ophthalmology
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 894-0400
DR. TARA SAMANTHA SWIM M.D.
Physical Medicine & Rehabilitation
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 565-3055
NATASHA BITA KHAZAI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 LIBERTY ST
BROCKTON, MA 02301
Plymouth County (508) 894-0400

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 Cassandra Theodoris's NPI number?

The NPI number for Cassandra Theodoris is 1316411481. It was assigned to this individual provider in the NPPES registry on January 11, 2019. The provider is also known as Cassandra Desjardins.

Where is Cassandra Theodoris located?

Cassandra Theodoris practices at 110 Liberty St, Brockton, MA 02301. The listed phone number is (508) 894-0400.

What is Cassandra Theodoris's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Cassandra Theodoris enrolled in Medicare?

Yes. Cassandra Theodoris 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 Cassandra Theodoris accept?

Health plans from Anthem Blue Cross and Blue Shield list Cassandra Theodoris 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 Cassandra Theodoris affiliated with any hospitals?

According to CMS data, Cassandra Theodoris is affiliated with Northeast Hospital Corporation, Winchester Hospital and Lahey Hospital & Medical Center, Burlington.

When was this NPI record last updated?

The NPPES record for Cassandra Theodoris was last updated on June 2, 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.