THERESA BETH SEVILIS DO
NPI 1407111461
Psychiatry & Neurology - Neurology in Fort Myers, FL

Q: What is Theresa Sevilis's NPI number?

The NPI number for Theresa Sevilis is 1407111461. It was assigned to this individual provider in the NPPES registry on July 5, 2012. The provider is also known as Theresa Gallo.

Q: What is Theresa Sevilis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Theresa Sevilis was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 July 05, 2012PECOS EnrolledAccepts Medicare Assignment

11215 METRO PKWY STE 1, FORT MYERS, FL 33966(239) 208-2212(239) 208-3994 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2025, Jan 4, 2023, Nov 8, 2022 and 8 more (11 updates tracked since 2016).

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About Theresa Beth Sevilis Do NPPES

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

THERESA BETH SEVILIS DO (NPI 1407111461) is an individual neurology provider in Fort Myers, Florida, licensed in Florida (OS15069) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1407111461

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameTHERESA BETH SEVILISCredential: DO

Location Address11215 METRO PKWY STE 1Fort Myers, FL 33966-1206

Mailing Address11215 Metro Pkwy Ste 1Fort Myers, FL 33966-1206 · (239) 208-2212 · Fax (239) 208-3994

Phone(239) 208-2212

Fax(239) 208-3994

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 5, 2012

Last NPPES UpdateJune 16, 202511 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1407111461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in FL · OS15069✔ Licensed in PA · OS019683✔ Licensed in OR · DO190968✔ Licensed in NC · 2015-02019✔ Licensed in NY · 293822-1✔ Licensed in OH · 34.013178✔ Licensed in NH · 19093✔ Licensed in ND · 15244✔ Licensed in MI · 5101023712✔ Licensed in MS · 25733✔ Licensed in CA · 20A12490✔ Licensed in MO · 2020005555✔ Licensed in TX · TM00771

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedHospitalistTaxonomy 208M00000X · License OS15069 (FL)

11215 METRO PKWY STE 1, Fort Myers, FL 33966

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Other Names 1

Former Name (1)Theresa Gallo

Secondary Practice Locations 4

Location 13535 Southern BlvdKettering, OH 45429-1221 · Phone (937) 395-8693 · Fax (937) 395-8399

Location 21250 S Cedar Crest Blvd Ste 405Allentown, PA 18103-6224 · Phone (610) 402-8420

Location 3172 Kinsley StNashua, NH 03060-3648 · Phone (603) 882-3000 · Fax (603) 889-3774

Location 42790 Clay Edwards Dr Ste 1235North Kansas City, MO 64116-3276 · Phone (816) 472-5157 · Fax (816) 472-7201

Other Identifiers 1

Medicaid3116053NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, AvMed, Blue Care Network of Michigan and more.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

Theresa Beth Sevilis Do 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 ID6608191911

PECOS Enrollment IDI20160907001849, I20181219001712, I20190619001406, I20190719000525, I20201005002077, I20220916002671, I20230929000632

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.

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425

A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.

73 services73 patients

Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426

A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.

47 services47 patients

Telehealth consultation, critical care, initial , physicians typically spend 60 minutes communicating with the patient and providers via telehealth G0508

A telehealth consultation for critical care is a virtual meeting with a physician, typically lasting 60 minutes. Here, the doctor assesses your health condition, provides guidance, and communicates with other care providers, all through digital platforms. It's a safe, convenient way to receive critical care.

41 services41 patients

Hospital Affiliations CMS Care Compare 5

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Redmond Regional Medical Center

Acute Care Hospitals · Rome, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110168

Location501 Redmond Road NWRome, GA 30165 · Floyd County

Chi Health Bergan Mercy

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280060

Location7500 Mercy RdOmaha, NE 68124 · Douglas County

Emergency services Birthing friendly

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450034

Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County

Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450102

Location800 East DawsonTyler, TX 75701 · Smith County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33966 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

STANLEY GARKEN LUE MD

Psychiatry & Neurology (Neurology)