THEODORE EMMANUEL LOIZOS MD
NPI 1497836290
Ophthalmology in Fairview Park, OH

Active since October 18, 2006PECOS EnrolledAccepts Medicare Assignment
76.18/100
CMS Quality Rating
21375 LORAIN RD, FAIRVIEW PARK, OH 44126(440) 333-7346(440) 333-0273 Get Directions Write a Review

NPPES record last updated: January 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodore Emmanuel Loizos Md NPPES

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

THEODORE EMMANUEL LOIZOS MD (NPI 1497836290) is an individual ophthalmology provider in Fairview Park, Ohio, licensed in Ohio (57-010536) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2005).

NPPES Registry Identity

NPI1497836290
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameTHEODORE EMMANUEL LOIZOSCredential: MD
Location Address21375 LORAIN RDFairview Park, OH 44126-2122
Mailing Address21375 Lorain RdFairview Park, OH 44126-2122 · (440) 333-7346 · Fax (440) 333-0273
Fax(440) 333-0273
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2005
Enumeration DateOctober 18, 2006
Last NPPES UpdateJanuary 11, 2011
NPI 1497836290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OH · 57-010536
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
21375 LORAIN RD, Fairview Park, OH 44126

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

Theodore Emmanuel Loizos Md 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 ID7214081488
PECOS Enrollment IDI20090821000682
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 21

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.
564 services524 patients
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.
375 services260 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
327 services215 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
300 services186 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
280 services267 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
275 services256 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44126 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

76.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost20.63

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.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
4 suppliers11 claims11 services$62.00 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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
21375 LORAIN RD
FAIRVIEW PARK, OH 44126
Ophthalmology
21375 LORAIN RD
FAIRVIEW PARK, OH 44126
Ophthalmology
21375 LORAIN RD
FAIRVIEW PARK, OH 44126
Ophthalmology
21375 LORAIN RD
FAIRVIEW PARK, OH 44126
Ophthalmology
21375 LORAIN RD, SUITE 203
FAIRVIEW PARK, OH 44126
Ophthalmology (Cornea and External Diseases Specialist)
21375 LORAIN RD
FAIRVIEW PARK, OH 44126

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 Loizos's NPI number?

The NPI number for Theodore Loizos is 1497836290. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Where is Theodore Loizos located?

Theodore Loizos practices at 21375 Lorain Rd, Fairview Park, OH 44126. The listed phone number is (440) 333-7346.

What is Theodore Loizos's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Theodore Loizos enrolled in Medicare?

Yes. Theodore Loizos 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 Theodore Loizos accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource and 4 other insurers list Theodore Loizos 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.

When was this NPI record last updated?

The NPPES record for Theodore Loizos was last updated on January 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.