1. Home
  2. Directory
  3. New Jersey
  4. Red Bank
  5. Obstetrics Gynecology
  6. NPI Profile

DR. THOMAS THEOCHARIDES MD
NPI 1528014412
Obstetrics & Gynecology in Red Bank, NJ

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
194 STATE ROUTE 35, RED BANK, NJ 07701(877) 844-4557(732) 414-4282 Get Directions Write a Review

NPPES record last updated: May 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 7, 2021, Aug 25, 2020, Sep 30, 2019 (3 updates tracked since 2019).

About Dr. Thomas Theocharides Md NPPES

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

DR. THOMAS THEOCHARIDES MD (NPI 1528014412) is an individual obstetrics & gynecology provider in Red Bank, New Jersey, licensed in New Jersey (25MA06484300) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1528014412
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. THOMAS THEOCHARIDESCredential: MD
Location Address194 STATE ROUTE 35Red Bank, NJ 07701-5935
Mailing Address1569 Burnet AveUnion, NJ 07083-4250 · (732) 682-1000 · Fax (732) 414-4282
Phone(877) 844-4557
Fax(732) 414-4282
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateMay 25, 2006
Last NPPES UpdateMay 7, 20213 updates tracked since enumeration
NPPES CertifiedMay 7, 2021
✔ NPI 1528014412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NJ · 25MA06484300✔ Licensed in CA · G166702✔ Licensed in GA · 84663✔ Licensed in FL · ME148158
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X · License MAO64843 (NJ)
194 STATE ROUTE 35, Red Bank, NJ 07701
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas Theocharides 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 ID7810908019
PECOS Enrollment IDI20060602000150
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 Reassignments

7

Medicare enrollment records show Thomas Theocharides reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ocean Health Initiatives, Inc.
12 mi
Federally Qualified Health Center (FQHC)
20 JACKSON ST STE E
Freehold, NJ 07728
  • Reassigned Medicare billing, New Jersey enrollment
  • 130 clinicians in this Medicare group
NPI 1194226373 (732) 363-6655
Lakewood Resource And Referral Center Inc
19 mi
Federally Qualified Health Center (FQHC)
1771 MADISON AVE
Lakewood, NJ 08701
  • Reassigned Medicare billing, New Jersey enrollment
  • 149 clinicians in this Medicare group
NPI 1083748297 (732) 364-2144
Barnabas Health Medical Group PC
22 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Practice Associates Medical Group
36 mi
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
NPI 1427016385 (844) 264-2250
Ob Hospitalist Services New Jersey, PA
592 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD # BUILING1
Greenville, SC 29607
  • Reassigned Medicare billing, New Jersey enrollment
  • 155 clinicians in this Medicare group
NPI 1801169966 (800) 967-2289
Piedmont Providers LLC
701 mi
Internal Medicine
220 J L WHITE DR STE 120
Jasper, GA 30143
  • Reassigned Medicare billing, Georgia enrollment
  • 689 clinicians in this Medicare group
NPI 1548273592 (770) 801-2500
Magella Medical Group, Inc.
2,452 mi
Maternal & Fetal Medicine
2888 LONG BEACH BLVD STE 400
Long Beach, CA 90806
  • Reassigned Medicare billing, California enrollment
  • 191 clinicians in this Medicare group
NPI 1376640086 (562) 997-8510

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

Other Providers at the Same Location NPPES 3

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

DR. JOHN M TAYLOR M.D.
Surgery (Plastic and Reconstructive Surgery)
194 STATE ROUTE 35
RED BANK, NJ 07701
Monmouth County (732) 483-1800
BEGINNINGS OBGYN
Clinic/Center (Health Service)
194 STATE ROUTE 35
RED BANK, NJ 07701
Monmouth County (877) 844-4557
TWO RIVERS SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
194 STATE ROUTE 35
RED BANK, NJ 07701
Monmouth County (732) 242-4000

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 Thomas Theocharides's NPI number?

The NPI number for Thomas Theocharides is 1528014412. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Thomas Theocharides located?

Thomas Theocharides practices at 194 State Route 35, Red Bank, NJ 07701. The listed phone number is (877) 844-4557.

What is Thomas Theocharides's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Thomas Theocharides enrolled in Medicare?

Yes. Thomas Theocharides 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.

Which organizations bill Medicare for Thomas Theocharides's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Theocharides reassigns Medicare benefits to 7 organizations: Ocean Health Initiatives, Inc. (Freehold, NJ), Lakewood Resource And Referral Center Inc (Lakewood, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ), Practice Associates Medical Group (Morristown, NJ), Ob Hospitalist Services New Jersey, PA (Greenville, SC) and 2 more organizations, listed in the Medicare section above. Each 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 Thomas Theocharides's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Theocharides accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Health list Thomas Theocharides 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 Thomas Theocharides was last updated on May 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.