1. Home
  2. Directory
  3. Georgia
  4. Cumming
  5. Pain Medicine
  6. NPI Profile

GARY GEORGE THEOFILIS DO, MBA, DABAM
NPI 1558672014
Pain Medicine - Interventional Pain Medicine in Cumming, GA

Active since June 29, 2010PECOS Enrolled
6125 BROADWATER TRL, CUMMING, GA 30040(412) 477-4493 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, May 14, 2017 (2 updates tracked since 2017).

About Gary George Theofilis Do, Mba, Dabam NPPES

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

GARY GEORGE THEOFILIS DO, MBA, DABAM (NPI 1558672014) is an individual interventional pain medicine provider in Cumming, Georgia, licensed in Georgia (74400) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558672014
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameGARY GEORGE THEOFILISCredential: DO, MBA, DABAM
Location Address6125 BROADWATER TRLCumming, GA 30040-9521
Mailing Address6125 Broadwater TrlCumming, GA 30040-9521 · (412) 477-4493
Phone(412) 477-4493
Sole ProprietorYes
Enumeration DateJune 29, 2010
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1558672014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Licenses✔ Licensed in GA · 74400✔ Licensed in PA · OS01718
Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiology · Addiction MedicineTaxonomy 207LA0401X · License OS01718 (PA), 74400 (GA)
6125 BROADWATER TRL, Cumming, GA 30040
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gary George Theofilis Do, Mba, Dabam 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30040 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

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 Gary Theofilis's NPI number?

The NPI number for Gary Theofilis is 1558672014. It was assigned to this individual provider in the NPPES registry on June 29, 2010.

Where is Gary Theofilis located?

Gary Theofilis practices at 6125 Broadwater Trl, Cumming, GA 30040. The listed phone number is (412) 477-4493.

What is Gary Theofilis's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Gary Theofilis enrolled in Medicare?

Yes. Gary Theofilis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gary Theofilis was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.