1. Home
  2. Directory
  3. Illinois
  4. Skokie
  5. Surgery
  6. NPI Profile

PHILIP THEODOROPOULOS M.D.
NPI 1588678692
Surgery in Skokie, IL

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
9650 GROSS POINT RD STE 3900, SKOKIE, IL 60076(847) 570-1700 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Philip Theodoropoulos M.d. NPPES

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

PHILIP THEODOROPOULOS M.D. (NPI 1588678692) is an individual surgery provider in Skokie, Illinois, licensed in Illinois (036096989) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1995).

NPPES Registry Identity

NPI1588678692
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePHILIP THEODOROPOULOSCredential: M.D.
Location Address9650 GROSS POINT RD STE 3900Skokie, IL 60076-5085
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700 · (847) 570-2040
Phone(847) 570-1700
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1995
Enumeration DateJuly 27, 2006
Last NPPES UpdateFebruary 18, 2021
NPPES CertifiedFebruary 18, 2021
✔ NPI 1588678692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in IL · 036096989
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
9650 GROSS POINT RD STE 3900, Skokie, IL 60076
Open in Google Maps ↗

Other Identifiers 5

Other7234385IL · Aetna
Other1630046IL · Blue Cross Blue Shield Of Illinois
Medicaid036096989IL
OtherP00197606IL · Rr Retirement Mc
Other1629966IL · Bcbs Il Niess

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, 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

Philip Theodoropoulos M.d. 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 ID1759332430
PECOS Enrollment IDI20050210000250
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 Reassignment

Medicare enrollment records show Philip Theodoropoulos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endeavor Health Medical Group
2.8 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

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

Areas of Expertise CMS Part B claims 7

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
59 services59 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.
52 services45 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.
43 services26 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
32 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
31 services31 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Swedish Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140114
Location5145 N California AveChicago, IL 60625 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60076 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
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.

KRISTINA MARIE HALLEY PA-C
Physician Assistant (Surgical)
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
Cook County (847) 570-1700
MR. PETER JAE HO HWANG DO
Surgery (Trauma Surgery)
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
Cook County (847) 570-1700
AARON GORE PA-C
Physician Assistant (Surgical)
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
Cook County (847) 570-1700
MINH-TRI NHAT PHAM M.D.
Surgery (Trauma Surgery)
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
Cook County (847) 570-1700
DR. BRYAN PHILLIP HENDREN M.D.
Surgery (Surgical Critical Care)
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
Cook County (847) 570-1700
DR. GHAZALEH ROSTAMI NIA MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
Cook County (224) 251-2374
MS. TANYA TREASA CHIRAYIL FNP-BC
Nurse Practitioner
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
Cook County (847) 570-2570
DR. BENNETT H. PLOTNICK
Internal Medicine (Gastroenterology)
9650 GROSS POINT RD STE 3900
SKOKIE, IL 60076
Cook County (847) 657-1900

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 Philip Theodoropoulos's NPI number?

The NPI number for Philip Theodoropoulos is 1588678692. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Philip Theodoropoulos located?

Philip Theodoropoulos practices at 9650 Gross Point Rd Ste 3900, Skokie, IL 60076. The listed phone number is (847) 570-1700.

What is Philip Theodoropoulos's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Philip Theodoropoulos enrolled in Medicare?

Yes. Philip Theodoropoulos 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 organization bills Medicare for Philip Theodoropoulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Theodoropoulos reassigns Medicare benefits to Endeavor Health Medical Group (Evanston, IL). The 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 Philip Theodoropoulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Theodoropoulos accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Philip Theodoropoulos 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 Philip Theodoropoulos affiliated with any hospitals?

According to CMS data, Philip Theodoropoulos is affiliated with Northshore University Healthsystem - Evanston Hospital and Swedish Hospital.

When was this NPI record last updated?

The NPPES record for Philip Theodoropoulos was last updated on February 18, 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.