DR. THEODORE N FOTOPOULOS MD
NPI 1598765760
Dermatology - MOHS-Micrographic Surgery in New Port Richey, FL

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5534 GULF DR, SUITE 1, NEW PORT RICHEY, FL 34652(727) 847-3992(727) 848-1118 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Theodore N Fotopoulos Md NPPES

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

DR. THEODORE N FOTOPOULOS MD (NPI 1598765760) is an individual mohs-micrographic surgery provider in New Port Richey, Florida, licensed in Florida (ME0063090) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (1990).

NPPES Registry Identity

NPI1598765760
Entity TypeIndividualMale
Primary Taxonomy207ND0101X
Provider Legal NameDR. THEODORE N FOTOPOULOSCredential: MD
Location Address5534 GULF DR, SUITE 1New Port Richey, FL 34652-4000
Mailing Address5534 Gulf Dr, Suite 1New Port Richey, FL 34652-4000 · (727) 847-3992 · Fax (727) 848-1118
Fax(727) 848-1118
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1990
Enumeration DateJuly 28, 2005
Last NPPES UpdateDecember 6, 2022
NPPES CertifiedDecember 6, 2022
NPI 1598765760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · MOHS-Micrographic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207ND0101X
License Licensed in FL · ME0063090
Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

5534 GULF DR, New Port Richey, FL 34652

Other Identifiers 7

Other591798817FL · Humana
Other08190FL · Wellcare
Other31796FL · Blue Cross Blue Shield
Other070009211FL · Railroad Medicare
Other242931FL · Avmed
Other2017793FL · Aetna
Other8550571-003FL · Cigna

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

Dr. Theodore N Fotopoulos 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 ID9638208432
PECOS Enrollment IDI20110222000345
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 30

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
2,249 services389 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
1,124 services772 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
629 services471 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
343 services298 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
307 services234 patients
Biopsy of related skin growth, each additional growth 11103
A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.
133 services81 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34652 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Advance Care Plan 100% 2446
Melanoma: Continuity of Care - Recall System 100% 388
Melanoma: Coordination of Care 100% 40
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 1519
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 80
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 100% 1518
Psoriasis: Clinical Response to Systemic Medications 100% 22
Tobacco Use and Help with Quitting Among Adolescents 100% 22

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.

Dermatology (MOHS-Micrographic Surgery)
5534 GULF DR, SUITE 1
NEW PORT RICHEY, FL 34652
Physician Assistant
5534 GULF DR, SUITE 1
NEW PORT RICHEY, FL 34652
Chiropractor
5534 GULF DR, SUITE 3
NEW PORT RICHEY, FL 34652
Chiropractor
5534 GULF DR, SUITE 3
NEW PORT RICHEY, FL 34652
Dermatology (MOHS-Micrographic Surgery)
5534 GULF DR, STE 1
NEW PORT RICHEY, FL 34652
Physician Assistant
5534 GULF DR
NEW PORT RICHEY, FL 34652

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598765760, enumerated as an "individual" on July 28, 2005.

The provider is located at 5534 GULF DR SUITE 1 NEW PORT RICHEY, FL 34652 and the phone number is (727) 847-3992.

Dermatology with taxonomy code 207ND0101X and a focus in MOHS-Micrographic Surgery.

The provider might be accepting Accepts: AvMed, Florida Blue (BlueCross BlueShield FL),. Please consult your insurance carrier or call the provider to verify.