GEORGE H THEODORE M.D.
NPI 1639171101
Orthopaedic Surgery - Foot and Ankle Surgery in Boston, MA

Q: What is George Theodore's NPI number?

The NPI number for George Theodore is 1639171101. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Q: What is George Theodore's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Q: When was this NPI record last updated?

The NPPES record for George Theodore was last updated on March 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since August 12, 2005PECOS EnrolledAccepts Medicare Assignment

175 CAMBRIDGE ST, 4TH FLOOR, BOSTON, MA 02114(617) 724-7009(617) 643-1006 Get Directions Write a Review

NPPES record last updated: March 27, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About George H Theodore M.d. NPPES

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

GEORGE H THEODORE M.D. (NPI 1639171101) is an individual foot and ankle surgery provider in Boston, Massachusetts, licensed in Massachusetts (150940) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Harvard Medical School (1991).

NPPES Registry Identity

NPI1639171101

Entity TypeIndividualMale

Primary Taxonomy207XX0004X

Provider Legal NameGEORGE H THEODORECredential: M.D.

Location Address175 CAMBRIDGE ST, 4TH FLOORBoston, MA 02114-2743

Mailing AddressPo Box 86Hingham, MA 02043-0086 · (781) 749-9071 · Fax (781) 749-2133

Phone(617) 724-7009

Fax(617) 643-1006

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 1991

Enumeration DateAugust 12, 2005

Last NPPES UpdateMarch 27, 2009

✔ NPI 1639171101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Foot and Ankle SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207XX0004X

License✔ Licensed in MA · 150940

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery.

175 CAMBRIDGE ST, Boston, MA 02114

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Other Identifiers 3

Medicaid3152502MA

Medicare UPING26707MA

Medicare ID-Type UnspecifiedA21271MA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

George H Theodore 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 ID8729023700

PECOS Enrollment IDI20110324000487

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 2

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.

116 services67 patients

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.

36 services36 patients

Hospital Affiliations CMS Care Compare

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

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.

DANIEL J TOWNSEND M.D.

Ophthalmology

175 CAMBRIDGE ST, C/O PROOPTICAL
BOSTON, MA 02114

Suffolk County (617) 267-7545

DR. BERTRAM ZARINS M.D.

Orthopaedic Surgery (Sports Medicine)

175 CAMBRIDGE ST, SUITE 400
BOSTON, MA 02114

Suffolk County (617) 726-3421

ANNE STYERS VISER PT

Physical Therapist (Orthopedic)

175 CAMBRIDGE ST, 4TH FLOOR
BOSTON, MA 02114

Suffolk County (617) 643-1230

MR. KYLE JOSEPH RODENHI MS, PT

Physical Therapist

175 CAMBRIDGE ST, 4TH FLOOR
BOSTON, MA 02114

Suffolk County (617) 643-9999

JESSICA LEVITSKY PTA

Physical Therapy Assistant

175 CAMBRIDGE ST, SUITE 470
BOSTON, MA 02114

Suffolk County (617) 643-9999

JEFFREY KUBLIN OD

Optometrist

175 CAMBRIDGE ST
BOSTON, MA 02114

Suffolk County (617) 523-7006

ORTHOCARE MEDICAL EQUIPMENT, LLC

Durable Medical Equipment & Medical Supplies

175 CAMBRIDGE ST, SUITE 400
BOSTON, MA 02114

Suffolk County (617) 643-0927

KRISTON A GANGULI M.D.

Pediatrics (Pediatric Gastroenterology)

175 CAMBRIDGE ST, CRP 575
BOSTON, MA 02114

Suffolk County (617) 726-1450

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 George Theodore's NPI number?

The NPI number for George Theodore is 1639171101. It was assigned to this individual provider in the NPPES registry on August 12, 2005.

Where is George Theodore located?

George Theodore practices at 175 Cambridge St 4th Floor, Boston, MA 02114. The listed phone number is (617) 724-7009.

What is George Theodore's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Foot and Ankle Surgery, with taxonomy code 207XX0004X.

Is George Theodore enrolled in Medicare?

Yes. George Theodore 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 George Theodore accept?

Health plans from Anthem Blue Cross and Blue Shield list George Theodore 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 George Theodore affiliated with any hospitals?

According to CMS data, George Theodore is affiliated with Massachusetts General Hospital.

When was this NPI record last updated?

The NPPES record for George Theodore was last updated on March 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.