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TEDDY THEODORAKIS NP
NPI 1689111445
Nurse Practitioner - Family in Brooklyn, NY

Active since January 31, 2017PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
139 85TH ST, BROOKLYN, NY 11209(917) 463-9517 Get Directions Write a Review

NPPES record last updated: January 31, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Teddy Theodorakis Np NPPES

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

TEDDY THEODORAKIS NP (NPI 1689111445) is an individual family provider in Brooklyn, New York, licensed in New York (F0816957) and active in the NPI registry since January 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1689111445
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTEDDY THEODORAKISCredential: NP
Location Address139 85TH STBrooklyn, NY 11209-4303
Mailing Address139 85th StBrooklyn, NY 11209-4303 · (917) 463-9517
Phone(917) 463-9517
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 31, 2017
✔ NPI 1689111445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F0816957
139 85TH ST, Brooklyn, NY 11209
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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

Teddy Theodorakis Np 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 ID1557776465
PECOS Enrollment IDI20210226000026
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 11209 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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 Teddy Theodorakis's NPI number?

The NPI number for Teddy Theodorakis is 1689111445. It was assigned to this individual provider in the NPPES registry on January 31, 2017.

Where is Teddy Theodorakis located?

Teddy Theodorakis practices at 139 85th St, Brooklyn, NY 11209. The listed phone number is (917) 463-9517.

What is Teddy Theodorakis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Teddy Theodorakis enrolled in Medicare?

Yes. Teddy Theodorakis 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.

When was this NPI record last updated?

The NPPES record for Teddy Theodorakis was last updated on January 31, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.