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

Active since January 31, 2017PECOS Enrolled
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: November 01, 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.

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
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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teddy Theodorakis Np 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Teddy Theodorakis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gerard Degregoris III, MD PC
10.0 mi
Anesthesiology
115 E 57TH ST STE 610
New York, NY 10022
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1548757958 (212) 535-3505
North Shore - Lij Medical PC
19 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

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

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 enrollment system.

Which organizations bill Medicare for Teddy Theodorakis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teddy Theodorakis reassigns Medicare benefits to 2 organizations: Gerard Degregoris III, MD PC (New York, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). Each 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 Teddy Theodorakis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Teddy Theodorakis was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.