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THEODORE PHILLIP FIRESTONE MD
NPI 1689654790
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in Scottsdale, AZ

Active since January 17, 2006Opted out of Medicare · through Sep 1, 2026
20401 N 73RD ST, STE 160, SCOTTSDALE, AZ 85255(480) 237-5727(480) 657-3207 Get Directions Write a Review

NPPES record last updated: October 28, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodore Phillip Firestone Md NPPES

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

THEODORE PHILLIP FIRESTONE MD (NPI 1689654790) is an individual adult reconstructive orthopaedic surgery provider in Scottsdale, Arizona, licensed in Arizona (19529) and active in the NPI registry since January 2006. He has opted out of Medicare through September 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1689654790
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameTHEODORE PHILLIP FIRESTONECredential: MD
Location Address20401 N 73RD ST, STE 160Scottsdale, AZ 85255
Mailing Address20401 N 73rd St, Suite 160Scottsdale, AZ 85255 · (480) 237-5727 · Fax (480) 657-3207
Phone(480) 237-5727
Fax(480) 657-3207
Sole ProprietorYes
Enumeration DateJanuary 17, 2006
Last NPPES UpdateOctober 28, 2013
✔ NPI 1689654790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
License✔ Licensed in AZ · 19529
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
20401 N 73RD ST, Scottsdale, AZ 85255
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Other Identifiers 3

Medicaid296352AZ
Medicare ID-Type Unspecified111926AZ
Medicare UPINE14745

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Theodore Phillip Firestone Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2014 through September 1, 2026.

Opt-Out Effective DateSeptember 1, 2014
Opt-Out In Effect ThroughSeptember 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HONORHEALTH AMBULATORY
Internal Medicine (Gastroenterology)
20401 N 73RD ST, SUITE 210
SCOTTSDALE, AZ 85255
Maricopa County (480) 945-2321
JEANETTE JUMAWAN FNP
Nurse Practitioner (Family)
20401 N 73RD ST, SUITE 160
SCOTTSDALE, AZ 85255
Maricopa County (480) 237-5727
DR. TODD M DOERR MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
20401 N 73RD ST, SUITE 175
SCOTTSDALE, AZ 85255
Maricopa County (480) 353-0446
CHRISTINA MARIE SNYDER PA-C
Physician Assistant
20401 N 73RD ST, SUITE 230
SCOTTSDALE, AZ 85255
Maricopa County (480) 556-0446
ARIZONA INSTITUTE FOR SPORTS KNEES AND SHOULDERS, LLC
Orthopaedic Surgery
20401 N 73RD ST, 160
SCOTTSDALE, AZ 85255
Maricopa County (480) 264-6995
STUART L TRIESTER M.D.
Internal Medicine (Gastroenterology)
20401 N 73RD ST, SUITE 275
SCOTTSDALE, AZ 85255
Maricopa County (480) 945-2321
RICHARD LEE AVERITTE JR PLLC
Dermatology
20401 N 73RD ST, SUITE 230
SCOTTSDALE, AZ 85255
Maricopa County (480) 556-0446
GAVIN N LEVINTHAL M.D.
Internal Medicine (Gastroenterology)
20401 N 73RD ST, SUITE 275
SCOTTSDALE, AZ 85255
Maricopa County (480) 945-2321

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 Theodore Firestone's NPI number?

The NPI number for Theodore Firestone is 1689654790. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Theodore Firestone located?

Theodore Firestone practices at 20401 N 73rd St Ste 160, Scottsdale, AZ 85255. The listed phone number is (480) 237-5727.

What is Theodore Firestone's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Theodore Firestone enrolled in Medicare?

No. Theodore Firestone has opted out of Medicare through September 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Theodore Firestone was last updated on October 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.