THEODORE FAGRELIUS MD
NPI 1710374996
Emergency Medicine in Baltimore, MD

Q: What is Theodore Fagrelius's NPI number?

The NPI number for Theodore Fagrelius is 1710374996. It was assigned to this individual provider in the NPPES registry on April 25, 2015.

Q: What is Theodore Fagrelius's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since April 25, 2015PECOS EnrolledAccepts Medicare Assignment

1830 E MONUMENT ST STE 6-100, BALTIMORE, MD 21287(410) 955-5107 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 8, 2021, Jan 14, 2020, Jan 5, 2019 (3 updates tracked since 2019).

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About Theodore Fagrelius Md NPPES

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

THEODORE FAGRELIUS MD (NPI 1710374996) is an individual emergency medicine provider in Baltimore, Maryland, licensed in Maryland (D85894) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Inova Mount Vernon Hospital, and is a graduate of University Of Minnesota Medical School (2015).

NPPES Registry Identity

NPI1710374996

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameTHEODORE FAGRELIUSCredential: MD

Location Address1830 E MONUMENT ST STE 6-100Baltimore, MD 21287-0020

Mailing Address2120 L St Nw Ste 450Washington, DC 20037-1541

Phone(410) 955-5107

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2015

Enumeration DateApril 25, 2015

Last NPPES UpdateMarch 8, 20213 updates tracked since enumeration

NPPES CertifiedMarch 8, 2021

✔ NPI 1710374996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in MD · D85894✔ Licensed in PA · MD467783

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1830 E MONUMENT ST STE 6-100, Baltimore, MD 21287

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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

Theodore Fagrelius 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 ID8921319039

PECOS Enrollment IDI20200311001887

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 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

40 services38 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

20 services20 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490122

Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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

$94.08 typical visit price

range $60.73 – $183.44

Typical copayment $23.52 (range $15.18 – $45.86)

Most-billed visit code 99203

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

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.

DOROTHY YIM

Emergency Medicine