DR. ATHENA THEODOSATOS DO MPH
NPI 1730328691
Dermatology in Apopka, FL

Active since February 16, 2009PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3030 E SEMORAN BLVD STE 258, APOPKA, FL 32703(407) 671-3634(407) 986-6033 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Athena Theodosatos Do Mph NPPES

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

DR. ATHENA THEODOSATOS DO MPH (NPI 1730328691) is an individual dermatology provider in Apopka, Florida, licensed in Florida (OS10497) and active in the NPI registry since February 2009. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Rowan University School Of Osteopathic Medicine (2006).

NPPES Registry Identity

NPI1730328691
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameDR. ATHENA THEODOSATOSCredential: DO MPH
Location Address3030 E SEMORAN BLVD STE 258Apopka, FL 32703-5900
Mailing Address3030 E Semoran Blvd Ste 258Apopka, FL 32703-5900 · (407) 671-3634 · Fax (407) 986-6033
Fax(407) 986-6033
Sole ProprietorYes
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2006
Enumeration DateFebruary 16, 2009
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
NPI 1730328691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in FL · OS10497
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
3030 E SEMORAN BLVD STE 258, Apopka, FL 32703

Other Identifiers 2

Other146TMFL · Bcbsfl
Medicaid001101800FL

Accepted 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

Dr. Athena Theodosatos Do Mph 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 ID1759431240
PECOS Enrollment IDI20090603000506
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 38

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.

Obtaining data needed to develop the optimal radiation treatment, 1 treatment area 77280
This procedure involves gathering essential information to create the best radiation treatment plan for a specific area. It includes scanning the treatment area and using this data to calculate the precise dose of radiation needed to target the disease effectively, while sparing healthy tissue.
2,088 services171 patients
Radiation treatment delivery, single treatment area,single port or parallel opposed ports, simple blocks or no blocks: up to 5 mev G6003
Radiation treatment involves directing high-energy waves at a specific area of the body to destroy cancer cells. In this process, a single treatment area is targeted, using either a single port or parallel opposed ports. Simple blocks or no blocks are used to protect healthy tissue. The energy level used is up to 5 MeV (million electron volts).
1,104 services128 patients
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.
1,091 services318 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
1,059 services128 patients
Superficial and/or low voltage radiation treatment delivery 77401
Superficial and/or low voltage radiation treatment delivery is a non-invasive procedure used to treat certain diseases like skin cancer. It uses low energy radiation to target and destroy abnormal cells, aiding in halting disease progression.
895 services92 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
579 services383 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32703 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 2

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

Dermatology
3030 E SEMORAN BLVD STE 258
APOPKA, FL 32703
Nurse Practitioner
3030 E SEMORAN BLVD STE 258
APOPKA, FL 32703

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 Athena Theodosatos's NPI number?

The NPI number for Athena Theodosatos is 1730328691. It was assigned to this individual provider in the NPPES registry on February 16, 2009.

Where is Athena Theodosatos located?

Athena Theodosatos practices at 3030 E Semoran Blvd Ste 258, Apopka, FL 32703. The listed phone number is (407) 671-3634.

What is Athena Theodosatos's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Athena Theodosatos enrolled in Medicare?

Yes. Athena Theodosatos 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 Athena Theodosatos accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Athena Theodosatos 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 Athena Theodosatos affiliated with any hospitals?

According to CMS data, Athena Theodosatos is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Athena Theodosatos was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.