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DR. THEODORE E. PATSIS M.D.
NPI 1740424365
Internal Medicine in Huntington, NY

Active since April 27, 2009PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
270 PARK AVE, NORTHWELL HEALTH HUNTINGTON HOSPITAL, HUNTINGTON, NY 11743(631) 351-2255(631) 760-2182 Get Directions Write a Review

NPPES record last updated: March 18, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Theodore E. Patsis M.d. NPPES

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

DR. THEODORE E. PATSIS M.D. (NPI 1740424365) is an individual internal medicine provider in Huntington, New York, licensed in New York (251723-1) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1740424365
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THEODORE E. PATSISCredential: M.D.
Location Address270 PARK AVE, NORTHWELL HEALTH HUNTINGTON HOSPITALHuntington, NY 11743-2787
Mailing Address140 Clay Pitts RdGreenlawn, NY 11740-2920 · (631) 827-1926
Phone(631) 351-2255
Fax(631) 760-2182
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 27, 2009
Last NPPES UpdateMarch 18, 2016
✔ NPI 1740424365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 251723-1
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 251723-1 (NY)
270 PARK AVE, Huntington, NY 11743
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.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. Theodore E. Patsis M.d. 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 ID2365596954
PECOS Enrollment IDI20090817000386
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
216 services121 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
119 services115 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
119 services115 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
49 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services16 patients

Hospital Affiliations CMS Care Compare 4

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11743 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

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.

MS. CARA ANGELA CHARTIER PA
Physician Assistant (Surgical)
270 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 351-2000
DR. RAUL FERNANDO MD
Emergency Medicine
270 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 351-2000
MR. GERALD AUGUSTIN PA
Physician Assistant (Surgical)
270 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 351-2000
MS. JOY F LICATA RD
Dietitian, Registered
270 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 351-2000
ANDREA SCHMITZ ANP
Nurse Practitioner (Adult Health)
270 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 351-2000
ERIN O'MAHONEY NP
Nurse Practitioner (Pediatrics)
270 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 351-2200
DR. SUSAN E ESPOSITO MD
Emergency Medicine
270 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 651-8370
MS. RUTHELLEN TRIMMER NP
Nurse Practitioner (Adult Health)
270 PARK AVE
HUNTINGTON, NY 11743
Suffolk County (631) 351-2000

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 Patsis's NPI number?

The NPI number for Theodore Patsis is 1740424365. It was assigned to this individual provider in the NPPES registry on April 27, 2009.

Where is Theodore Patsis located?

Theodore Patsis practices at 270 Park Ave Northwell Health Huntington Hospital, Huntington, NY 11743. The listed phone number is (631) 351-2255.

What is Theodore Patsis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theodore Patsis enrolled in Medicare?

Yes. Theodore Patsis 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 Theodore Patsis accept?

Health plans from Molina Healthcare list Theodore Patsis 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 Theodore Patsis affiliated with any hospitals?

According to CMS data, Theodore Patsis is affiliated with Garnet Health Medical Center, Long Island Community Hospital, Nyu Langone Hospitals and St Charles Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Patsis was last updated on March 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.