1. Home
  2. Directory
  3. Florida
  4. Boynton Beach
  5. Psychiatry Neurology
  6. NPI Profile

DR. PETER THEODOROPOULOS MD
NPI 1790814713
Psychiatry & Neurology - Psychiatry in Boynton Beach, FL

Active since March 05, 2007PECOS EnrolledAccepts Medicare Assignment
1230 SOUTH FEDERAL HWY, # 102, BOYNTON BEACH, FL 33435(561) 736-9192(561) 736-8160 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Peter Theodoropoulos Md NPPES

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

DR. PETER THEODOROPOULOS MD (NPI 1790814713) is an individual psychiatry provider in Boynton Beach, Florida, licensed in Florida (ME0076531) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Lawnwood Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1790814713
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PETER THEODOROPOULOSCredential: MD
Location Address1230 SOUTH FEDERAL HWY, # 102Boynton Beach, FL 33435
Mailing Address1230 South Federal Hwy, # 102Boynton Beach, FL 33435 · (561) 736-9192 · Fax (561) 736-8160
Phone(561) 736-9192
Fax(561) 736-8160
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790814713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in FL · ME0076531
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1230 SOUTH FEDERAL HWY, Boynton Beach, FL 33435
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Peter Theodoropoulos 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 ID2567486442
PECOS Enrollment IDI20060118000653
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

6

Medicare enrollment records show Peter Theodoropoulos reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Florida Behavioral Health Network, LLC
17 mi
Psychiatry
2201 45TH ST
West Palm Beach, FL 33407
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group
NPI 1538462130 (561) 863-3824
Coral Shores Behavioral Health, LLC
44 mi
Psychiatric Hospital
5995 SE COMMUNITY DR
Stuart, FL 34997
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1366895096 (561) 744-0211
New Horizons Of The Treasure Coast Inc
62 mi
Community/Behavioral Health
4500 W. MIDWAY ROAD
Ft. Pierce, FL 34981
  • Reassigned Medicare billing, Florida enrollment
  • 41 clinicians in this Medicare group
NPI 1154439958 (772) 468-5600
Florida United Psych PLLC
181 mi
Psychiatry
4700 N HABANA AVE STE 601
Tampa, FL 33614
  • Reassigned Medicare billing, Florida enrollment
  • 127 clinicians in this Medicare group
NPI 1205702339 (201) 706-1143
Psychiatry Of Texas PLLC
973 mi
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Florida enrollment
  • 172 clinicians in this Medicare group
NPI 1013476027 (832) 869-4818
Psychplus Medical Associates, PLLC
973 mi
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Florida enrollment
  • 166 clinicians in this Medicare group
NPI 1558118026 (832) 869-4818

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

Areas of Expertise CMS Part B claims 6

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.
154 services60 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.
98 services87 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.
61 services27 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.
17 services16 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.
15 services14 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.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100246
Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33435 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

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 Peter Theodoropoulos's NPI number?

The NPI number for Peter Theodoropoulos is 1790814713. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Peter Theodoropoulos located?

Peter Theodoropoulos practices at 1230 South Federal Hwy # 102, Boynton Beach, FL 33435. The listed phone number is (561) 736-9192.

What is Peter Theodoropoulos's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Peter Theodoropoulos enrolled in Medicare?

Yes. Peter Theodoropoulos 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.

Which organizations bill Medicare for Peter Theodoropoulos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Theodoropoulos reassigns Medicare benefits to 6 organizations: East Florida Behavioral Health Network, LLC (West Palm Beach, FL), Coral Shores Behavioral Health, LLC (Stuart, FL), New Horizons Of The Treasure Coast Inc (Ft. Pierce, FL), Florida United Psych PLLC (Tampa, FL), Psychiatry Of Texas PLLC (Houston, TX) and 1 more organization, listed in the Medicare section above. 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 Peter Theodoropoulos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Theodoropoulos accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 9 other insurers list Peter Theodoropoulos 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 Peter Theodoropoulos affiliated with any hospitals?

According to CMS data, Peter Theodoropoulos is affiliated with Hca Florida Lawnwood Hospital.

When was this NPI record last updated?

The NPPES record for Peter Theodoropoulos was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.