EVAN T. THEOHARIS M.D.
NPI 1881761252
Obstetrics & Gynecology in Fort Myers, FL

Q: What is Evan Theoharis's NPI number?

The NPI number for Evan Theoharis is 1881761252. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is Evan Theoharis's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Evan Theoharis was last updated on October 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 29, 2006PECOS EnrolledAccepts Medicare Assignment

9800 S HEALTHPARK DR STE 205, FORT MYERS, FL 33908(239) 343-7130(239) 343-7185 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Evan T. Theoharis M.d. NPPES

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

EVAN T. THEOHARIS M.D. (NPI 1881761252) is an individual obstetrics & gynecology provider in Fort Myers, Florida, licensed in Florida (ME164423) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in West Bloomfield.

NPPES Registry Identity

NPI1881761252

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameEVAN T. THEOHARISCredential: M.D.

Location Address9800 S HEALTHPARK DR STE 205Fort Myers, FL 33908-3630

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-7130 · Fax (239) 343-7185

Phone(239) 343-7130

Fax(239) 343-7185

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1991

Enumeration DateNovember 29, 2006

Last NPPES UpdateOctober 6, 2023

NPPES CertifiedOctober 6, 2023

✔ NPI 1881761252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME164423

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

9800 S HEALTHPARK DR STE 205, Fort Myers, FL 33908

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Secondary Practice Location 1

Location 1Henry Ford Health System, 6777 West Maple RoadWest Bloomfield, MI 48323 · Phone (248) 661-6455

Other Identifiers 5

Medicaid316389710MI

OtherET057938Commercial-commercial Number

Medicaid119330700FL

Other700H262210Blue Cross-blue Cross

OtherET057938Champus-champus

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Evan T. Theoharis 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 ID6406814169

PECOS Enrollment IDI20230911002479

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.

Hospital Affiliations CMS Care Compare 2

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100244

Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

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.

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.

MRS. MIRANDA MCGRATH MARCUS APRN, CNM

Advanced Practice Midwife