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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARGARET THEODORE M.D.
NPI 1891732640
Internal Medicine - Geriatric Medicine in Tampa, FL

Active since June 01, 2006PECOS Enrolled
5420 WEBB RD, SUITE B-1, TAMPA, FL 33615(813) 886-0548(813) 886-0890 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Margaret Theodore M.d. NPPES

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

DR. MARGARET THEODORE M.D. (NPI 1891732640) is an individual geriatric medicine provider in Tampa, Florida, licensed in Florida (ME0031671) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1891732640
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameDR. MARGARET THEODORECredential: M.D.
Location Address5420 WEBB RD, SUITE B-1Tampa, FL 33615-3250
Mailing Address5420 Webb Rd, Suite B-1Tampa, FL 33615-3250 · (813) 886-0548 · Fax (813) 886-0890
Phone(813) 886-0548
Fax(813) 886-0890
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateJune 1, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1891732640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in FL · ME0031671
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
5420 WEBB RD, Tampa, FL 33615
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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

Dr. Margaret Theodore 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 ID9739373267
PECOS Enrollment IDI20101028001350
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,138 services145 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.
449 services143 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
107 services107 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
84 services65 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
76 services21 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
25 services14 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33615 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
$171.84 typical visit price
range $56.00 – $171.84
Typical copayment $42.96 (range $14.00 – $42.96)
Most-billed visit code 99205
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
11%272 patients1/55-star benchmark: 96%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
11%411 patients1/55-star benchmark: 99%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
21%104 patients1/55-star benchmark: 100%
Osteoarthritis (OA): Function and Pain Assessment
Percentage of patient visits for patients aged 21 years and older with a diagnosis of osteoarthritis (OA) with assessment for function and pain
2%47 patients1/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
7%772 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers24 claims68 services$6.81 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers11 claims11 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims25 services$1.16 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier22 claims24 services$14.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier28 claims30 services$65.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

DR. FRANK J SIERRA DMD
Dentist (Pediatric Dentistry)
5420 WEBB RD, C2
TAMPA, FL 33615
Hillsborough County (813) 889-0780
CHRIS J. BUTCHART DDS PA
Dentist (Orthodontics and Dentofacial Orthopedics)
5420 WEBB RD, STE D-1
TAMPA, FL 33615
Hillsborough County (813) 886-0545
MARGARET THEODORE, M.D., P.A.
Clinic/Center (Primary Care)
5420 WEBB RD, SUITE B-1
TAMPA, FL 33615
Hillsborough County (813) 886-0548
DR. GERALD L SPOTO DDS, PA
Dentist (General Practice)
5420 WEBB RD, STE A-2
TAMPA, FL 33615
Hillsborough County (813) 884-3287
DR. ALLEN F GARBER DDS
Dentist
5420 WEBB RD, A1
TAMPA, FL 33615
Hillsborough County (813) 886-1709
FRANK J. SIERRA DMD PA
Dentist (Pediatric Dentistry)
5420 WEBB RD, C-2
TAMPA, FL 33615
Hillsborough County (813) 889-0780
GERALD L. SPOTO, D.D.S., P.A.
Dentist (General Practice)
5420 WEBB RD, SUITE A-2
TAMPA, FL 33615
Hillsborough County (813) 884-3287
NICOLE GIBBONS PA-C
Physician Assistant
5420 WEBB RD, SUITE B-1
TAMPA, FL 33615
Hillsborough County (813) 886-0548

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 Margaret Theodore's NPI number?

The NPI number for Margaret Theodore is 1891732640. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Margaret Theodore located?

Margaret Theodore practices at 5420 Webb Rd Suite B-1, Tampa, FL 33615. The listed phone number is (813) 886-0548.

What is Margaret Theodore's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Margaret Theodore enrolled in Medicare?

Yes. Margaret Theodore 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 Margaret Theodore accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Margaret Theodore 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 Margaret Theodore affiliated with any hospitals?

According to CMS data, Margaret Theodore is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Margaret Theodore was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.