THEODORE JAMES GAETA DO
NPI 1932142213
Emergency Medicine in Brooklyn, NY

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
506 6TH ST, BROOKLYN, NY 11215(718) 780-5040(718) 780-7294 Get Directions Write a Review

NPPES record last updated: June 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 21, 2024, Dec 7, 2022, Apr 12, 2019 (3 updates tracked since 2019).

About Theodore James Gaeta Do NPPES

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

THEODORE JAMES GAETA DO (NPI 1932142213) is an individual emergency medicine provider in Brooklyn, New York, licensed in New York (180918) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1988).

NPPES Registry Identity

NPI1932142213
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHEODORE JAMES GAETACredential: DO
Location Address506 6TH STBrooklyn, NY 11215-3609
Mailing Address506 6th StBrooklyn, NY 11215-3609 · (718) 780-5040 · Fax (718) 780-7294
Fax(718) 780-7294
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1988
Enumeration DateJune 14, 2006
Last NPPES UpdateJune 21, 20243 updates tracked since enumeration
NPPES CertifiedJune 21, 2024
✔ NPI 1932142213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 180918
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
506 6TH ST, Brooklyn, NY 11215

Other Identifiers 1

Medicaid01293567NY

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

Theodore James Gaeta Do 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 ID1850588476
PECOS Enrollment IDI20101208001171
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 Reassignment

Medicare enrollment records show Theodore Gaeta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Emergency Medicine
506 6TH STREET, DEPARTMENT OF EMERGENCY MEDICINE
Brooklyn, NY 11215
  • Reassigned Medicare billing, New York enrollment
  • 1,029 clinicians in this Medicare group

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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
76 services76 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.
52 services52 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11215 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.09
Promoting Interoperability100
Improvement Activities40
Cost56.12

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.

Surgery
506 6TH ST
BROOKLYN, NY 11215
Internal Medicine
506 6TH ST
BROOKLYN, NY 11215
Nurse Practitioner (Adult Health)
506 6TH ST, EP2
BROOKLYN, NY 11215
Internal Medicine
506 6TH ST
BROOKLYN, NY 11215
Student in an Organized Health Care Education/Training Program
506 6TH ST
BROOKLYN, NY 11215
Pathology (Anatomic Pathology)
506 6TH ST
BROOKLYN, NY 11215
Pediatrics
506 6TH ST
BROOKLYN, NY 11215
Student in an Organized Health Care Education/Training Program
506 6TH ST
BROOKLYN, NY 11215

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 Gaeta's NPI number?

The NPI number for Theodore Gaeta is 1932142213. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Theodore Gaeta located?

Theodore Gaeta practices at 506 6th St, Brooklyn, NY 11215. The listed phone number is (718) 780-5040.

What is Theodore Gaeta's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Theodore Gaeta enrolled in Medicare?

Yes. Theodore Gaeta 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 organization bills Medicare for Theodore Gaeta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Gaeta reassigns Medicare benefits to Kings Physician Services, PC (Brooklyn, NY). The 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 Theodore Gaeta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Theodore Gaeta affiliated with any hospitals?

According to CMS data, Theodore Gaeta is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Gaeta was last updated on June 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.