THEODORE L RAPTIS M.D.
NPI 1972669836
Internal Medicine in Boca Raton, FL

Active since December 28, 2006PECOS EnrolledAccepts Medicare Assignment
72.28/100
CMS Quality Rating
600 S DIXIE HWY, SUITE 102, BOCA RATON, FL 33432(561) 368-5540(561) 368-5788 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Theodore L Raptis M.d. NPPES

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

THEODORE L RAPTIS M.D. (NPI 1972669836) is an individual internal medicine provider in Boca Raton, Florida, licensed in Florida (79934) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1972669836
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTHEODORE L RAPTISCredential: M.D.
Location Address600 S DIXIE HWY, SUITE 102Boca Raton, FL 33432-6034
Mailing Address638 Carriage Hill LnBoca Raton, FL 33486-5602 · (561) 394-3368
Fax(561) 368-5788
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 28, 2006
Last NPPES UpdateMarch 7, 2023
NPI 1972669836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · 79934
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.

600 S DIXIE HWY, Boca Raton, FL 33432

Accepted 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

Theodore L Raptis 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 ID1153348883
PECOS Enrollment IDI20110301000236
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 8

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 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.
673 services238 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
376 services207 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.
192 services192 patients
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.
189 services119 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
164 services148 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
71 services69 patients

Hospital Affiliations CMS Care Compare

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

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100168
Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33432 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
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

72.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.03
Improvement Activities40
Cost31.55

Reported Quality Measures

Breast Cancer Screening
82%67 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
71%126 patients3/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
4%28 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%181 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
96%165 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
60%30 patients3/55-star benchmark: 98%
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

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
10 suppliers17 claims42 services$5.88 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.

Internal Medicine
600 S DIXIE HWY, SUITE102
BOCA RATON, FL 33432
Physician Assistant
600 S DIXIE HWY, SUITE 103
BOCA RATON, FL 33432
Clinic/Center (Physical Therapy)
600 S DIXIE HWY, SUITE 104
BOCA RATON, FL 33432
Pediatrics
600 S DIXIE HWY, #103
BOCA RATON, FL 33432
Dentist (General Practice)
600 S DIXIE HWY, SUITE 100
BOCA RATON, FL 33432
Internal Medicine
600 S DIXIE HWY, SUITE 103
BOCA RATON, FL 33432
Nurse Practitioner (Adult Health)
600 S DIXIE HWY, SUITE 102
BOCA RATON, FL 33432
Clinic/Center (Primary Care)
600 S DIXIE HWY, 103
BOCA RATON, FL 33432

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 Raptis's NPI number?

The NPI number for Theodore Raptis is 1972669836. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Where is Theodore Raptis located?

Theodore Raptis practices at 600 S Dixie Hwy Suite 102, Boca Raton, FL 33432. The listed phone number is (561) 368-5540.

What is Theodore Raptis's specialty?

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

Is Theodore Raptis enrolled in Medicare?

Yes. Theodore Raptis 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 Raptis accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Theodore Raptis 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 Raptis affiliated with any hospitals?

According to CMS data, Theodore Raptis is affiliated with Boca Raton Regional Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Raptis was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.