Theodore Segarra, M.D.
NPI 1245627124 · Student in an Organized Health Care Education/Training Program · Brooklyn, NY
Enrolled with Medicare as Practitioner - Critical Care (intensivists) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Segarra, M.D. is a Student in an Organized Health Care Education/Training Program provider in Brooklyn, NY (NPI 1245627124).
Provider details
- NPI number
- 1245627124
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
456 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 265 | $237 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 191 | $132 |
Typical Medicare-allowed amounts for these services range $132–$237 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$214 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-04-18
- Last updated
- 2015-04-18
Frequently asked questions
- What is Theodore Segarra's NPI number?
- Theodore Segarra's National Provider Identifier (NPI) is 1245627124, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Segarra's specialty?
- Theodore Segarra is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Theodore Segarra located?
- Theodore Segarra's practice location on file with NPPES is 450 Clarkson Ave, Brooklyn, NY 11203-2012.
- What is Theodore Segarra's phone number?
- The practice phone number listed in the NPPES registry for Theodore Segarra is (718) 245-3318.
- Does Theodore Segarra accept Medicare?
- Theodore Segarra is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Segarra's NPI active?
- Yes — Theodore Segarra's NPI (1245627124) is active in the NPPES registry as of the last update on 2015-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.