Theodore Tso, D.M.D.
NPI 1285040980 · Prosthodontics · Cleveland, OH
Enrolled with Medicare as Practitioner - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Tso, D.M.D. is a Prosthodontics provider in Cleveland, OH (NPI 1285040980).
Provider details
- NPI number
- 1285040980
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- DL12713 (MA)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
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
100% of core fields populated
- Practice footprint15% of score
4 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
33 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) |
|---|---|---|
| X-Ray of Lower Jaws, Upper Jaws and Teeth70355 | 20 | $10 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 13 | $178 |
Typical Medicare-allowed amounts for these services range $10–$178 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Chlorhexidine Gluconate | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$712 across 7 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
Additional practice locations (3)
- 1500 Duarte RdDuarte, CA 91010-3012Phone: (626) 256-4673
- 627 Fremont AveSouth Pasadena, CA 91030-2527Phone: (626) 799-6255
- 188 Longwood AveBoston, MA 02115-5819Phone: (617) 432-1434
Registry dates
- Enumerated
- 2014-07-02
- Last updated
- 2024-04-04
- Certified
- 2024-04-04
Frequently asked questions
- What is Theodore Tso's NPI number?
- Theodore Tso's National Provider Identifier (NPI) is 1285040980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Tso's specialty?
- Theodore Tso is listed in the NPPES registry with a primary specialty of Prosthodontics (Dental Providers).
- Where is Theodore Tso located?
- Theodore Tso's practice location on file with NPPES is 9500 Euclid Ave, Cleveland, OH 44195-2527.
- What is Theodore Tso's phone number?
- The practice phone number listed in the NPPES registry for Theodore Tso is (626) 215-3907.
- Does Theodore Tso accept Medicare?
- Theodore Tso is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Tso's NPI active?
- Yes — Theodore Tso's NPI (1285040980) is active in the NPPES registry as of the last update on 2024-04-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.