Theodore Pappas, MD
NPI 1366401390 · Surgery Physician · Durham, NC
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Pappas, MD is a Surgery Physician provider in Durham, NC (NPI 1366401390).
Provider details
- NPI number
- 1366401390
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- License
- 32553 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
69 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Straightforward Medical Decision Making, If Using Time, 10 Minutes Or More99212 | 33 | $33 |
| Repair of Groin Hernia (5 Years Or Older)49505 | 20 | $453 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 16 | $170 |
Typical Medicare-allowed amounts for these services range $33–$453 (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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-03-20
- Last updated
- 2007-07-08
Frequently asked questions
- What is Theodore Pappas's NPI number?
- Theodore Pappas's National Provider Identifier (NPI) is 1366401390, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Pappas's specialty?
- Theodore Pappas is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Pappas located?
- Theodore Pappas's practice location on file with NPPES is Box 3479 Dumc, Durham, NC 27710-0001.
- What is Theodore Pappas's phone number?
- The practice phone number listed in the NPPES registry for Theodore Pappas is (919) 681-3442.
- Does Theodore Pappas accept Medicare?
- Theodore Pappas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Pappas's NPI active?
- Yes — Theodore Pappas's NPI (1366401390) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.