Anthony Theodoris, M.D.
NPI 1578675971 · Pulmonary Disease Physician · Port Jefferson Station, NY
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Anthony Theodoris, M.D. is a Pulmonary Disease Physician provider in Port Jefferson Station, NY (NPI 1578675971).
Provider details
- NPI number
- 1578675971
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 221756-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
4,322 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 616 | $151 |
| Test to Measure Rate of Airflow94375 | 483 | $46 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 404 | $135 |
| Test to Measure Largest Amount of Air Breathed in an Out94200 | 395 | $18 |
| Test to Determine Lung Volumes Using Sensors94726 | 394 | $68 |
| Test to Examine How Well the Lungs Exchange Gases94729 | 394 | $68 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 23 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 245 | 87 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 132 | 51 |
| Prednisone | 114 | 51 |
| Montelukast Sodium | 91 | 34 |
| Fluticasone/Vilanterolbrand: Breo Ellipta | 57 | 21 |
| Levalbuterol Tartratebrand: Levalbuterol Tartrate Hfa | 52 | 25 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,681 across 68 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
- 2006-08-31
- Last updated
- 2022-04-29
- Certified
- 2022-04-29
Frequently asked questions
- What is Anthony Theodoris's NPI number?
- Anthony Theodoris's National Provider Identifier (NPI) is 1578675971, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Anthony Theodoris's specialty?
- Anthony Theodoris is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Anthony Theodoris located?
- Anthony Theodoris's practice location on file with NPPES is 1500 Route 112 Ste B, Port Jefferson Station, NY 11776-8054.
- What is Anthony Theodoris's phone number?
- The practice phone number listed in the NPPES registry for Anthony Theodoris is (631) 978-7633.
- Does Anthony Theodoris accept Medicare?
- Anthony Theodoris is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Anthony Theodoris's NPI active?
- Yes — Anthony Theodoris's NPI (1578675971) is active in the NPPES registry as of the last update on 2022-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.