Theodore Flaum, DO
NPI 1720047830 · Family Medicine Physician · Old Westbury, NY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Flaum, DO is a Family Medicine Physician provider in Old Westbury, NY (NPI 1720047830).
Provider details
- NPI number
- 1720047830
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 1927851 (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
20 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
299 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 137 | $104 |
| Osteopathic Manipulative Treatment, 7-8 Body Regions98928 | 136 | $80 |
| Osteopathic Manipulative Treatment, 9-10 Body Regions98929 | 14 | $95 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 12 | $145 |
Typical Medicare-allowed amounts for these services range $80–$145 (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.
$135 across 1 record (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
- 2006-03-20
- Last updated
- 2008-06-30
Frequently asked questions
- What is Theodore Flaum's NPI number?
- Theodore Flaum's National Provider Identifier (NPI) is 1720047830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Flaum's specialty?
- Theodore Flaum is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theodore Flaum located?
- Theodore Flaum's practice location on file with NPPES is Northern Blvd, Old Westbury, NY 11568-8000.
- What is Theodore Flaum's phone number?
- The practice phone number listed in the NPPES registry for Theodore Flaum is (516) 686-1300.
- Does Theodore Flaum accept Medicare?
- Theodore Flaum is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Flaum's NPI active?
- Yes — Theodore Flaum's NPI (1720047830) is active in the NPPES registry as of the last update on 2008-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.