Theodore Fields, M.D.
NPI 1962465088 · Specialist · New York, NY
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theodore Fields, M.D. is a Specialist provider in New York, NY (NPI 1962465088).
Provider details
- NPI number
- 1962465088
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 132034 (NY)
Specialties & taxonomies
Other Service Providers
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
290 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 199 | $135 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 40 | $96 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 28 | $17 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 23 | $191 |
Typical Medicare-allowed amounts for these services range $17–$191 (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 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Allopurinol | 247 | 52 |
| Febuxostat | 54 | 14 |
| Hydroxychloroquine Sulfate | 49 | — |
| Prednisone | 49 | 17 |
| Colchicine | 41 | 12 |
| Methotrexate Sodiumbrand: Methotrexate | 35 | — |
| Etanerceptbrand: Enbrel Sureclick | 27 | — |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-10
- Last updated
- 2021-04-28
- Certified
- 2021-04-28
Frequently asked questions
- What is Theodore Fields's NPI number?
- Theodore Fields's National Provider Identifier (NPI) is 1962465088, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Fields's specialty?
- Theodore Fields is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Theodore Fields located?
- Theodore Fields's practice location on file with NPPES is 535 E 70th St, New York, NY 10021-4872.
- What is Theodore Fields's phone number?
- The practice phone number listed in the NPPES registry for Theodore Fields is (212) 606-1286.
- Does Theodore Fields accept Medicare?
- Theodore Fields is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theodore Fields's NPI active?
- Yes — Theodore Fields's NPI (1962465088) is active in the NPPES registry as of the last update on 2021-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.