Nicholas Theodore, MD
NPI 1982699567 · Neurological Surgery Physician · Baltimore, MD
Enrolled with Medicare as Practitioner - Neurosurgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Theodore, MD is a Neurological Surgery Physician provider in Baltimore, MD (NPI 1982699567).
Provider details
- NPI number
- 1982699567
- Entity type
- Individual
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- D81128 (MD)
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
493 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 137 | $137 |
| Fusion of Additional Segment of Spine22614 | 86 | $415 |
| Partial Removal of Spine Bone With Release of Spinal Cord And/Or Nerves, Each Additional Segment63048 | 72 | $223 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 55 | $99 |
| Partial Removal of Spine Bone With Release of Lower Spinal Cord And/Or Nerves, 1 Segment63047 | 32 | $967 |
| Placement of Stabilizing Device to Back, 3-6 Spine Bone Segments22842 |
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) |
|---|---|
| Gabapentin | 18 |
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.
$68,114 across 47 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
- 2005-09-20
- Last updated
- 2016-07-07
Frequently asked questions
- What is Nicholas Theodore's NPI number?
- Nicholas Theodore's National Provider Identifier (NPI) is 1982699567, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Theodore's specialty?
- Nicholas Theodore is listed in the NPPES registry with a primary specialty of Neurological Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Nicholas Theodore located?
- Nicholas Theodore's practice location on file with NPPES is 600 N Wolfe St, Baltimore, MD 21287-0005.
- What is Nicholas Theodore's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Theodore is (410) 955-4424.
- Does Nicholas Theodore accept Medicare?
- Nicholas Theodore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Theodore's NPI active?
- Yes — Nicholas Theodore's NPI (1982699567) is active in the NPPES registry as of the last update on 2016-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.