Active NPI 1760487961 Individual Practitioner Male Practitioner

Dr. Basil Theodotou , MD

Neurological Surgery • Melbourne, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Basil Theodotou, MD is a certified Neurological Surgery practicing in Melbourne, FL. With approximately 47 years of clinical experience since graduating from University Of Cincinnati College Of Medicine in 1979, Dr. Theodotou delivers high-quality medical care to the local community at 32 SUNTREE PL.

Dr. Theodotou accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, initial hospital care with straightforward or low-level medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

32 Suntree Pl

Melbourne, FL 329407689

Telephone 3217527001

Fax 3212541776

Associated Practice Facility / Clinic

🏢 F .matuk M.d.,p.a. Facility NPI 1457628570

Medicare Profile & Education

Medical School

University Of Cincinnati College Of Medicine

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Neurological Surgery in Melbourne, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +15.7 yrs vs City Avg

City Avg: 31.3 Yrs

State Avg: 24.5 Yrs

Regional Practice Density

11 Specialists

Practicing in Melbourne, FL (675 Statewide)

Telehealth Adoption Rate

9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

24.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Theodotou (47 Years) 47 Yrs

Melbourne Specialty Average (31.3 Years) 31.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	126	47	$57.32	$48.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	60	$202.39	$128.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$244.98	$169.03
61312 Aspiration of blood accumulation in brain	19	17	$2735.97	$2178.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	13	$161.00	$76.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$299.62	$215.93
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$134.00	$88.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	174	91	$57.32	$48.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	104	103	$202.39	$128.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	68	68	$244.98	$172.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	24	$75.00	$55.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	21	21	$161.00	$78.61
61312 Aspiration of blood accumulation in brain	15	13	$2735.97	$2224.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	14	13	$237.00	$118.20
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$134.00	$88.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	175	72	$57.32	$38.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	85	84	$202.39	$133.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	62	$244.98	$191.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	33	$77.50	$56.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$299.62	$221.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	18	$161.00	$70.76
61312 Aspiration of blood accumulation in brain	19	16	$2735.97	$2178.88
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$134.00	$89.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$237.00	$102.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	176	74	$57.32	$38.52
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	68	68	$299.62	$223.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	65	$202.39	$136.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	48	$244.98	$201.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	30	$75.95	$55.76
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$134.00	$91.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$205.48	$169.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$150.00	$112.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	138	72	$57.32	$38.51
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	54	$202.39	$135.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	48	$244.98	$198.04
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$299.62	$201.34
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$134.00	$72.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$200.48	$159.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	12	$161.00	$70.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$237.00	$101.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	209	95	$57.32	$39.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	86	86	$203.61	$136.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	42	$244.98	$203.04
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$134.00	$71.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$200.48	$163.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$161.43	$107.30
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$299.62	$205.85
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$149.41	$102.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	182	84	$61.60	$37.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	84	84	$287.22	$192.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	71	$208.28	$129.16
99213 Established patient office or other outpatient visit, typically 15 minutes	36	29	$112.21	$68.07
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$299.62	$195.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$148.65	$99.70
61312 Aspiration of blood accumulation in brain	18	14	$3059.90	$2140.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	16	$108.28	$69.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	245	106	$61.29	$37.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	90	90	$212.85	$129.79
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	75	75	$304.37	$194.66
99213 Established patient office or other outpatient visit, typically 15 minutes	31	25	$105.89	$69.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	21	$156.16	$99.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	18	$111.12	$69.73
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$153.31	$99.21
61312 Aspiration of blood accumulation in brain	21	15	$4019.75	$2086.58
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$299.62	$198.64
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$200.48	$157.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$151.08	$101.01

Medical Specialties & State Licenses

Neurological Surgery Primary Specialty

NUCC Taxonomy Code: 207T00000X

State License FL ME0046303

A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

041713100 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

F Matuk , MDPA

Specialist

NPI 1811992266

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 06, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location December 06, 2011

Registered at 32 SUNTREE PL, MELBOURNE, FL 329407689 (Tel: 3217527001)

📍

Updated Business Mailing Address December 06, 2011

Registered at 32 SUNTREE PL, MELBOURNE, FL 329407689 (Tel: 3217527001)

👤

Provider Name / Credentials Updated December 06, 2011

Recorded as BASIL THEODOTOU, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2011

Neurological Surgery (License #ME0046303 in FL)

🟢

Initial NPI Registration & Enumeration June 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760487961

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2005

Last Update: December 06, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

32 Suntree Pl

Melbourne, FL 329407689

Phone: 3217527001

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.