Active NPI 1528021813 Individual Practitioner Male Practitioner

Dr. Theodore Arthur Calianos , MD

Plastic Surgery • Mashpee, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Calianos, MD is a certified Plastic Surgery practicing in Mashpee, MA. With approximately 35 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 1991, Dr. Calianos delivers high-quality medical care to the local community at 5 INDUSTRIAL DR.

Dr. Calianos is affiliated with Medical Affiliates Of Cape Cod Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include incision of tendon covering, administration of influenza virus vaccine, vaccine for influenza for injection into muscle. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5 Industrial Dr
Suite 109

Mashpee, MA 026493464

Telephone 5085396220

Associated Practice Facility / Clinic

🏢 Cape Cod Hand Surgery, Pc Facility NPI 1609973809

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Mashpee, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs Matches City Avg

City Avg: 35.0 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

1 Specialists

Practicing in Mashpee, MA (152 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Calianos (35 Years) 35 Yrs

Mashpee Specialty Average (35.0 Years) 35.0 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
26055 Incision of tendon covering	20	14	$780.58	$249.80
G0008 Administration of influenza virus vaccine	19	19	$75.48	$32.81
90653 Vaccine for influenza for injection into muscle	16	16	$151.69	$81.82
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$224.91	$85.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$142.21	$57.39
93000 Routine ekg using at least 12 leads including interpretation and report	12	12	$45.25	$14.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	27	25	$224.91	$93.71
G0008 Administration of influenza virus vaccine	17	17	$75.48	$31.47
64721 Release and/or relocation of hand nerve	15	15	$1159.41	$459.49
26055 Incision of tendon covering	14	13	$780.58	$254.09
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	11	11	$168.20	$75.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0008 Administration of influenza virus vaccine	146	146	$75.48	$30.81
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	134	134	$165.62	$70.25
99213 Established patient office or other outpatient visit, typically 15 minutes	32	28	$202.33	$94.63
64721 Release and/or relocation of hand nerve	18	16	$1163.04	$458.42
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	17	17	$71.68	$31.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
64721 Release and/or relocation of hand nerve	25	25	$1164.63	$455.52
26055 Incision of tendon covering	16	14	$1043.74	$254.33
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$198.15	$96.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	66	21	$13.45	$6.65
99213 Established patient office or other outpatient visit, typically 15 minutes	51	39	$200.11	$79.23
20550 Injection into tendon or ligament	22	15	$146.73	$52.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$120.55	$48.49
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$294.32	$114.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	44	$120.55	$47.76
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	54	23	$12.68	$6.29
26055 Incision of tendon covering	46	37	$1458.48	$277.00
99202 New patient office or other outpatient visit, typically 20 minutes	44	44	$204.50	$80.65
99213 Established patient office or other outpatient visit, typically 15 minutes	31	26	$200.23	$78.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$294.32	$111.15
64721 Release and/or relocation of hand nerve	29	25	$1076.63	$454.48
20550 Injection into tendon or ligament	18	16	$154.94	$56.46
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	16	15	$424.41	$101.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$294.19	$114.45
26160 Removal of growth of tendon finger or hand	14	12	$1491.08	$347.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$287.54	$109.74
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	46	17	$12.40	$7.11
99213 Established patient office or other outpatient visit, typically 15 minutes	41	37	$195.11	$76.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	32	$117.94	$46.12
64721 Release and/or relocation of hand nerve	37	35	$1052.90	$443.01
26055 Incision of tendon covering	34	30	$1423.50	$272.67
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$200.31	$78.70
20550 Injection into tendon or ligament	22	14	$143.48	$52.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$286.76	$112.46
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	12	12	$631.63	$144.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	64	53	$117.04	$43.68
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	64	24	$10.43	$6.95
99213 Established patient office or other outpatient visit, typically 15 minutes	59	50	$194.40	$72.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$285.75	$106.66
99202 New patient office or other outpatient visit, typically 20 minutes	37	37	$198.54	$73.15
26055 Incision of tendon covering	29	22	$1416.00	$241.76
64721 Release and/or relocation of hand nerve	27	24	$1045.27	$402.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$285.62	$103.72
20550 Injection into tendon or ligament	22	17	$155.47	$53.45
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	17	15	$412.05	$93.03
29848 Release of wrist ligament using an endoscope	15	13	$1238.47	$494.48
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	15	13	$1151.40	$306.94
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	13	$658.91	$111.63

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License MA 157231

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bc/bs

J19118 (MA)

Commercial Insurance / Payer ID United Health Care

13-00067 (MA)

Commercial Insurance / Payer ID Harvard Pilgrim

21303 (MA)

Commercial Insurance / Payer ID License

157231 (MA)

Commercial Insurance / Payer ID Cigna Health

B20800901 (MA)

Commercial Insurance / Payer ID Tufts

15231 (MA)

Commercial Insurance / Payer ID Medical License

J1906 (TX)

Hospital & Practice Group Affiliations

Medical Affiliates Of Cape Cod Inc

1030 Falmouth Rd, Hyannis, MA 026012324

Medical Affiliates Of Cape Cod Inc

2 Jan Sebastian Dr, Sandwich, MA 025632377

Medical Affiliates Of Cape Cod Inc

39 Edgerton Dr, North Falmouth, MA 025562821

Phone: 5085633923

Medical Affiliates Of Cape Cod Inc

27 Park St, Hyannis, MA 026015230

Phone: 5087711800

Medical Affiliates Of Cape Cod Inc

33 Edgerton Dr, North Falmouth, MA 025562821

Phone: 7745523211

Medical Affiliates Of Cape Cod Inc

160 Falmouth Rd, Mashpee, MA 026492652

Phone: 5085396220

Medical Affiliates Of Cape Cod Inc

100 Ter Heun Dr, Falmouth, MA 025402503

Phone: 5088627874

Medical Affiliates Of Cape Cod Inc

25 Edgerton Dr, North Falmouth, MA 025562821

Phone: 5083563000

Medical Affiliates Of Cape Cod Inc

770 Main St, Osterville, MA 026551913

Phone: 7745523201

Medical Affiliates Of Cape Cod Inc

5 Industrial Dr, Mashpee, MA 026493464

Phone: 7745523210

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Julian Dachille , MD

Surgery

NPI 1013170497

Doctor of Medicine (M.D.)

Alissa Devito , NP

Nurse Practitioner

NPI 1194020180

Nurse Practitioner

Dr. Peter Laub , MD

Surgery

NPI 1295266187

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 20, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 20, 2009

Registered at 5 INDUSTRIAL DR, SUITE 109, MASHPEE, MA 026493464 (Tel: 5085396220)

📍

Updated Business Mailing Address January 20, 2009

Registered at 151 WHITMAR RD, COTUIT, MA 026352931 (Tel: 5084283468)

👤

Provider Name / Credentials Updated January 20, 2009

Recorded as THEODORE CALIANOS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2009

Plastic Surgery (License #157231 in MA)

🟢

Initial NPI Registration & Enumeration April 09, 2006

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: 1528021813

Entity Type:

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

Enumeration Date: April 09, 2006

Last Update: January 20, 2009

Sole Proprietor: No

Update or Correct Profile

Mailing Address

151 Whitmar Rd

Cotuit, MA 026352931

Phone: 5084283468

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.