Active NPI 1013024637 Individual Practitioner Male Practitioner

Dr. Theodore J Patsos , MD

Surgery • Milford, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Patsos, MD is a certified Surgery practicing in Milford, MA. With approximately 45 years of clinical experience since graduating from Columbia University College Of Physicians And Surgeons in 1981, Dr. Patsos delivers high-quality medical care to the local community at 91 WATER ST.

Dr. Patsos is affiliated with Umass Memorial Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

91 Water St

Milford, MA 017573039

Telephone 5084584250

Fax 5084584251

Associated Practice Facility / Clinic

🏢 Umass Memorial Medical Group Inc Facility NPI 1760445373

Medicare Profile & Education

Medical School

Columbia University College Of Physicians And Surgeons

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Milford, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +21.2 yrs vs City Avg

City Avg: 23.8 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

6 Specialists

Practicing in Milford, MA (1077 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patsos (45 Years) 45 Yrs

Milford Specialty Average (23.8 Years) 23.8 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
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	57	$450.00	$126.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	36	$238.00	$77.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$359.00	$112.49
99213 Established patient office or other outpatient visit, typically 15 minutes	34	29	$300.00	$90.77
99202 New patient office or other outpatient visit, typically 20 minutes	32	32	$250.00	$73.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$178.00	$57.52
47562 Removal of gallbladder using an endoscope	14	14	$3138.00	$653.03
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	12	12	$83.00	$17.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	39	$238.00	$80.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	46	45	$450.00	$132.88
99213 Established patient office or other outpatient visit, typically 15 minutes	34	32	$280.24	$90.69
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$250.00	$74.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$359.00	$115.72
47562 Removal of gallbladder using an endoscope	16	16	$3138.00	$669.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$178.00	$58.71
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$83.00	$18.14
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$5916.00	$335.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	55	$238.00	$73.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	78	75	$450.00	$139.36
99213 Established patient office or other outpatient visit, typically 15 minutes	37	33	$244.00	$95.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$359.00	$118.02
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$250.00	$77.14
47562 Removal of gallbladder using an endoscope	17	17	$2990.33	$650.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$178.00	$59.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	108	57	$235.87	$74.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	68	$442.51	$141.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$358.81	$118.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	36	$357.84	$137.33
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$248.83	$77.43
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	18	18	$5916.00	$351.49
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$244.00	$96.87
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$83.00	$19.44
47562 Removal of gallbladder using an endoscope	12	12	$2928.80	$638.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	80	49	$215.00	$76.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	49	$403.00	$146.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$316.00	$115.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$489.00	$174.71
47562 Removal of gallbladder using an endoscope	15	15	$3138.00	$689.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$349.00	$114.45
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	14	14	$5916.00	$365.28
49505 Repair of groin hernia (5 years or older)	13	13	$1911.00	$568.57
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$214.00	$79.58
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	11	11	$83.00	$19.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	55	37	$214.73	$76.22
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	45	$402.23	$143.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$487.95	$173.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	31	$313.58	$112.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$347.65	$114.35
47562 Removal of gallbladder using an endoscope	21	21	$2779.37	$609.12
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	19	$5916.00	$362.76
99213 Established patient office or other outpatient visit, typically 15 minutes	18	17	$211.50	$78.33
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	16	$83.00	$18.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$479.00	$168.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	58	41	$210.00	$75.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	48	$385.00	$141.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	37	$296.00	$109.59
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$199.00	$74.93
47562 Removal of gallbladder using an endoscope	18	18	$2998.53	$628.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$342.00	$112.96
49505 Repair of groin hernia (5 years or older)	14	14	$2047.50	$544.55
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$5916.00	$360.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	69	$384.80	$139.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	43	$209.15	$73.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$340.19	$111.50
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$229.55	$77.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	19	$296.00	$110.92
47562 Removal of gallbladder using an endoscope	19	19	$3005.89	$620.71
99213 Established patient office or other outpatient visit, typically 15 minutes	18	15	$199.00	$75.41
49505 Repair of groin hernia (5 years or older)	12	12	$1815.42	$485.25

Medical Specialties & State Licenses

CMS Verified: 2020-11-05

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MA 54640

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

110044118A (MA)

Commercial Insurance / Payer ID Bcbs

J05312

Hospital & Practice Group Affiliations

Umass Memorial Medical Group Inc

91 Water St, Milford, MA 017573039

Phone: 5084584250

Umass Memorial Medical Group Inc

157 Union St, Marlborough, MA 017521228

Phone: 5084865521

Umass Memorial Medical Group Inc

55 Lake Ave N, Worcester, MA 016550002

Phone: 5083341000

Umass Memorial Medical Group Inc

155 Union St, Marlborough, MA 017521228

Phone: 5084817390

Umass Memorial Medical Group Inc

14 Prospect St, Milford, MA 017573003

Phone: 5084731190

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Brian Bond , MD

Obstetrics & Gynecology

NPI 1326161225

Doctor of Medicine (M.D.)

Erica Bailey , CNP

Nurse Practitioner

NPI 1356360176

Certified Nurse Practitioner

Dr. Robert Canning , MD

Surgery

NPI 1518033927

Doctor of Medicine (M.D.)

Marcel Droz , PA-C

Physician Assistant

NPI 1548598774

Physician Assistant (Certified)

Kathryn Gunness , NP

Nurse Practitioner - Women's Health

NPI 1811959448

Nurse Practitioner

Dr. Patrick Mcenaney , MD

Surgery

NPI 1861476996

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

✅

NPI Profile Active April 26, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 26, 2017

Registered at 91 WATER ST, MILFORD, MA 017573039 (Tel: 5084584250)

📍

Updated Business Mailing Address April 26, 2017

Registered at PO BOX 415348, BOSTON, MA 022415348

👤

Provider Name / Credentials Updated April 26, 2017

Recorded as THEODORE PATSOS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2017

Surgery (License #54640 in MA)

📍

Updated Practice Location January 26, 2017

Registered at 91 WATER ST, MILFORD, MA 017573039 (Tel: 5084584250)

📍

Updated Business Mailing Address January 26, 2017

Registered at PO BOX 415348, BOSTON, MA 022415348

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 22 ASYLUM STREET, MILFORD, MA 017572203 (Tel: 5084737221)

📍

Updated Business Mailing Address July 08, 2007

Registered at 22 ASYLUM STREET, MILFORD, MA 017572203 (Tel: 5084737221)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THEODORE PATSOS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #54640 in MA)

🟢

Initial NPI Registration & Enumeration August 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1013024637

Entity Type:

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

Enumeration Date: August 23, 2006

Last Update: November 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 415348

Boston, MA 022415348

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.