Active NPI 1366401390 Individual Practitioner Male Practitioner

Dr. Theodore Nick Pappas , MD

Surgery • Durham, NC

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Pappas, MD is a certified Surgery practicing in Durham, NC. With approximately 45 years of clinical experience since graduating from Ohio State University College Of Medicine in 1981, Dr. Pappas delivers high-quality medical care to the local community at BOX 3479 DUMC.

Dr. Pappas is affiliated with Duke Health Integrated Practice Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, repair of groin hernia (5 years or older), 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

Box 3479 Dumc

Durham, NC 277100001

Telephone 9196813442

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1981

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Durham, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

45 Yrs +21.2 yrs vs City Avg

City Avg: 23.8 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

70 Specialists

Practicing in Durham, NC (1222 Statewide)

Telehealth Adoption Rate

15.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

72.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pappas (45 Years) 45 Yrs

Durham 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
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	31	$103.00	$32.96
49505 Repair of groin hernia (5 years or older)	20	20	$1795.00	$453.05
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$490.00	$169.60

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	62	54	$105.35	$33.27
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$176.00	$45.77
49505 Repair of groin hernia (5 years or older)	25	25	$1795.00	$473.38
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$172.00	$63.02

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	67	57	$107.36	$34.87
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$176.67	$47.42
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$172.00	$64.70
49505 Repair of groin hernia (5 years or older)	15	15	$1914.67	$475.18

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	70	60	$105.09	$35.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	51	11	$108.00	$37.34
99202 New patient office or other outpatient visit, typically 20 minutes	50	50	$176.00	$48.30
49505 Repair of groin hernia (5 years or older)	18	18	$1795.00	$513.95
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$172.00	$66.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	78	63	$172.00	$50.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	36	$103.00	$25.39
99202 New patient office or other outpatient visit, typically 20 minutes	36	36	$177.11	$48.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	12	$108.00	$38.73
49505 Repair of groin hernia (5 years or older)	17	16	$1795.00	$509.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	134	99	$172.62	$49.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$255.00	$74.32
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$178.96	$48.36
49505 Repair of groin hernia (5 years or older)	26	26	$1795.00	$508.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	107	76	$163.38	$48.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$245.13	$74.01
99202 New patient office or other outpatient visit, typically 20 minutes	21	21	$170.24	$48.74
49505 Repair of groin hernia (5 years or older)	17	17	$1795.00	$499.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	146	104	$153.00	$48.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$238.00	$72.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	19	$108.85	$29.05
99221 Initial hospital inpatient care per day, typically 30 minutes	12	12	$226.00	$85.07
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$171.64	$48.72

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NC 32553

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.

Hospital & Practice Group Affiliations

Duke Health Integrated Practice Inc

40 Duke Medicine Cir, Durham, NC 277104000

Phone: 9196848111

Duke Health Integrated Practice Inc

2351 Erwin Rd, Durham, NC 277054699

Phone: 9196848111

Duke Health Integrated Practice Inc

2301 Erwin Rd, Durham, NC 277054699

Phone: 9196848111

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at BOX 3479 DUMC, DURHAM, NC 277100001 (Tel: 9196813442)

📍

Updated Business Mailing Address July 08, 2007

Registered at 3440 RUGBY RD, DURHAM, NC 277075449

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THEODORE PAPPAS, MD

🎓

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

Surgery (License #32553 in NC)

🟢

Initial NPI Registration & Enumeration March 20, 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: 1366401390

Entity Type:

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

Enumeration Date: March 20, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3440 Rugby Rd

Durham, NC 277075449

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.