Active NPI 1518915156 Individual Practitioner Male Practitioner

Dr. Theodore T Le , MD

Orthopaedic Surgery • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Le, MD is a certified Orthopaedic Surgery practicing in Cincinnati, OH. With approximately 32 years of clinical experience since graduating from Un Of California, Irvine, College Of Medicine in 1994, Dr. Le delivers high-quality medical care to the local community at 222 PIEDMONT AVE.

Dr. Le maintains professional affiliations with Oxford Physical Therapy And Rehabilitation, University Of Cincinnati Physicians Company Llc, Kentucky Rehabilitation Services, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, aspiration and/or injection of fluid from large joint, replacement of thigh bone and hip joint with prosthesis. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

222 Piedmont Ave
Suite 2200

Cincinnati, OH 452194231

Telephone 5134758690

Fax 5134757243

Associated Practice Facility / Clinic

🏢 University Orthopaedic Consultants Of Cincinnti, Inc. Facility NPI 1104829514

Medicare Profile & Education

Medical School

Un Of California, Irvine, College Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +7.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

102 Specialists

Practicing in Cincinnati, OH (984 Statewide)

Telehealth Adoption Rate

2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Le (32 Years) 32 Yrs

Cincinnati Specialty Average (24.5 Years) 24.5 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
99213 Established patient office or other outpatient visit, typically 15 minutes	75	64	$155.16	$62.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$230.27	$92.38
20610 Aspiration and/or injection of fluid from large joint	32	23	$158.41	$52.23
27130 Replacement of thigh bone and hip joint with prosthesis	29	29	$3744.00	$1219.46
99213 Established patient office or other outpatient visit, typically 15 minutes	26	22	$155.23	$62.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$193.00	$77.94
27447 Replacement of knee joint, both sides of knee	17	16	$3812.00	$1193.23
20610 Aspiration and/or injection of fluid from large joint	17	14	$151.12	$49.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$228.00	$90.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	59	$161.00	$63.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	41	$303.00	$94.84
20610 Aspiration and/or injection of fluid from large joint	36	27	$148.25	$48.99
99213 Established patient office or other outpatient visit, typically 15 minutes	36	29	$161.00	$63.54
27447 Replacement of knee joint, both sides of knee	28	28	$3812.00	$1241.58
27130 Replacement of thigh bone and hip joint with prosthesis	27	25	$3744.00	$1230.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$303.00	$91.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$201.00	$80.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$201.00	$80.85
20610 Aspiration and/or injection of fluid from large joint	13	12	$152.00	$50.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	64	$144.14	$65.63
20610 Aspiration and/or injection of fluid from large joint	37	26	$149.24	$49.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	35	$224.60	$96.55
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$152.00	$65.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$216.16	$80.54
27130 Replacement of thigh bone and hip joint with prosthesis	19	19	$3829.26	$1229.88
27447 Replacement of knee joint, both sides of knee	13	13	$3875.38	$1234.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	65	$125.00	$66.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	33	$193.00	$96.70
20610 Aspiration and/or injection of fluid from large joint	31	27	$180.29	$49.92
27130 Replacement of thigh bone and hip joint with prosthesis	26	25	$4068.00	$1300.00
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$125.00	$65.84
27447 Replacement of knee joint, both sides of knee	18	17	$4072.00	$1298.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$225.00	$83.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	60	$125.00	$51.71
20610 Aspiration and/or injection of fluid from large joint	39	28	$198.15	$52.43
99213 Established patient office or other outpatient visit, typically 15 minutes	30	29	$125.00	$50.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$225.00	$76.48
27447 Replacement of knee joint, both sides of knee	18	16	$4105.33	$1386.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$193.00	$79.45
27130 Replacement of thigh bone and hip joint with prosthesis	15	15	$4068.00	$1385.46
20610 Aspiration and/or injection of fluid from large joint	15	11	$234.60	$54.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	113	$125.00	$50.07
20610 Aspiration and/or injection of fluid from large joint	67	50	$263.64	$57.36
99213 Established patient office or other outpatient visit, typically 15 minutes	65	60	$125.00	$49.92
20610 Aspiration and/or injection of fluid from large joint	20	13	$207.00	$50.93
27130 Replacement of thigh bone and hip joint with prosthesis	19	18	$4068.00	$1364.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$225.00	$75.63
27447 Replacement of knee joint, both sides of knee	16	16	$4200.00	$1335.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$193.00	$78.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$225.00	$75.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	161	129	$125.00	$48.82
20610 Aspiration and/or injection of fluid from large joint	112	64	$199.74	$55.49
99213 Established patient office or other outpatient visit, typically 15 minutes	57	52	$125.00	$50.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$225.00	$75.31
27447 Replacement of knee joint, both sides of knee	22	22	$4072.00	$1305.24
27130 Replacement of thigh bone and hip joint with prosthesis	22	22	$4068.00	$1345.49
20610 Aspiration and/or injection of fluid from large joint	19	15	$192.95	$52.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$193.00	$71.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$225.00	$75.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$87.00	$24.96
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	12	$3585.00	$1183.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	179	148	$125.00	$48.83
20610 Aspiration and/or injection of fluid from large joint	103	68	$221.28	$53.61
99213 Established patient office or other outpatient visit, typically 15 minutes	63	50	$125.00	$48.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	31	$193.00	$76.67
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$225.00	$75.16
27447 Replacement of knee joint, both sides of knee	21	21	$4169.52	$1350.85
27130 Replacement of thigh bone and hip joint with prosthesis	19	19	$4068.00	$1295.87
20610 Aspiration and/or injection of fluid from large joint	17	15	$168.71	$51.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$225.00	$75.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$87.00	$24.93
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	14	14	$3585.00	$1136.64

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35069653

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery - Orthopaedic Trauma

NUCC Taxonomy Code: 207XX0801X

State License OH 35-069653

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200487630 (IN)

Medicaid State Provider ID

2132883 (OH)

Medicaid State Provider ID

64084940 (KY)

Commercial Insurance / Payer ID Railrooad Medicare

P00143209 (OH)

Hospital & Practice Group Affiliations

University Of Cincinnati Physicians Company Llc

7700 University Dr, West Chester, OH 450692505

Phone: 5132987325

University Of Cincinnati Physicians Company Llc

3188 Bellevue Ave, Cincinnati, OH 452192369

Phone: 5135841000

University Of Cincinnati Physicians Company Llc

9275 Montgomery Rd, Montgomery, OH 452427779

Phone: 5139364510

University Of Cincinnati Physicians Company Llc

222 Piedmont Ave, Cincinnati, OH 452194231

Phone: 5134757855

Oxford Physical Therapy And Rehabilitation

7567 Central Parke Blvd, Mason, OH 450406852

University Of Cincinnati Physicians Company Llc

2123 Auburn Ave, Cincinnati, OH 452192906

University Of Cincinnati Physicians Company Llc

7710 Discovery Dr, West Chester, OH 450692598

Phone: 5134757777

Oxford Physical Therapy And Rehabilitation

7567 Central Parke Blvd, Mason, OH 450406852

Kentucky Rehabilitation Services, Inc.

2010 N Bend Rd, Hebron, KY 410488003

Phone: 8595945220

University Of Cincinnati Physicians Company Llc

7690 Discovery Dr, West Chester, OH 450696542

Phone: 5134757425

University Of Cincinnati Physicians Company Llc

7750 Discovery Dr, West Chester, OH 450692598

Phone: 5138727100

Kentucky Rehabilitation Services, Inc.

2010 N Bend Rd, Hebron, KY 410488003

Phone: 8595945220

Practice Associates & Co-Workers

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

40 Associated Practitioners

Joseph Pandiscia , PA-C

Physician Assistant

NPI 1003126483

Physician Assistant (Certified)

Bernard Tippen , PA-C

Physician Assistant

NPI 1013623123

Physician Assistant (Certified)

Monica Sedmak , PA

Physician Assistant - Surgical

NPI 1023066594

Physician Assistant

Dr. Jonathan Ellis , MD

Orthopaedic Surgery - Orthopaedic Trauma

NPI 1033671359

Doctor of Medicine (M.D.)

Dr. Nathan Shane , DPM

Podiatrist

NPI 1043606247

Doctor of Podiatric Medicine

Dr. Steven Agabegi , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1063623353

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

12 Historical Events

✅

NPI Profile Active December 05, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address December 05, 2017

Registered at PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 452636256 (Tel: 5135855506)

📍

Updated Practice Location December 05, 2017

Registered at 222 PIEDMONT AVE, SUITE 2200, CINCINNATI, OH 452194231 (Tel: 5134758690)

👤

Provider Name / Credentials Updated December 05, 2017

Recorded as THEODORE LE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2017

Orthopaedic Surgery (License #35-069653 in OH)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2017

Orthopaedic Surgery (License #35069653 in OH)

✅

NPI Profile Active September 16, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location September 16, 2010

Registered at 222 PIEDMONT AVE, SUITE 2200, CINCINNATI, OH 452194231 (Tel: 5134758690)

📍

Updated Business Mailing Address September 16, 2010

Registered at 222 PIEDMONT AVE, SUITE 2200, CINCINNATI, OH 452194231 (Tel: 5134758690)

👤

Provider Name / Credentials Updated September 16, 2010

Recorded as THEODORE LE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2010

Orthopaedic Surgery (License #35069653 in OH)

🟢

Initial NPI Registration & Enumeration May 05, 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: 1518915156

Entity Type:

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

Enumeration Date: May 05, 2006

Last Update: December 05, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 636256 Central Credentialing

Cincinnati, OH 452636256

Phone: 5135855506

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.