Active NPI 1164413019 Individual Practitioner Male Practitioner

Dr. Theodore A Buccilli , DPM

Podiatrist • Ravenna, OH

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Buccilli, DPM is a registered healthcare professional specializing in Podiatrist in Ravenna, OH. Practice services are available at 4403 CLOVER DR under active NPI credentials.

Frequently performed procedures and clinical services include residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, removal of fingernails or toenails, residence visit for established patient with high level of medical decision making, per day, 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

4403 Clover Dr

Ravenna, OH 442668636

Telephone 3306877464

Associated Practice Facility / Clinic

🏢 Battle Creek Vamc Facility NPI 1700843836

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Ravenna, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 39.0 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

2 Specialists

Practicing in Ravenna, OH (595 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

34.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	23	23	$191.00	$125.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	303	80	$191.00	$127.20
11721 Removal of fingernails or toenails, 6 or more nails	240	71	$66.00	$44.19
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	75	65	$265.00	$175.72
11750 Permanent removal fingernail or toenail	52	24	$222.00	$146.31
99213 Established patient office or other outpatient visit, typically 15 minutes	51	19	$107.00	$69.14
11720 Removal of fingernails or toenails, 1-5 nails	35	18	$47.00	$31.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	14	$157.00	$105.23
99343 New patient home visit, typically 45 minutes	15	15	$191.00	$127.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	217	93	$191.00	$125.84
99350 Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes	155	87	$265.00	$174.59
11721 Removal of fingernails or toenails, 6 or more nails	146	72	$66.00	$43.66
11750 Permanent removal fingernail or toenail	71	49	$222.00	$147.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	53	17	$157.00	$104.33
11720 Removal of fingernails or toenails, 1-5 nails	37	34	$47.00	$31.58
99343 New patient home visit, typically 45 minutes	24	24	$192.42	$127.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	386	108	$191.00	$118.49
11721 Removal of fingernails or toenails, 6 or more nails	55	32	$66.00	$41.15
99213 Established patient office or other outpatient visit, typically 15 minutes	44	18	$107.00	$66.28
11750 Permanent removal fingernail or toenail	44	33	$222.00	$138.72
99343 New patient home visit, typically 45 minutes	40	40	$193.93	$120.57
93922 Ultrasound study of arm and leg arteries	33	30	$126.00	$77.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	11	$157.00	$97.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	316	119	$188.21	$124.95
11721 Removal of fingernails or toenails, 6 or more nails	84	48	$65.93	$42.85
99343 New patient home visit, typically 45 minutes	82	81	$193.83	$127.22
11750 Permanent removal fingernail or toenail	64	56	$274.25	$141.12
99213 Established patient office or other outpatient visit, typically 15 minutes	61	17	$104.11	$69.32
93922 Ultrasound study of arm and leg arteries	38	38	$125.24	$82.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$144.93	$99.14
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	14	13	$122.86	$82.36

Medical Specialties & State Licenses

CMS Verified: 2025-08-15

Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License OH 36003352

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address August 15, 2025

Registered at 5500 ARMSTRONG RD, BATTLE CREEK, MI 490377314 (Tel: 2699665600)

📍

Updated Business Mailing Address March 01, 2019

Registered at 25 S MAIN ST, STE 7, MUNROE FALLS, OH 442621660 (Tel: 2347062395)

✅

NPI Profile Active July 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location July 15, 2016

Registered at 4403 CLOVER DR, RAVENNA, OH 442668636 (Tel: 3306877464)

📍

Updated Business Mailing Address July 15, 2016

Registered at 4403 CLOVER DR, RAVENNA, OH 442668636 (Tel: 3306877464)

👤

Provider Name / Credentials Updated July 15, 2016

Recorded as THEODORE BUCCILLI, DPM

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2016

Podiatrist (License #36003352 in OH)

🟢

Initial NPI Registration & Enumeration October 31, 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: 1164413019

Entity Type:

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

Enumeration Date: October 31, 2005

Last Update: August 15, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5500 Armstrong Rd

Battle Creek, MI 490377314

Phone: 2699665600

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.