DR. MICHAEL HERCULES THEODOULOU D.P.M. NPI 1760430755

NPI Details

DR. Michael Hercules Theodoulou, D.P.M. is a podiatrist in Somerville, MA with 37 years of experience. The provider is 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. DR. Michael Hercules Theodoulou, D.P.M. NPI is 1760430755. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

230 HIGHLAND AVE
SOMERVILLE, MA
ZIP 02143-408
Phone: (617) 665-1000

The NPI 1760430755 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
• New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
• Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
• Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
• Trimming of dystrophic nails, any number (HCPCS:G0127)
• New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
• Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 5/4/2006 and was last updated on 12/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.