Doctor profile · Federal record
Dr. Lee Theophelis, MD
Plastic and Reconstructive Surgery Physician (CMS: Plastic and Reconstructive Surgery) · Trauma Surgery Physician · Melbourne, FL
- NPI 1861448318
- Accepts Medicare
- MIPS 84.2 / 100 · 2023
- 40 yrs in practice
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
1350 Hickory St
Melbourne, FL 329013224
(321) 434-1401
fax (321) 434-1667 - Additional location
-
1223 Gateway Dr Ste 2B
Melbourne, FL 329012607 - Additional location
-
1350 Hickory St Ste 101
Melbourne, FL 329013224 - Mailing address
-
3300 S Fiske Blvd
Rockledge, FL 329554306
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- November 3, 2023
- Year of graduation
- 1986 — 40 yrs since
- Specialty taxonomy
- 2086S0122X — NUCC code
- State license (1)
- Florida #ME59792
- Medicaid
- FL #372847100
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1861448318. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
282
Distinct HCPCS
7
Medicare allowed
$25,996
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 65 | 40 | $86 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 62 | 35 | $55 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 53 | 53 | $109 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $164 | |
99231 |
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 30 | 12 | $48 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 18 | 16 | $125 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 16 | 16 | $78 |
In context: peer comparison
Among 4 peers in Melbourne Plastic and Reconstructive Surgery Physician, average services per provider: 34. This provider delivers 8.3× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
59
Patients
41
Total drug cost
$360
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 36 | 30 | $111 |
| Mupirocin | Generic | 12 | 11 | $75 |
| Doxycycline Hyclate | Generic | 11 | 0 | $174 |
Frequently asked questions
What is Dr. Lee Theophelis's medical specialty?
Dr. Lee Theophelis practices Plastic and Reconstructive Surgery Physician in Melbourne, FL.
Where does Dr. Lee Theophelis practice?
Dr. Lee Theophelis practices at 1350 Hickory St, Melbourne, FL 329013224. Office phone: 3214341401.
What is Dr. Lee Theophelis's NPI?
Dr. Lee Theophelis's National Provider Identifier (NPI) is 1861448318, issued by NPPES.
Does Dr. Lee Theophelis accept Medicare assignment?
Yes. Dr. Lee Theophelis accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Lee Theophelis commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99213); Established patient office or other outpatient visit (HCPCS 99212); New patient office or other outpatient visit (HCPCS 99203). Source: CMS Medicare Physician & Other Practitioners file.