Doctor profile · Federal record
Dr. Theodore Mlapah, M.D.
Internal Medicine Physician (CMS: Hospitalist) · Holyoke, MA
- NPI 1811929342
- Accepts Medicare
- 23 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
575 Beech Street, Holyoke Medical Center
Holyoke, MA 01040
(413) 534-2500
fax (413) 540-5055 - Mailing address
-
289 Tanglewood Dr, Apt# 5
Longmeadow, MA 011061652
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- February 24, 2017
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 207R00000X — NUCC code
- State license (1)
- Massachusetts #229246
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1811929342. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,155
Distinct HCPCS
6
Medicare allowed
$108,128
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 740 | 263 | $80 | |
99239 |
Hospital discharge day management, more than 30 minutes | 219 | 206 | $116 | |
99223 |
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 65 | 64 | $175 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 63 | 46 | $120 | |
G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 53 | 52 | $54 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | 15 | $131 |
In context: peer comparison
Among 14 peers in this city , average services per provider: 102. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$82
Transactions
5
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| PFIZER INC. | 4 | $59.24 | |
| Inari Medical, Inc. | 1 | $22.40 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
150
Patients
147
Total drug cost
$1,087
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cefuroxime (Cefuroxime Axetil) | Brand | 45 | 44 | $566 |
| Prednisone | Generic | 37 | 35 | $130 |
| Amlodipine Besylate | Generic | 22 | 22 | $114 |
| Furosemide | Generic | 20 | 20 | $63 |
| Oxycodone Hcl | Generic | 15 | 15 | $101 |
| Doxycycline Hyclate | Generic | 11 | 11 | $113 |
Frequently asked questions
What is Dr. Theodore Mlapah's medical specialty?
Dr. Theodore Mlapah practices Internal Medicine Physician in Holyoke, MA.
Where does Dr. Theodore Mlapah practice?
Dr. Theodore Mlapah practices at 575 Beech Street, Holyoke, MA 01040. Office phone: 4135342500.
What is Dr. Theodore Mlapah's NPI?
Dr. Theodore Mlapah's National Provider Identifier (NPI) is 1811929342, issued by NPPES.
Does Dr. Theodore Mlapah accept Medicare assignment?
Yes. Dr. Theodore Mlapah accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theodore Mlapah commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Hospital discharge day management (HCPCS 99239); Initial hospital care with moderate level of medical decision making (HCPCS 99223). Source: CMS Medicare Physician & Other Practitioners file.