Doctor profile · Federal record
Dr. Theodore Dacosta, MD
Gastroenterology Physician (CMS: Gastroenterology) · Internal Medicine Physician · Orange, NJ
- NPI 1558395673
- Accepts Medicare
- 37 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
85 S Jefferson Street
Orange, NJ 07050
(973) 674-8866
fax (973) 672-9299
Credentials & registration
- NPI registered
- July 2006 — 20 yrs on file
- Profile last updated
- September 11, 2025
- Year of graduation
- 1989 — 37 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- New Jersey #25MA05600200
- Medicaid
- NJ #6881106
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1558395673. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
507
Distinct HCPCS
10
Medicare allowed
$62,028
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 166 | 96 | $98 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 135 | 79 | $141 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 46 | 35 | $85 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 22 | 22 | $121 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 22 | 22 | $124 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 20 | 19 | $271 | |
45378 |
Diagnostic exam of large bowel using a flexible endoscope | 19 | 18 | $187 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 19 | 19 | $132 | |
90694 |
Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 16 | 16 | $74 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 16 | 16 | $140 |
In context: peer comparison
Among 1 peers in this city , average services per provider: 42. This provider delivers 12× the peer median.Open Payments
Industry payments received
All-time total
$35
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Boston Scientific Corporation | 1 | $35.34 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,287
Patients
505
Total drug cost
$142,589
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 206 | 93 | $3,045 |
| Atorvastatin Calcium | Generic | 188 | 52 | $3,158 |
| Amlodipine Besylate | Generic | 147 | 44 | $1,428 |
| Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg) | Brand | 115 | 106 | $2,480 |
| Linzess (Linaclotide) | Brand | 92 | 30 | $58,110 |
| Losartan-Hydrochlorothiazide (Losartan/Hydrochlorothiazide) | Brand | 88 | 24 | $2,904 |
| Pantoprazole Sodium | Generic | 73 | 29 | $1,259 |
| Metformin Hcl | Generic | 70 | 21 | $520 |
| Ozempic (Semaglutide) | Brand | 55 | 17 | $63,621 |
| Losartan Potassium | Generic | 49 | 22 | $825 |
Frequently asked questions
What is Dr. Theodore Dacosta's medical specialty?
Dr. Theodore Dacosta practices Gastroenterology Physician in Orange, NJ.
Where does Dr. Theodore Dacosta practice?
Dr. Theodore Dacosta practices at 85 S Jefferson Street, Orange, NJ 07050. Office phone: 9736748866.
What is Dr. Theodore Dacosta's NPI?
Dr. Theodore Dacosta's National Provider Identifier (NPI) is 1558395673, issued by NPPES.
Does Dr. Theodore Dacosta accept Medicare assignment?
Yes. Dr. Theodore Dacosta accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theodore Dacosta 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 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232). Source: CMS Medicare Physician & Other Practitioners file.