Doctor profile · Federal record
Dr. Anthony Theodoris, M.D.
Pulmonary Disease Physician (CMS: Pulmonary Disease) · Port Jefferson Station, NY
- NPI 1578675971
- Accepts Medicare
- MIPS 91.4 / 100 · 2023
- 28 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1500 Route 112 Ste B
Port Jefferson Station, NY 117768054
(631) 978-7633
fax (631) 638-4884 - Mailing address
-
45 Research Way Ste 208A
East Setauket, NY 117336401
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- April 29, 2022
- Year of graduation
- 1998 — 28 yrs since
- Specialty taxonomy
- 207RP1001X — NUCC code
- State license (1)
- New York #221756-1
- Medicaid
- NY #02732167
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1578675971. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
10,869
Distinct HCPCS
10
Medicare allowed
$657,991
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
J2357 |
Injection, omalizumab, 5 mg | 7,295 | 13 | $38 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 577 | 249 | $139 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 533 | 287 | $150 | |
94375 |
Test to measure rate of airflow | 348 | 296 | $46 | |
96372 |
Injection of drug or substance under skin or into muscle | 338 | 22 | $17 | |
94200 |
Test to measure largest amount of air breathed in an out | 275 | 252 | $19 | |
94726 |
Test to determine lung volumes using sensors | 275 | 252 | $66 | |
94729 |
Test to examine how well the lungs exchange gases | 275 | 252 | $69 | |
99291 |
Critical care, first 30-74 minutes | 262 | 89 | $251 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 210 | 198 | $152 |
In context: peer comparison
Among 5 peers in this city , average services per provider: 275. This provider delivers 40× the peer median.Open Payments
Industry payments received
All-time total
$1,681
Transactions
67
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GlaxoSmithKline, LLC. | 23 | $466.69 | |
| AstraZeneca Pharmaceuticals LP | 12 | $345.70 | |
| Mylan Specialty L.P. | 6 | $168.96 | |
| ANI Pharmaceuticals, Inc. | 4 | $130.21 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 4 | $97.05 | |
| ZOLL Respicardia, Inc. | 1 | $76.84 | |
| Genentech USA, Inc. | 3 | $71.95 | |
| Regeneron Healthcare Solutions, Inc. | 3 | $49.91 | |
| Insmed, Inc. | 2 | $48.61 | |
| GENZYME CORPORATION | 2 | $46.58 | |
| Electromed, Inc. | 2 | $41.88 | |
| Vifor Pharma, Inc. | 2 | $40.47 | |
| HARMONY BIOSCIENCES LLC | 1 | $32.28 | |
| Amgen Inc. | 1 | $31.62 | |
| Harmony Biosciences Llc | 1 | $16.56 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
800
Patients
252
Total drug cost
$517,332
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter) | Brand | 170 | 64 | $222,394 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 133 | 40 | $5,417 |
| Montelukast Sodium | Generic | 99 | 26 | $1,583 |
| Prednisone | Generic | 85 | 31 | $604 |
| Levalbuterol Tartrate Hfa (Levalbuterol Tartrate) | Brand | 62 | 21 | $4,635 |
| Breo Ellipta (Fluticasone/Vilanterol) | Brand | 58 | 21 | $48,478 |
| Azithromycin | Generic | 29 | 16 | $579 |
| Symbicort (Budesonide/Formoterol Fumarate) | Brand | 26 | 0 | $15,066 |
| Levofloxacin | Generic | 25 | 17 | $127 |
| Breztri Aerosphere (Budesonide/Glycopyr/Formoterol) | Brand | 21 | 16 | $35,540 |
Frequently asked questions
What is Dr. Anthony Theodoris's medical specialty?
Dr. Anthony Theodoris practices Pulmonary Disease Physician in Port Jefferson Station, NY.
Where does Dr. Anthony Theodoris practice?
Dr. Anthony Theodoris practices at 1500 Route 112 Ste B, Port Jefferson Station, NY 117768054. Office phone: 6319787633.
What is Dr. Anthony Theodoris's NPI?
Dr. Anthony Theodoris's National Provider Identifier (NPI) is 1578675971, issued by NPPES.
Does Dr. Anthony Theodoris accept Medicare assignment?
Yes. Dr. Anthony Theodoris accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Anthony Theodoris commonly perform?
Top Medicare-reported procedures in 2023: Injection, omalizumab, 5 mg (HCPCS J2357); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99233); Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.