Doctor profile · Federal record
Dr. Theodore Koutlas, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (CMS: Cardiac Surgery) · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Spokane, WA
- NPI 1902898331
- Accepts Medicare
- MIPS 91.3 / 100 · 2023
- 39 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
62 W 7Th Ave Ste 110
Spokane, WA 992042321
(509) 456-0262
fax (509) 462-5059
Credentials & registration
- NPI registered
- August 2005 — 21 yrs on file
- Profile last updated
- June 16, 2021
- Year of graduation
- 1987 — 39 yrs since
- Specialty taxonomy
- 208G00000X — NUCC code
- State licenses (3)
- Washington #MD60367366 · Idaho #M-12098 · North Carolina #36754
- Medicaid
- NC #8950281
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902898331. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
133
Distinct HCPCS
6
Medicare allowed
$63,612
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
33361 |
Replacement of aortic valve through the skin and femoral artery | 37 | 37 | $731 | |
99205 |
New patient office or other outpatient visit, 60-74 minutes | 28 | 28 | $222 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 25 | 25 | $168 | |
33533 |
Coronary artery bypass using artery graft, 1 graft | 16 | 16 | $1,344 | |
33508 |
Harvest of vein using an endoscope | 15 | 15 | $15 | |
33518 |
Coronary artery bypass using vein or artery graft, 2 grafts | 12 | 12 | $369 |
In context: peer comparison
Among 4 peers in this city , average services per provider: 29. This provider delivers 4.6× the peer median.Open Payments
Industry payments received
All-time total
$81
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Edwards Lifesciences Corporation | 1 | $50.73 | |
| Dilon Technologies, Inc. | 1 | $29.85 |
By nature of payment
Frequently asked questions
What is Dr. Theodore Koutlas's medical specialty?
Dr. Theodore Koutlas practices Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Spokane, WA.
Where does Dr. Theodore Koutlas practice?
Dr. Theodore Koutlas practices at 62 W 7Th Ave Ste 110, Spokane, WA 992042321. Office phone: 5094560262.
What is Dr. Theodore Koutlas's NPI?
Dr. Theodore Koutlas's National Provider Identifier (NPI) is 1902898331, issued by NPPES.
Does Dr. Theodore Koutlas accept Medicare assignment?
Yes. Dr. Theodore Koutlas accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Theodore Koutlas commonly perform?
Top Medicare-reported procedures in 2023: Replacement of aortic valve through the skin and femoral artery (HCPCS 33361); New patient office or other outpatient visit (HCPCS 99205); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.