PATCHOUCO THEODORE (MD) – Family Medicine Physician, NPI 1528628963
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
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Provider Addresses for PATCHOUCO THEODORE (MD)
Southwest 216th Street, Cutler Bay, Miami-Dade County, Florida, 33170, United States
CUTLER BAY, FL 331901003
Phone: (305) 253-5100
Type: Location
1924 ALCOA HWY # U-67
KNOXVILLE, TN 379201511
Phone: (865) 305-9350
Fax: (865) 305-8942
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230308003270 | I | Emergency Medicine | TN | TBD |
| I20230510001368 | I | Family Practice | TX | TBD |
| I20251222001279 | I | Family Practice | LA | TBD |
| I20260112001731 | I | Family Practice | WV | TBD |
| I20260216001308 | I | Family Practice | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 82 | 80 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 77 | 75 | $0 |
| 99291 | Critical care, first 30-74 minutes | 53 | 53 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 44 | 44 | $0 |
Insurance plans in this area (ZIP 33190)
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