DR. LEE G THEOPHELIS (MD) – Plastic and Reconstructive Surgery Physician, NPI 1861448318
Plastic and Reconstructive Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
473 PLASTIC AND RECONSTRUCTIVE SURGERY in FL
Provider Addresses for DR. LEE G THEOPHELIS (MD)
1223 Gateway Dr Ste 2B
Melbourne, FL 329012607
Phone: (321) 434-1401
Type: Location
1350 Hickory St Ste 101
Melbourne, FL 329013224
Phone: (321) 434-1401
Fax: (321) 434-1667
Type: Location
Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States
ROCKLEDGE, FL 329554306
Phone:
Type: Mailing
1350 HICKORY ST
MELBOURNE, FL 329013224
Phone: (321) 434-1401
Fax: (321) 434-1667
Type: Location
Hickory Street, Melbourne, Brevard County, Florida, 32901, United States
MELBOURNE, FL 329013224
Phone: (321) 434-1401
Fax: (321) 434-1667
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2023-06-27 • Largest payer in this snapshot: KCI USA, Inc. ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| KCI USA, Inc. | $125 |
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: 2005-08-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20050831000648 | I | Plastic And Reconstructive Surgery | FL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 65 | 40 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 62 | 35 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 53 | 53 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 30 | 12 | $0 |
Insurance plans in this area (ZIP 32901)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| O T O L A R Y N G O L O G Y | FL | |
| General Surgery, Critical Care (Intensivists) | AZ | |
| General Surgery | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| General Surgery | FL | |
| Orthopedic Surgery, Sports Medicine | FL |
Reviews
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