GEORGE H THEODORE (M.D.) – Orthopaedic Foot and Ankle Surgery Physician, NPI 1639171101
Orthopaedic Foot and Ankle Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
948 ORTHOPEDIC SURGERY in MA
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Provider Addresses for GEORGE H THEODORE (M.D.)
Blackbird Doughnuts, 175, Cambridge Street, Downtown Crossing, West End, Boston, Suffolk County, Massachusetts, 02114, United States
4TH FLOOR
BOSTON, MA 021142743
Phone: (617) 724-7009
Fax: (617) 643-1006
Type: Location
PO BOX 86
HINGHAM, MA 020430086
Phone: (781) 749-9071
Fax: (781) 749-2133
Type: Mailing
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: 2011-03-24
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 |
|---|---|---|---|---|
| I20110324000487 | I | Orthopedic Surgery | MA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 76 | 52 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $0 |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | 14 | 14 | $0 |
| 29405 | Application of short leg cast | 13 | 13 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 02114)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MA |
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