DR. MICHAEL HERCULES THEODOULOU (D.P.M.) – Podiatrist, NPI 1760430755
Podiatrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
385 PODIATRY in MA
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Provider Addresses for DR. MICHAEL HERCULES THEODOULOU (D.P.M.)
Somerville Hospital, 230, Highland Avenue, Spring Hill, Somerville, Middlesex County, Massachusetts, 02143, United States
SOMERVILLE, MA 021431408
Phone: (617) 665-1000
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $71,033.
Total Amount is formed as General ($71,033) + Research ($0) + Ownership ($0) = $71,033.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($54,042).
Total Amount
$71,033
General + Research + Ownership
Payments
69
Total payment records
General Amount
$71,033
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TREACE MEDICAL CONCEPTS, INC. | $54,042 |
| Integra LifeSciences Corporation | $8,340 |
| Avitus Orthopaedics, Inc. | $7,350 |
| Kerecis Limited | $428 |
| MY01 Inc. | $181 |
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: 2010-03-10
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 |
|---|---|---|---|---|
| I20100310000052 | I | Podiatry | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 121 | 74 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 64 | 64 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 26 | 22 | $0 |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 23 | 15 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 23 | 22 | $0 |
Insurance plans in this area (ZIP 02143)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MA | |
| - | MA | |
| - | NH | |
| Rheumatology, Internal Medicine | MA | |
| - | MA | |
| Emergency Medicine | MA | |
| Family Practice | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| Emergency Medicine | MA | |
| Physician Assistant | MA |
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