MR. THEODORE T THEOLOGES (PA) – Physician Assistant, NPI 1609824804

MR. THEODORE T THEOLOGES (PA) is a healthcare provider. based in Dallas, Texas. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. PA03797 (TX). The NPI Number for MR. THEODORE T THEOLOGES (PA) is 1609824804

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
MR. THEODORE T THEOLOGES (PA)
NPI
1609824804
Phone
(972) 566-4866
Address
7777 FOREST LN
Enumeration Date
4 May 2006
Last Update Date
10 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9725478000
Graduation Year
2003 (23 years ago)
PAC ID
7012905490
Group Practice PAC ID
6901081363
Professional Enrollment ID
I20040504001059

Contacts

Secure Messaging
THEODORE.THEOLOGES@hca7.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

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Provider Addresses for MR. THEODORE T THEOLOGES (PA)

  • Medical City Dallas, 7777, Forest Lane, Dallas, Dallas County, Texas, 75230, United States

    SUITE A307

    DALLAS, TX 752302571

    Phone: (972) 566-4866

    Fax: (972) 566-2469

    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 35 Open Payments records for all available years, with a total value of $6,569.

Total Amount is formed as General ($6,569) + Research ($0) + Ownership ($0) = $6,569.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Getinge USA Sales, LLC ($5,615).

Total Amount

$6,569

General + Research + Ownership

Payments

35

Total payment records

General Amount

$6,569

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
33508Harvest of vein using an endoscope2828$0
33533Coronary artery bypass using artery graft, 1 graft2727$0
33268Exclusion of appendage of left upper chamber of heart performed during other procedure on chest1919$0
33518Coronary artery bypass using vein or artery graft, 2 grafts1616$0
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Insurance plans in this area (ZIP 75230)

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Provider's Procedures

MR. THEODORE T THEOLOGES (PA) performs procedures in Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTX33533Heart artery bypass to repair one artery2525

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6901081363View full group profile
NameSpecialtyState
Cardiac Surgery, Thoracic Surgery, General SurgeryTX
Thoracic Surgery, Cardiac Surgery, General SurgeryTX
Nurse PractitionerTX
Cardiac Surgery, General Surgery, Thoracic SurgeryIL
Thoracic Surgery, Cardiac SurgeryTX
Cardiac Surgery, Thoracic Surgery, General SurgeryNE
-TX
Physician AssistantTX
Physician AssistantTX
Cardiac Surgery, Thoracic SurgeryCA

Reviews

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Frequently asked questions

What unique ID ties claims to MR. THEODORE T THEOLOGES (PA)?
NPI 1609824804 is assigned to MR. THEODORE T THEOLOGES (PA) under the national enumeration system.
Is MR. THEODORE T THEOLOGES (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MR. THEODORE T THEOLOGES (PA)'s specialty in plain language?
Clinically, the directory lists MR. THEODORE T THEOLOGES (PA) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MR. THEODORE T THEOLOGES (PA)?
The snapshot lists Dallas, Texas for MR. THEODORE T THEOLOGES (PA); download NPPES for the complete set.
What if Dallas, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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