Anthony C. Theodoris, M.D.
Pulmonary Disease Physician · Port Jefferson Station, NY
Anthony C. Theodoris, M.D. is a pulmonary disease physician with a practice address in Port Jefferson Station, New York, and NPI 1578675971, issued on Aug 31, 2006. Check the license (New York 221756-1, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Anthony C. Theodoris
- Credential
- M.D.
- Primary taxonomy
- Pulmonary Disease Physician 207RP1001X
- License number
- 221756-1 NY
Self-reported in NPPES; status is on the state search - Practice location
- 1500 Route 112 Ste B, Port Jefferson Station, NY 11776
- Phone
- (631) 978-7633
- Enumerated
- Aug 31, 2006
- Record last updated
- Apr 29, 2022
- Fax
- (631) 638-4884
- Medicaid ID
- 02732167 NY
- Medicare enrollment
- Enrolled (PECOS I20040607000454); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest pulmonary disease physician records → All 1,230 in New York → Look up another NPI →
Also registered at 1500 Route 112 Ste B
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Benjamin BersonPulmonary Disease Physician1891254728
- Francis D'Orazi, D.O.Pulmonary Disease Physician1346401262
- Anish Desai, MDPulmonary Disease Physician1093050007
- Keith Harris, DOPulmonary Disease Physician1114026853
- Yuval Hiltzik, D.O.Pulmonary Disease Physician1518102607
- Toni Johnston, NPAdult Health Nurse Practitioner1902455231
Verify Anthony C. Theodoris in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 221756-1Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
8% fewer Medicare Part D claims than the average pulmonary disease physician in 2024
1,309 Medicare Part D claims for 287 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 57% of claims.
Most prescribed
- Trelegy Ellipta245 claims
- Albuterol Sulfate Hfa132 claims
- Prednisone114 claims
- Montelukast Sodium91 claims
- Breo Ellipta57 claims
- Levalbuterol Tartrate Hfa52 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 98.5 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $1,681.13
68 payments; by number, the most common kind was food and beverage; the largest payer was GlaxoSmithKline, LLC. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Long Island Pulmonary Rehabilitation PCSaint James, NY
- Stony Brook Internists University Faculty Practice CorporationStony Brook, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Anthony C. Theodoris among 1,230 pulmonary disease physician records in New York
Anthony C. Theodoris, M.D. is one of 1,230 pulmonary disease physician records with a practice address in New York. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 11% of them.
- NPI issued2006 · 11% of these records are older, 47% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 77% of these records are
- Graduated1998 · median 1999 among the 943 with a school on file
- Record last updated2022 · 60% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pulmonary Disease Physician providers in New York
There are 1,230 pulmonary disease physician records in New York.
All 1,230 in New York → Every provider in Port Jefferson Station → Pulmonary Disease Physician nationwide →
The 8 pulmonary disease physician records with the nearest ZIP codes
- Benjamin BersonPort Jefferson Station, NY 117761891254728
- Francis D'Orazi, D.O.Port Jefferson Station, NY 117761346401262
- Anish Desai, MDPort Jefferson Station, NY 117761093050007
- Keith Harris, DOPort Jefferson Station, NY 117761114026853
- Yuval Hiltzik, D.O.Port Jefferson Station, NY 117761518102607
- Peter Ottavio, D.O.Port Jefferson Station, NY 117761093750028
- Mario Solomita, DOPort Jefferson Station, NY 117761851563431
- Jay Barbakoff, MDPort Jefferson, NY 117771003994260
Common questions
What is Anthony C. Theodoris, M.D.'s NPI number?
Anthony C. Theodoris, M.D.'s National Provider Identifier (NPI) is 1578675971, issued on Aug 31, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Anthony C. Theodoris, M.D. located?
The NPPES record lists a practice address at 1500 Route 112 Ste B, Port Jefferson Station, NY, 11776. Phone: (631) 978-7633. Providers update this record themselves, so call before visiting.
How can I verify Anthony C. Theodoris, M.D.'s license?
NPPES lists New York license number 221756-1, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Anthony C. Theodoris, M.D. prescribe under Medicare Part D?
In 2024, Anthony C. Theodoris, M.D. had 1,309 Medicare Part D claims for 287 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.
What is Anthony C. Theodoris, M.D.'s MIPS final score?
The 2023 MIPS final score is 98.5 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.