Lee G. Theophelis, MD
Plastic and Reconstructive Surgery Physician · Melbourne, FL
Lee G. Theophelis, MD is a plastic and reconstructive surgery physician with a practice address in Melbourne, Florida, and NPI 1861448318, issued on May 26, 2006. Check the license (Florida ME59792, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Lee G. Theophelis
- Credential
- MD
- Primary taxonomy
- Plastic and Reconstructive Surgery Physician 2086S0122X
- License number
- ME59792 FL
Self-reported in NPPES; status is on the state search - Practice location
- 1350 Hickory St, Melbourne, FL 32901
- Phone
- (321) 434-1401
- Enumerated
- May 26, 2006
- Record last updated
- Nov 3, 2023
- Fax
- (321) 434-1667
- Medicaid ID
- 372847100 FL
- Medicare enrollment
- Enrolled (PECOS I20050831000648); accepts Medicare assignment
- Medical or professional school
- University Of Miami, Lm Miller School Of Medicine, 1986
- Entity
- Type 1 · individual
8 nearest plastic and reconstructive surgery physician records → All 253 in Florida → Look up another NPI →
Also registered at 1350 Hickory St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Ryan Abbott, M.D.Hospitalist Physician1588082721
- Almatmed Abdelsalam, M.D.Hospitalist Physician1396157657
- Abigail Adair-Dimmick, MDPediatrics Physician1508363284
- Karen Afre Divine, CAAAnesthesiologist Assistant1417325440
- Gerard Agbulos, MDHospitalist Physician1700191053
- Jaymie Agsalud, MDHospitalist Physician1518925742
Verify Lee G. Theophelis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license ME59792Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
68% more Medicare Part D claims than the average plastic and reconstructive surgery physician in 2024
156 Medicare Part D claims for 80 beneficiaries, against an average of 93 among the 1,895 providers of this specialty who prescribed in Part D. 67 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen48 claims
- Doxycycline Hyclate12 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): 85.4 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).
Bills Medicare through one group practice
- Health First Physician Specialties IncMelbourne, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Lee G. Theophelis among 253 plastic and reconstructive surgery physician records in Florida
Lee G. Theophelis, MD is one of 253 plastic and reconstructive surgery physician records with a practice address in Florida. 83% 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 6% of them.
- NPI issued2006 · 6% of these records are older, 64% newer
- In a Medicare fileYes · 83% of these records are
- In the CMS Doctors and Clinicians fileYes · 44% of these records are
- Graduated1986 · median 2004 among the 112 with a school on file
- Record last updated2023 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 2086S0122X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Plastic and Reconstructive Surgery Physician providers in Florida
There are 253 plastic and reconstructive surgery physician records in Florida.
All 253 in Florida → Every provider in Melbourne → Plastic and Reconstructive Surgery Physician nationwide →
The 8 plastic and reconstructive surgery physician records with the nearest ZIP codes
- Jeffrey Caplan, MDMelbourne, FL 329011417060013
- Mauricio Castellon, MDMelbourne, FL 329011881658144
- George Collis, MDMelbourne, FL 329011134367964
- Eva AcevedoPalm Bay, FL 329091669201885
- Samira CaraballoMelbourne, FL 329351770134231
- Christopher Hess, M.D.Melbourne, FL 329351235205352
- Amy Simon, MDMelbourne, FL 329351407978703
- John Varner, DDS, MDMelbourne, FL 329351346759222
Common questions
What is Lee G. Theophelis, MD's NPI number?
Lee G. Theophelis, MD's National Provider Identifier (NPI) is 1861448318, issued on May 26, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Lee G. Theophelis, MD located?
The NPPES record lists a practice address at 1350 Hickory St, Melbourne, FL, 32901. Phone: (321) 434-1401. Providers update this record themselves, so call before visiting.
How can I verify Lee G. Theophelis, MD's license?
NPPES lists Florida license number ME59792, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Lee G. Theophelis, MD prescribe under Medicare Part D?
In 2024, Lee G. Theophelis, MD had 156 Medicare Part D claims for 80 beneficiaries; the average among plastic and reconstructive surgery physician prescribers was 93. Part D covers Medicare prescriptions only.
What is Lee G. Theophelis, MD's MIPS final score?
The 2023 MIPS final score is 85.4 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.