Theophilus Ugheghe, MD
Internal Medicine Physician · Boca Raton, FL
Theophilus Ugheghe, MD is an internal medicine physician with a practice address in Boca Raton, Florida, and NPI 1568724623, issued on Jun 13, 2012. Check the license (Florida 19916, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Theophilus Ugheghe
- Credential
- MD
- Primary taxonomy
- Internal Medicine Physician 207R00000X
- License number
- 19916 FL
Self-reported in NPPES; status is on the state search - Practice location
- 800 Meadows RD, Boca Raton, FL 33486
- Phone
- (561) 955-5365
- Enumerated
- Jun 13, 2012
- Record last updated
- May 6, 2014 (not updated in 12 years: call before relying on the address or phone)
- Fax
- (561) 955-3577
- Medicare enrollment
- Enrolled (PECOS I20170731003593); accepts Medicare assignment
- Medical or professional school
- University Of Rochester School Of Medicine And Dentistry, 2012
- Entity
- Type 1 · individual
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Also registered at 800 Meadows RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Theophilus Ugheghe in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license 19916Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
87% fewer Medicare Part D claims than the average internal medicine physician in 2024
419 Medicare Part D claims for 225 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. 21 claims were for opioids.
Most prescribed
- Amoxicillin-Clavulanate Potass23 claims
- Cephalexin23 claims
- Prednisone23 claims
- Doxycycline Hyclate21 claims
- Cefdinir20 claims
- Furosemide16 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 practice group's MIPS final score for 2023 (Medicare payment program): 92.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Banner Hospital Based Physicians Arizona LLCPhoenix, AZ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Theophilus Ugheghe among 10,151 internal medicine physician records in Florida
Theophilus Ugheghe, MD is one of 10,151 internal medicine physician records with a practice address in Florida. 84% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 63% of them.
- NPI issued2012 · 63% of these records are older, 34% newer
- In a Medicare fileYes · 84% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated2012 · median 2004 among the 6,606 with a school on file
- Record last updated2014 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
206 internal medicine physician records list a practice address in Boca Raton
They are 206 of the 6,189 NPPES records with a practice address in Boca Raton, and 10,151 internal medicine physician records in Florida.
All 10,151 in Florida → Every provider in Boca Raton → Internal Medicine Physician nationwide →
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Common questions
What is Theophilus Ugheghe, MD's NPI number?
Theophilus Ugheghe, MD's National Provider Identifier (NPI) is 1568724623, issued on Jun 13, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Theophilus Ugheghe, MD located?
The NPPES record lists a practice address at 800 Meadows RD, Boca Raton, FL, 33486. Phone: (561) 955-5365. Providers update this record themselves, so call before visiting.
How can I verify Theophilus Ugheghe, MD's license?
NPPES lists Florida license number 19916, 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 Theophilus Ugheghe, MD prescribe under Medicare Part D?
In 2024, Theophilus Ugheghe, MD had 419 Medicare Part D claims for 225 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.
What is Theophilus Ugheghe, MD's MIPS final score?
The 2023 MIPS final score is 92.3 of 100, reported for the practice group. 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.