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Anthony C. Theodoris, M.D.

NPI 1578675971ActiveIndividual· Internal Medicine, Pulmonary Disease· Port Jefferson Station, NY

Internal Medicine, Pulmonary Disease (M.D.) with Stony Brook Internists University Faculty Practice Corporation and 1 other group, practicing in Port Jefferson Station, New York. Their prescriptions cost Medicare Part D more than their services did: $835,250 for 1,309 claims, against $461,600 paid for services in 2024. Glaxosmithkline, LLC. was the largest of 13 companies reporting payments in 2025, $1,637 in all, mostly food and beverage. Lists John T Mather Memorial Hospital of Port Jefferson and 2 other hospitals as hospital affiliations.

Overview

NPI1578675971
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedAug 31, 2006
Last updated in NPPESApr 29, 2022
Certified by providerApr 29, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine, Pulmonary Disease Primary207RP1001X221756-1NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Pulmonary Disease (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients893
Services billed8,547 across 33 procedure codes
Paid by Medicare$461,600

Part D prescriptions in 2024

Prescriptions (claims)1,309 · 2,247 30-day fills
Patients287
Total drug cost$835,250
Generic share43% of claims

Medicare sources and data years

Education and affiliations

Graduation year1998
Medicare specialtyPulmonary Disease
Secondary specialtiesCritical Care (Intensivists)

Medical groups

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$1,637 · 85 payments from 13 companies
  • 2024$1,681 · 83 payments from 15 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$1,637 · 85 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Internal Medicine, Pulmonary Disease providers in Port Jefferson Station

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