Lee G. Theophelis, MD
NPI 1861448318ActiveIndividual· Surgery, Plastic and Reconstructive Surgery· Melbourne, FL
Surgery, Plastic and Reconstructive Surgery (MD) in Melbourne, Florida, trained at University of Miami, Lm Miller School of Medicine (class of 1986). 160 Medicare patients in 2024, $77,095 paid; nearly all of their 156 Part D prescriptions were generic (99%).
Overview
| NPI | 1861448318 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | May 26, 2006 |
| Last updated in NPPES | Nov 3, 2023 |
| Certified by provider | Nov 3, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Plastic and Reconstructive Surgery Primary | 2086S0122X | ME59792 | FL |
| Surgery, Trauma Surgery | 2086S0127X | ME59792 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Plastic and Reconstructive Surgery (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 160 |
|---|---|
| Services billed | 682 across 125 procedure codes |
| Paid by Medicare | $77,095 |
Part D prescriptions in 2024
| Prescriptions (claims) | 156 · 164 30-day fills |
|---|---|
| Patients | 80 |
| Total drug cost | $2,763 |
| Generic share | 99% of claims |
Education and affiliations
| Medical school | University of Miami, Lm Miller School of Medicine |
|---|---|
| Graduation year | 1986 |
| Medicare specialty | Plastic And Reconstructive Surgery |
Medical group
- Health First Physician Specialties IncMelbourne, FL · 59 clinicians
Hospital affiliation
- Holmes Regional Medical CenterMelbourne, FL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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