Medicare Enrolled

Dr. Michael Theodoulou, D.P.M.

Podiatrist · Somerville, MA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Consulting-driven
230 HIGHLAND AVE, Somerville, MA 02143
6176651000
In practice since 2006 (20 years)
NPI: 1760430755 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Theodoulou from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Theodoulou

Dr. Michael Theodoulou is a podiatrist in Somerville, MA, with 20 years of NPI registration. Based on federal Medicare data, Dr. Theodoulou performed 303 Medicare services across 239 unique beneficiaries.

Between the years covered by Open Payments, Dr. Theodoulou received a total of $167,504 from 36 pharmaceutical and/or device companies across 291 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in podiatrist. The majority of payments are for consulting, which typically reflects recognized clinical expertise sought by manufacturers. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Theodoulou is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 20 years in practice ▲ 303 Medicare services $167,504 industry payments

Medicare Practice Summary

Medicare Utilization ↗
303
Medicare services
Bottom 9% in MA for podiatrist
Lower Medicare volume may reflect subspecialty focus, hospital-based work, or a higher share of non-Medicare patients.
239
Unique beneficiaries
$50
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~15 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
121 $52 $140
New patient office visit (30-44 min)
An initial office visit for a new patient lasting between 30 and 44 minutes. This code is used when the total time spent on the date of the encounter falls within this range.
64 $59 $207
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
26 $83 $205
Toenail/fingernail removal, 6+ nails
Surgical removal of six or more fingernails or toenails. This procedure involves the excision of multiple nails during a single session.
23 $18 $88
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
23 $25 $85
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
16 $99 $322
Trimming of dystrophic nails
Trimming of dystrophic nails, any number
16 $5 $46
New patient office visit, 15-29 minutes
An initial office visit for a new patient lasting 15 to 29 minutes. This code is used when the total time spent on the date of the encounter meets this duration threshold.
14 $26 $144
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$167,504
Total received (2018-2024)
Avg $23,929/year across 7 years
Top 0% in MA for podiatrist
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
36
Companies
291
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$122,426 (73.1%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$27,342 (16.3%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$17,736 (10.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$21,291
2023
$49,742
2022
$43,260
2021
$16,739
2020
$2,413
2019
$19,127
2018
$14,932

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
TREACE MEDICAL CONCEPTS, INC.
$13,640
Integra LifeSciences Corporation
$6,851
Kerecis Limited
$428
Avita Medical Americas, Llc
$145
Averitas Pharma Inc.
$116
Nevro Corp.
$66
Zimmer Biomet Holdings, Inc.
$24
Kairos Surgical Inc
$21
Top 3 companies account for 98.3% of 2024 payments
All-time payments by company (2018-2024) ›
TREACE MEDICAL CONCEPTS, INC.
$85,190
Arthrex, Inc.
$19,070
Avitus Orthopaedics, Inc.
$14,675
Treace Medical Concepts, Inc.
$13,323
Integra LifeSciences Corporation
$8,806
Kairos Surgical Inc
$8,577
Cartiva, Inc.
$5,949
WishBone Medical Inc.
$4,013
Orthofix Medical, Inc.
$2,139
Wright Medical Technology, Inc.
$1,423
Arteriocyte Medical Systems, Inc.
$1,226
Kerecis Limited
$448
Stryker Corporation
$365
Misonix Inc
$289
Smith+Nephew, Inc.
$217
MY01 Inc.
$181
Smith & Nephew, Inc.
$177
Zimmer Biomet Holdings, Inc.
$160
Avita Medical Americas, Llc
$145
Sanara MedTech Inc.
$140
Bone Support Inc.
$130
Biocomposites Inc
$122
Organogenesis Inc.
$119
Averitas Pharma Inc.
$116
ConvaTec Inc.
$89
Derma Sciences, Inc.
$83
Nevro Corp.
$66
Bioventus LLC
$59
In2Bones USA, LLC
$38
Life Spine, Inc.
$34
Osiris Therapeutics Inc.
$29
Medartis Inc.
$29
AXOGEN
$27
MedShape, Inc.
$22
Myriad Genetic Laboratories, Inc.
$18
Checkpoint Surgical, Inc
$7
Top 3 companies account for 71.0% of all-time payments
Associated products mentioned in payments ›
22mm x 20mm x 20mm · AMNIOEXCEL · APTUS · ASNIS · AUGMENT · AccuFill · Apligraf · Avance Nerve Graft · Avitus Bone Harvester · BILAYER WOUND MATRIX (BWM) · BIOFOAM · CERAMENTBONE VOID FILLER · Cannulated Screws · Cartiva · CellerateRx · Checkpoint Stimulators · Coblation Wands · DISTAL EXTREMITIES IMPLANTS FOREFOOT PLATES & SCREWS PLANTAR PLATE · DynaClip Bone Fixation System · EXTERNAL FIXATION · Exogen · Extremities Instruments · GALAXY Fixation · GENTLECATH · GENTLECATH GLIDE · GRAFIX · GRAFIX PL · GRAFIX/GRAFIXPL/STRAVIX · Grafix PL PRIME · Hat-Trick · INBONE · INFINITY · INSTRUMENTS-GENERAL SURGERY · Integra · Kerecis Omega3 SurgiClose · LAPIPLASTY SYSTEM · Lapiplasty System · MY01 Continuous Compartmental Pressure Monitor · Magellan · NeXus · ORTHOLOC · ORTHOLOC 2 LAPIFUSE · PICO · PICO Single Use Negative Pressure Wound Therapy · PRIMATRIX · PRIME SERIES · PROPHECY · Physio-Stim · Prolaris · QUTENZA · Quattro · Recell · Renasys · SALVATION · STAR · SURGIMEND · Santyl · Senza · Sequel · Smart Correction · SonicOne · SonicOne OR · Stimrouter Implantable Kit · Stimulan · Stravix · TENOGLIDE TENDON PROTECTOR SHEET · TL-HEX TRUELOK HEXAPOD SYSTEM · TriWay TTC Nail · TrueLok
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

The majority of payments (73%) are consulting fees, which typically reflect recognized clinical expertise sought by manufacturers. Total industry engagement is in the top 0% for podiatrist in MA.

Looking for a podiatrist in Somerville?
Compare podiatrists in the Somerville area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Podiatrists within 10 mi
160
Per 100K population
9.9
County median income
$126,779
Nearest hospital
CAMBRIDGE HEALTH ALLIANCE
1.3 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Theodoulou is a clinical cardiology specialist, with moderate Medicare volume, with consulting-driven industry engagement in the top 0% of MA peers, with 20 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Theodoulou experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Theodoulou performed 121 office visit, established patient (20-29 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Theodoulou receive payments from pharmaceutical companies?
Yes. Dr. Theodoulou received a total of $167,504 from 36 companies across 291 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Theodoulou's costs compare to other podiatrists in Somerville?
Dr. Theodoulou's average Medicare payment per service is $50. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Theodoulou) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →