Lee G Theophelis, MD
Plastic And Reconstructive Surgery (CMS) · Melbourne, FL
At a glance
1350 Hickory St, Melbourne, FL 32901-3224
Published activity: Mastectomy · Melanoma (skin cancer) excision · Removal of skin lesions. View counts and coverage
NPPES record updated Nov 3, 2023. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
1350 Hickory StMelbourne, FL 32901-3224
Additional reported practice locations
1223 Gateway Dr Ste 2BMelbourne, FL 329012607
Phone: 3214341401 1350 Hickory St Ste 101
Melbourne, FL 329013224
Phone: 3214341401
Fax: 3214341667
Education & affiliations
- Medical / professional school
- University Of Miami, Lm Miller School Of Medicine
- Graduation year
- 1986
- CMS specialties
- Plastic And Reconstructive Surgery
Practice groups
Reported hospital affiliations
- Holmes Regional Medical Center Melbourne, FL
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
| Procedure category | Published Medicare activity |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 33 |
| Removal of skin lesions | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Plastic And Reconstructive Surgery (CMS)
- Taxonomy code
- 2086S0122X
- Enumeration date
- May 26, 2006
- Record updated
- Nov 3, 2023
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- MD
Reported taxonomies and licenses
2086S0127X
License reported: ME59792 FL
2086S0122X · Primary
License reported: ME59792 FL
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1350 Hickory StMelbourne, FL 32901-3224
- Phone
- (321) 434-1401
- Fax
- (321) 434-1667
Mailing address
3300 S FISKE BLVDROCKLEDGE, FL 329554306
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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