Physician

Theodore V Tso, D.M.D.

According to 2025 Medicare claims, Theodore Tso, D.M.D. (NPI: 1285040980) practices prosthodontics in the Cleveland, OH market, with the plurality of this provider's patient population coming from Cuyahoga, OH. This provider's primary affiliated billing organization is THE CLEVELAND CLINIC FOUNDATION (NPI: 1679525919; TIN: 340714585) and primary practice location at 44195-0001. Tso is affiliated with the Cleveland Clinic Medicare ACO, LLC (ACO ID: A2729), participating under the MSSP model.

Tso's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 29 traditional Medicare patients, billed 78 HCPCS/CPT codes, and received $9,969 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 44 prescription claims across 21 beneficiaries totaling $902 in drug costs, led by Chlorhexidine Gluconate (Chlorhexidine Gluconate). Open Payments data shows 7 records totaling $712. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $1,941 and ending at $9,969. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $97 and ending at $902. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$5.0K$10.0K2020 Medicare payment: $1,941 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $5,226 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $7,431 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $3,916 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $9,969 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
20202026$1,941
20213752$5,226
20224874$7,431
20233137$3,916
20242978$9,969

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$451$9022020 Drug cost: $97 (USD; Tot_Drug_Cst)2021 Drug cost: $505 (USD; Tot_Drug_Cst)2022 Drug cost: $682 (USD; Tot_Drug_Cst)2023 Drug cost: $344 (USD; Tot_Drug_Cst)2024 Drug cost: $902 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
20201723$97
20212536$505
20221940$682
20231734$344
20242144$902

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more1313$143
70355X-ray of lower jaws, upper jaws and teeth1920$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Chlorhexidine GluconateChlorhexidine Gluconate12228$23

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.7$712Stryker Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Theodore V. Tso, D.M.D.?

Tedicare shows public-source Medicare data for Theodore V. Tso, D.M.D. (NPI 1285040980), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Theodore V. Tso, D.M.D. have ACO affiliation data?

Theodore V. Tso, D.M.D. is shown with ACO affiliation data for Cleveland Clinic Medicare ACO, LLC (MSSP, ACO ID A2729).

What billing organization is linked to Theodore V. Tso, D.M.D.?

Theodore V. Tso, D.M.D. is linked to THE CLEVELAND CLINIC FOUNDATION (billing NPI 1679525919) in the available physician profile data.

Does Theodore V. Tso, D.M.D. have Open Payments data?

Theodore V. Tso, D.M.D. has 7 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.