Dr. Theodore Sy, MD

  • Laguna Hills, CA
  • Gastroenterologist
NPI1003865627PAC ID7911905989
Medicare services, 2024
312
Medicare patients, 2024
157
Part D claims, 2024
1,098
Clinical trials
10
MIPS score, 2024
87
Practice address
24411 Health Center Dr, Laguna Hills, CA 92653
Professional email
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Mobile number
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Primary practice

Digestive Disease Center - HOPD

Acute Care Hospital outpatient department · Laguna Hills, California

See all 4 affiliations

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Dr. Theodore Sy is a gastroenterologist in Laguna Hills, California

Dr. Sy practices at Digestive Disease Center - HOPD in Laguna Hills, California.

Dr. Sy's NPI, 1003865627, was assigned on May 9, 2006. Dr. Sy graduated from Feinberg School of Medicine in 2003. Dr. Sy holds California license A90266.

NPI and contact details
Medicare PAC ID
7911905989
NPI enumeration date
May 9, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Offers telehealth
Yes
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
49
Medical school graduation
2003

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Theodore Sy practices at Digestive Disease Center - HOPD in Laguna Hills, California

Dr. Sy's primary practice is Digestive Disease Center - HOPD, at 24411 Health Center Dr, Laguna Hills, CA 92653.

  • Digestive Disease Center - HOPD
    24411 Health Center Dr, Laguna Hills, CA 92653

Source: Dmand AI Affiliation Data

Dr. Theodore Sy is affiliated with 3 sites of care and 1 medical group

Dr. Sy's primary practice is Digestive Disease Center - HOPD in Laguna Hills, California. Dr. Sy is also affiliated with MemorialCare Saddleback Medical Center. The medical group on file is MemorialCare Medical Group. Dmand AI also links Dr. Sy to 1 more group practice or clinic, named with a free account.

See all 4 affiliations for Dr. Sy

Source: Dmand AI Affiliation Data

Dmand AI tracks the EHR system at Dr. Theodore Sy's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Sy practices, 3 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Digestive Disease Center - HOPDAvailable with a free account
+2 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Theodore Sy is one of 1,977 gastroenterologists in California

Gastroenterology is Dr. Sy's primary specialty in the NPI Registry, under taxonomy code 207RG0100X. Dr. Sy is board certified in gastroenterology by the American Board of Internal Medicine. Dr. Sy is licensed in California.

Specialties and state licenses

  • Gastroenterology, CaliforniaPrimaryLicense A90266 · 2005 to 2027 · taxonomy 207RG0100X

Clinical focus

Dmand AI lists acid reflux, acute gastroduodenitis, chronic indigestion, cirrhosis of the liver, colonoscopy, gastroenteritis, hemorrhoids and irritable bowel syndrome (IBS) among the conditions Dr. Sy treats.

Gastroenterologists near Dr. Sy

Counts of gastroenterologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Theodore Sy billed Medicare for 312 services in 2024

CMS data shows 312 Medicare services from Dr. Sy across 10 procedure codes in 2024, for 157 Medicare patients. Medicare paid $26,906 for them.

Medicare services, 2024312
Medicare patients157
Paid by Medicare$26,906
Procedure codes10

Dr. Sy's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 772024: 11347%
Surgery
2023: 1092024: 1123%
Other services
2023: 522024: 8767%

Where Dr. Sy's Medicare services took place, 2024

  • In an office17656%
  • In a facility13644%

Dr. Sy compared with the California median for gastroenterologists, 2024

  • Dr. Sy
  • California median
Medicare services
312vs 58647% below
Medicare patients
157vs 30248% below
Part D claims
924vs 3802.4 times

Medians across 1,875 gastroenterologists in California with Dmand AI profiles that report each measure.

Dr. Sy's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Sy

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Theodore Sy treated 157 Medicare patients in 2024, average age 72

CMS counts 157 Medicare patients who saw Dr. Sy in 2024. The largest group is 65 to 74, with 99 patients. 75% of them have high cholesterol, and 60% have high blood pressure. 8% are also on Medicaid. Their average risk score is 1.00, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Sy's median patient age at 63, with 51% women.

Medicare patients, 2024157
Average age72
Average risk score1.00
Also on Medicaid8%

Dr. Sy's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Sy's Medicare patients by sex, 2024

  • Women8655%
  • Men7145%

Chronic conditions among Dr. Sy's Medicare patients, 2024

  1. High cholesterol75%
  2. High blood pressure60%
  3. Arthritis41%
  4. Diabetes25%
  5. Mood disorders25%
  6. Depression23%
  7. Anxiety22%
  8. Cancer21%

Share of Medicare patients with each condition. A patient can have several.

Dr. Sy's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 63

Patient panel by sex, all payers

  • Women51%
  • Men48%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Theodore Sy wrote 1,098 Medicare Part D claims in 2024

In 2024, Dr. Sy wrote 1,098 Medicare Part D claims for 513 patients. 71% of them were for generic drugs. CMS names the drug for 924 of them, across 18 drugs with 11 or more claims each, at $853,998 in total drug cost. In 2023, CMS named 783 claims across 17 drugs.

Part D claims, 20241,098
Drugs named by CMS18
Total drug cost$853,998
Part D patients513

Dr. Sy's Part D claims by kind of drug, 2024

  • Generic784 claims71%
  • Brand-name314 claims29%

Dr. Sy's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Sy's Part D claims, 2024

  • Antibiotics3%31 of 1,098 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 7832024: 92418%

Drugs named by CMS: 18 in 2024, 17 in 2023.

See all prescribing by Dr. Sy

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Theodore Sy scored 87 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 87 out of 100 for Dr. Sy for performance year 2024, reported as part of a group. Dr. Sy accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Sy as offering telehealth. CMS counts 30 procedures of colonoscopy by Dr. Sy, more than 54% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes
Offers telehealth
Yes

Dr. Sy's MIPS scores, performance year 2024

  • 87of 100Final score
  • 81.2of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 72of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Sy ranks in Medicare procedure volume

Colonoscopy
54th percentile30 procedures
Upper gastrointestinal (GI) endoscopy for acid reflux
49th percentile19 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Theodore Sy has worked on 10 clinical trials

Dmand AI links Dr. Sy to 10 clinical trials, 4 of them phase 2 studies. 9 are still active or recruiting. Conditions studied include Adenocarcinoma of Lung, Biliary Atresia and Low Back Pain.

Clinical trials with Dr. Sy by phase

  1. NonePhase 1: no trials
  2. 4Phase 2: 4 trials
  3. 1Phase 2/3: 1 trial
  4. NonePhase 3: no trials
  5. NonePhase 4: no trials

Trials with no phase (devices, behavioral studies) are left out.

Conditions in Dr. Sy's trials

  • Adenocarcinoma of Lung
  • Biliary Atresia
  • Low Back Pain
  • Malocclusion
  • Muscular Atrophy

Investigators on the most trials with Dr. Sy

Recent clinical trials with Dr. Sy

See all 10 clinical trials and co-investigators

Sources: ClinicalTrials.gov (National Library of Medicine); and Dmand AI Research Linkage

Dr. Theodore Sy received $6,539 in industry payments from 2016 to 2025

CMS Open Payments shows 317 general payments to Dr. Sy from 35 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 98% of the total. Abbvie Inc. paid the most, $2,258.

General payments to Dr. Sy by program year, 2016 to 2025

General payments to Dr. Sy by kind, 2016 to 2025

$6.5Kin total
  • Food and beverage$6,41298%
  • Education$1272%

Companies that paid Dr. Sy the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Sy

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Theodore Sy has 1 award and honors on record

Dmand AI lists 1 award for Dr. Sy, most recently CMS Stage 1 EHR in 2012.

Awards and honors for Dr. Sy

  1. 2012
    • CMS Stage 1 EHR

Source: Dmand AI Professional Profile Data

Dr. Theodore Sy graduated from Feinberg School of Medicine

Dr. Sy graduated from Feinberg School of Medicine in 2003.

  1. Medical schoolFeinberg School of Medicine
  2. Board certified in gastroenterologyAmerican Board of Internal Medicine

Source: Dmand AI Professional Profile Data

Dr. Theodore Sy accepts plans from 14 insurance carriers

Dr. Sy is in network with 14 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.

  • Aetna
  • Elevance
  • Blue Cross Blue Shield of Michigan
  • United Healthcare
  • HCSC
  • Humana
  • Blue Cross Blue Shield of Massachusetts
  • Regence Health Plans
  • +6 more carriersWith a free account

Plan types Dr. Sy accepts, by number of carriers

  1. Medicare9
  2. PPO9
  3. HMO7
  4. POS5
  5. EPO4

Source: Dmand AI Insurance Network Data

Sources for Dr. Theodore Sy's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Clinical trials and co-investigatorsClinicalTrials.gov (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Awards and committee rolesDmand AI Professional Profile Data
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Theodore Sy

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Theodore Sy's NPI number?

Dr. Theodore Sy's NPI number is 1003865627. It was assigned on May 9, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Theodore Sy?

Dr. Theodore Sy is a gastroenterologist in Laguna Hills, California. The primary specialty in the NPI Registry is Gastroenterology Physician (taxonomy code 207RG0100X).

Where does Dr. Theodore Sy practice?

Dr. Sy practices at 24411 Health Center Dr, Laguna Hills, CA 92653. Dr. Sy's primary practice is Digestive Disease Center - HOPD in Laguna Hills, California. Dmand AI also links Dr. Sy to 1 group practice or clinic.

What is Dr. Theodore Sy's medical license number?

Dr. Sy holds California license A90266.

Which hospitals is Dr. Theodore Sy affiliated with?

Dr. Sy is affiliated with MemorialCare Saddleback Medical Center.

What medical group is Dr. Theodore Sy part of?

Dr. Sy is linked to MemorialCare Medical Group.

Does Dr. Theodore Sy accept Medicare?

Yes. CMS data shows Dr. Sy billed Medicare for 312 services in 2024, and Dr. Sy accepts Medicare assignment.

Does Dr. Theodore Sy offer telehealth?

Yes. The CMS Doctors and Clinicians file lists Dr. Sy as offering telehealth services.

What is Dr. Theodore Sy's MIPS score?

Dr. Sy's MIPS final score for performance year 2024 is 87 out of 100, reported as part of a group.

How many Medicare patients does Dr. Theodore Sy see?

CMS counts 157 Medicare patients who saw Dr. Sy in 2024, with an average age of 72.

Show 8 more questionsShow fewer questions

Is Dr. Theodore Sy board certified?

Yes. Dr. Sy is board certified in gastroenterology by the American Board of Internal Medicine.

What services does Dr. Theodore Sy bill to Medicare?

In 2024, Dr. Sy's most billed Medicare services were surgery: digestive system (45385), medicare service (G0500) and office visit, new patient (99204).

Where did Dr. Theodore Sy go to medical school?

Dr. Sy graduated from Feinberg School of Medicine in 2003.

What drugs does Dr. Theodore Sy prescribe most?

In 2024 Medicare Part D data, Dr. Sy's most prescribed drugs by claims were Sod Sulf-Potass Sulf-Mag Sulf, Omeprazole and Famotidine.

Has Dr. Theodore Sy received payments from drug or device companies?

CMS Open Payments shows $6,539 in general payments to Dr. Sy from 35 companies from 2016 to 2025. The largest total came from Abbvie Inc.

How long has Dr. Theodore Sy been practicing?

Dr. Sy graduated from medical school in 2003, 23 years ago.

Does Dr. Theodore Sy do research?

Dr. Sy has worked on 10 clinical trials.

What insurance does Dr. Theodore Sy accept?

Dr. Sy is in network with 14 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. Medicare plans come from the most carriers, 9. Check the plan with the practice before a visit.

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