Dr. Sharon M. Theodore, MD

  • Chula Vista, CA
  • Ophthalmologist
NPI1831145739PAC ID3476598889
Medicare services, 2024
2,936
Medicare patients, 2024
328
Part D claims, 2024
467
MIPS score, 2024
75
Industry payments
$686
Practice address
835 3rd Avenue, Suite A, Chula Vista, CA 91911
Practice phone
Call (619) 425-4209
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Surgery Center of California

Surgery Center - Medicare-Certified · Chula Vista, California

See all 5 affiliations

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Dr. Sharon M. Theodore is an ophthalmologist in Chula Vista, California

Dr. Theodore practices at Surgery Center of California in Chula Vista, California.

Dr. Theodore's NPI, 1831145739, was assigned on May 25, 2006. Dr. Theodore graduated from UCSF School of Medicine in 2000. Dr. Theodore holds California license A91327.

NPI and contact details
Medicare PAC ID
3476598889
NPI enumeration date
May 25, 2006
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(619) 425-4209
Professional email
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Personal email
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Mobile number
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Sex
Female
Estimated age
52
Medical school graduation
2000

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

Dr. Sharon M. Theodore practices at Surgery Center of California in Chula Vista, California

Dr. Theodore's primary practice is Surgery Center of California, at 835 3rd Avenue, Suite A, Chula Vista, CA 91911. The practice phone is (619) 425-4209.

  • Surgery Center of California
    835 3rd Avenue, Suite A, Chula Vista, CA 91911Phone(619) 425-4209

Source: Dmand AI Affiliation Data

Dr. Sharon M. Theodore is affiliated with 2 sites of care and 3 medical groups

Dr. Theodore's primary practice is Surgery Center of California in Chula Vista, California. Dmand AI also links Dr. Theodore to 3 medical groups and 1 group practice or clinic, each named with a free account.

Surgery Center of CaliforniaSurgery Center - Medicare-Certified · Chula Vista, CaliforniaPrimary
3 medical groupsNames with a free account1 group practice or clinicName with a free accountParent health systemName with a free account
See all 5 affiliations for Dr. Theodore

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

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

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Theodore practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Surgery Center of CaliforniaAvailable with a free account
+1 more site and 3 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Sharon M. Theodore is one of 2,621 ophthalmologists in California

Ophthalmology is Dr. Theodore's primary specialty in the NPI Registry, under taxonomy code 207W00000X. Dr. Theodore is board certified in ophthalmology by the American Board of Ophthalmology. Dmand AI has Dr. Theodore's licenses on file in 2 states: California and Washington.

Specialties and state licenses

  • Ophthalmology, CaliforniaPrimaryLicense A91327 · 2005 to 2027 · taxonomy 207W00000X
  • Washington license

Clinical focus

Dmand AI lists age-related macular degeneration, cataract, cold sores or genital herpes, conjunctivitis, dry eye, eyelid inflammation, glaucoma and hypertensive retinopathy among the conditions Dr. Theodore treats.

Ophthalmologists near Dr. Theodore

Counts of ophthalmologists 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. Sharon M. Theodore billed Medicare for 2,936 services in 2024

CMS data shows 2,936 Medicare services from Dr. Theodore across 14 procedure codes in 2024, for 328 Medicare patients. Medicare paid $402,188 for them. Every service was in an office.

Medicare services, 20242,936
Medicare patients328
Paid by Medicare$402,188
Procedure codes14

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

  • 2023
  • 2024
Tests and treatments
2023: 1,2242024: 1,1337%
Office and hospital visits
2023: 9182024: 9091%
Drugs given in the office
2023: 3592024: 46830%
Surgery
2023: 2912024: 33916%
Imaging
2023: 1052024: 8717%

Dr. Theodore compared with the California median for ophthalmologists, 2024

  • Dr. Theodore
  • California median
Medicare services
2,936vs 1,0792.7 times
Medicare patients
328vs 42122% below
Part D claims
414vs 61833% below

Medians across 2,568 ophthalmologists in California with Dmand AI profiles that report each measure.

Dr. Theodore'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. Theodore

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

Dr. Sharon M. Theodore treated 328 Medicare patients in 2024, average age 73

CMS counts 328 Medicare patients who saw Dr. Theodore in 2024. The largest group is 65 to 74, with 159 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 52% are also on Medicaid. Their average risk score is 1.23, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Theodore's median patient age at 64, with 58% women.

Medicare patients, 2024328
Average age73
Average risk score1.23
Also on Medicaid52%

Dr. Theodore's Medicare patients by age, 2024

Dr. Theodore's Medicare patients by sex, 2024

  • Women17252%
  • Men15648%

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

  1. High blood pressure75%
  2. High cholesterol75%
  3. Diabetes54%
  4. Arthritis39%
  5. Anxiety20%
  6. Chronic kidney disease20%
  7. Ischemic heart disease19%
  8. Mood disorders16%

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

Dr. Theodore's patients across all payers

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

Patient panel by age, all payers

Median age 64

Patient panel by sex, all payers

  • Women58%
  • Men42%

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

Dr. Sharon M. Theodore wrote 467 Medicare Part D claims in 2024

In 2024, Dr. Theodore wrote 467 Medicare Part D claims for 107 patients. 70% of them were for generic drugs. CMS names the drug for 414 of them, across 7 drugs with 11 or more claims each, at $3,960 in total drug cost. In 2023, CMS named 256 claims across 7 drugs.

Part D claims, 2024467
Drugs named by CMS7
Total drug cost$3,960
Part D patients107

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

  • Generic326 claims70%
  • Brand-name141 claims30%

Dr. Theodore'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.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 2562024: 41462%

Drugs named by CMS: 7 in 2024, 7 in 2023.

See all prescribing by Dr. Theodore

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. Sharon M. Theodore scored 75 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 75 out of 100 for Dr. Theodore for performance year 2024, reported as part of a group. Dr. Theodore accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes
MIPS final score, 2024
75 of 100

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

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Dr. Sharon M. Theodore received $686 in industry payments from 2019 to 2022

CMS Open Payments shows 19 general payments to Dr. Theodore from 7 drug and device companies from 2019 to 2022. Food and beverage make up the largest share, 95% of the total. Regeneron Pharmaceuticals, Inc. paid the most, $195.

General payments to Dr. Theodore by program year, 2019 to 2022

General payments to Dr. Theodore by kind, 2019 to 2022

$686in total
  • Food and beverage$65195%
  • Entertainment$355%

Companies that paid Dr. Theodore the most, 2019 to 2022

Share is of all general payments to this clinician.

See all payments to Dr. Theodore

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

Dr. Sharon M. Theodore has 2 awards and honors on record

Dmand AI lists 2 awards for Dr. Theodore, most recently CMS Stage 1 EHR in 2013.

Awards and honors for Dr. Theodore

  1. 2013
    • CMS Stage 1 EHR
  2. Undated
    • AAO Fellow

Source: Dmand AI Professional Profile Data

Dr. Sharon M. Theodore graduated from UCSF School of Medicine

Dr. Theodore graduated from UCSF School of Medicine in 2000. Dr. Theodore is a member of AAO.

  1. Medical schoolUCSF School of Medicine
  2. Board certified in ophthalmologyAmerican Board of Ophthalmology

Source: Dmand AI Professional Profile Data

Dr. Sharon M. Theodore accepts plans from 16 insurance carriers

Dr. Theodore is in network with 16 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.

Plan types Dr. Theodore accepts, by number of carriers

  1. PPO11
  2. Medicare10
  3. HMO9
  4. EPO4
  5. POS4

Source: Dmand AI Insurance Network Data

Sources for Dr. Sharon M. Theodore'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 DataDmand AI Org Hierarchy 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)
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. Sharon M. Theodore

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. Sharon M. Theodore's NPI number?

Dr. Sharon M. Theodore's NPI number is 1831145739. It was assigned on May 25, 2006, and it is active in the NPI Registry.

What kind of doctor is Dr. Sharon M. Theodore?

Dr. Sharon M. Theodore is an ophthalmologist in Chula Vista, California. The primary specialty in the NPI Registry is Ophthalmology Physician (taxonomy code 207W00000X).

Where does Dr. Sharon M. Theodore practice?

Dr. Theodore practices at 835 3rd Avenue, Suite A, Chula Vista, CA 91911. Dr. Theodore's primary practice is Surgery Center of California in Chula Vista, California. Dmand AI also links Dr. Theodore to 3 medical groups and 1 group practice or clinic.

What is Dr. Sharon M. Theodore's office phone number?

The practice phone on file for Dr. Theodore is (619) 425-4209.

What is Dr. Sharon M. Theodore's medical license number?

Dr. Theodore holds California license A91327, one of the licenses on file in 2 states.

Which states has Dr. Sharon M. Theodore been licensed in?

Dmand AI has state licenses on file for Dr. Theodore in California (2005 to 2027) and Washington.

Does Dr. Sharon M. Theodore accept Medicare?

Yes. CMS data shows Dr. Theodore billed Medicare for 2,936 services in 2024, and Dr. Theodore accepts Medicare assignment.

What is Dr. Sharon M. Theodore's MIPS score?

Dr. Theodore's MIPS final score for performance year 2024 is 75 out of 100, reported as part of a group.

How many Medicare patients does Dr. Sharon M. Theodore see?

CMS counts 328 Medicare patients who saw Dr. Theodore in 2024, with an average age of 73.

Is Dr. Sharon M. Theodore board certified?

Yes. Dr. Theodore is board certified in ophthalmology by the American Board of Ophthalmology.

Show 6 more questionsShow fewer questions

What services does Dr. Sharon M. Theodore bill to Medicare?

In 2024, Dr. Theodore's most billed Medicare services were eye exam or test (92134), office visit, established patient (99214) and injected or infused drug (J0178).

Where did Dr. Sharon M. Theodore go to medical school?

Dr. Theodore graduated from UCSF School of Medicine in 2000.

What drugs does Dr. Sharon M. Theodore prescribe most?

In 2024 Medicare Part D data, Dr. Theodore's most prescribed drugs by claims were Latanoprost, Dorzolamide-Timolol and Timolol Maleate.

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

CMS Open Payments shows $686 in general payments to Dr. Theodore from 7 companies from 2019 to 2022. The largest total came from Regeneron Pharmaceuticals, Inc.

How long has Dr. Sharon M. Theodore been practicing?

Dr. Theodore graduated from medical school in 2000, 26 years ago.

What insurance does Dr. Sharon M. Theodore accept?

Dr. Theodore is in network with 16 carriers, including Aetna, Elevance and Blue Cross Blue Shield of Michigan. PPO plans come from the most carriers, 11. Check the plan with the practice before a visit.

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