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THEODORE C ONDRACEK MD
NPI 1093786287
Pathology - Clinical Pathology/Laboratory Medicine in Buffalo, NY

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
96.04/100
CMS Quality Rating
100 HIGH ST, BUFFALO, NY 14203(716) 859-5600 Get Directions Write a Review

NPPES record last updated: September 12, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Theodore C Ondracek Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THEODORE C ONDRACEK MD (NPI 1093786287) is an individual clinical pathology/laboratory medicine provider in Buffalo, New York, licensed in Oregon (MD25555) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1996).

NPPES Registry Identity

NPI1093786287
Entity TypeIndividualMale
Primary Taxonomy207ZP0105X
Provider Legal NameTHEODORE C ONDRACEKCredential: MD
Location Address100 HIGH STBuffalo, NY 14203-1126
Mailing Address100 High StBuffalo, NY 14203-1126 · (716) 859-5600
Phone(716) 859-5600
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1996
Enumeration DateJanuary 27, 2006
Last NPPES UpdateSeptember 12, 2008
✔ NPI 1093786287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0105X
License✔ Licensed in OR · MD25555
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
100 HIGH ST, Buffalo, NY 14203
Open in Google Maps ↗

Other Identifiers 5

OtherP00188466OK · Railroad
Medicare UPINH39813OR
Medicaid022893OR
Medicare ID-Type Unspecified130224OR
Other38D0627400OR · Clia

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theodore C Ondracek Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830147974
PECOS Enrollment IDI20090128000018
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
259 services153 patients
Protein measurement, serum 84165
A serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
82 services79 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
69 services47 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
67 services20 patients
Preparation of tissue for examination by removing any calcium present 88311
This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
66 services57 patients
Immunologic analysis technique on serum (immunofixation) 86334
Immunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.
57 services55 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Niagara Falls Memorial Medical Center

Acute Care Hospitals · Niagara Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330065
Location621 Tenth StreetNiagara Falls, NY 14302 · Niagara County
Emergency services Birthing friendly

Erie County Medical Center

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330219
Location462 Grider StreetBuffalo, NY 14215 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14203 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.04/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.87
Improvement Activities40
Cost74.28

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. DENISE MARIE DONAHUE NURSE PRACTITIONER
Nurse Practitioner
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
GENERAL PHYSICIAN SUB II PLLC
Specialist
100 HIGH ST, RM C421
BUFFALO, NY 14203
Erie County (716) 859-7607
DR. MATTHEW KYLE MOSER MD
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 218-1000
MIAN MOHAMMAD HAMMAS MD
Hospitalist
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
DR. GUY SHEMESH DUNETZ MD
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
JILL FRASCO DO
Student in an Organized Health Care Education/Training Program
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-5600
THOMAS WILLIAM JORDAN D.O.
Emergency Medicine
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-1993
KIM HUBER
Registered Nurse (Registered Nurse First Assistant)
100 HIGH ST
BUFFALO, NY 14203
Erie County (716) 859-2741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Ondracek's NPI number?

The NPI number for Theodore Ondracek is 1093786287. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Theodore Ondracek located?

Theodore Ondracek practices at 100 High St, Buffalo, NY 14203. The listed phone number is (716) 859-5600.

What is Theodore Ondracek's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Is Theodore Ondracek enrolled in Medicare?

Yes. Theodore Ondracek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Theodore Ondracek affiliated with any hospitals?

According to CMS data, Theodore Ondracek is affiliated with Kaleida Health, Niagara Falls Memorial Medical Center and Erie County Medical Center.

When was this NPI record last updated?

The NPPES record for Theodore Ondracek was last updated on September 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.