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TIMOTHY ANDREW FERENCHICK MD
NPI 1205892403
Family Medicine in Reading, PA

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
86.13/100
CMS Quality Rating
1000 TUCKERTON CT, READING, PA 19605(610) 988-4000(610) 988-4004 Get Directions Write a Review

NPPES record last updated: March 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Andrew Ferenchick Md NPPES

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

TIMOTHY ANDREW FERENCHICK MD (NPI 1205892403) is an individual family medicine provider in Reading, Pennsylvania, licensed in Pennsylvania (MD421513) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Drexel University College Of Medicine (2000).

NPPES Registry Identity

NPI1205892403
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY ANDREW FERENCHICKCredential: MD
Location Address1000 TUCKERTON CTReading, PA 19605-1177
Mailing AddressPo Box 13579Reading, PA 19612-3579
Phone(610) 988-4000
Fax(610) 988-4004
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2000
Enumeration DateApril 25, 2006
Last NPPES UpdateMarch 28, 2018
✔ NPI 1205892403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD421513
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1000 TUCKERTON CT, Reading, PA 19605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Timothy Andrew Ferenchick 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 ID1850295288
PECOS Enrollment IDI20031126000213
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 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
112 services71 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services32 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19605 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

86.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.91
Promoting Interoperability99
Improvement Activities40
Cost62.83

Other Providers at the Same Location NPPES 3

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

JERRY THOMPSON C.R.N.P.
Nurse Practitioner
1000 TUCKERTON CT
READING, PA 19605
Berks County (610) 988-4000
BEVERLY PATTILLO M.D.
Preventive Medicine (Occupational Medicine)
1000 TUCKERTON CT
READING, PA 19605
Berks County (610) 988-4000
JUANITA WILSON
Nurse Practitioner
1000 TUCKERTON CT
READING, PA 19605
Berks County (484) 628-4000

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 Timothy Ferenchick's NPI number?

The NPI number for Timothy Ferenchick is 1205892403. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Timothy Ferenchick located?

Timothy Ferenchick practices at 1000 Tuckerton Ct, Reading, PA 19605. The listed phone number is (610) 988-4000.

What is Timothy Ferenchick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Ferenchick enrolled in Medicare?

Yes. Timothy Ferenchick 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.

What insurance does Timothy Ferenchick accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Timothy Ferenchick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Timothy Ferenchick affiliated with any hospitals?

According to CMS data, Timothy Ferenchick is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Timothy Ferenchick was last updated on March 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.