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THEODORE FOLEY M.D.
NPI 1225242696
Plastic Surgery in Camp Hill, PA

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
425 N 21ST ST, SUITE 405, CAMP HILL, PA 17011(717) 695-6553(855) 383-3233 Get Directions Write a Review

NPPES record last updated: December 30, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Theodore Foley M.d. NPPES

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

THEODORE FOLEY M.D. (NPI 1225242696) is an individual plastic surgery provider in Camp Hill, Pennsylvania, licensed in Pennsylvania (MD438302) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of Chicago College Of Medicine And Surgery (2004).

NPPES Registry Identity

NPI1225242696
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameTHEODORE FOLEYCredential: M.D.
Location Address425 N 21ST ST, SUITE 405Camp Hill, PA 17011-2223
Mailing Address425 N 21st St, Suite 405Camp Hill, PA 17011-2223 · (717) 695-6553 · Fax (855) 383-3233
Phone(717) 695-6553
Fax(855) 383-3233
Sole ProprietorNo
Medical School CMSChicago College Of Medicine And SurgeryGraduated 2004
Enumeration DateMay 9, 2007
Last NPPES UpdateDecember 30, 2014
✔ NPI 1225242696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License✔ Licensed in PA · MD438302
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License MD438302 (PA)
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License MD438302 (PA)
425 N 21ST ST, Camp Hill, PA 17011
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Other Identifiers 3

OtherMD438302PA · State License#
Other1851794283PA · Group Npi
Other12386129PA · Caqh#

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 Foley M.d. 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 ID345405643
PECOS Enrollment IDI20120712000393
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 6

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
56 services56 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
41 services35 patients
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.
40 services32 patients
Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less 12051
This procedure involves repairing a wound on your face, ears, eyelids, nose, lips, or mouth. The wound is 2.5 cm or less in size. The repair process includes cleaning, treating, and stitching the wound to promote optimal healing. It's a standard, safe procedure.
16 services16 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less 12031
This procedure involves the repair of a wound that is located on the scalp, underarms, trunk, arms, or legs and is 2.5 cm or less in size. The repair is intermediate, meaning it's more complex than a simple closure, but not as extensive as a complex repair.
13 services13 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17011 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HERITAGE MEDICAL GROUP, LLP
Nuclear Medicine (Nuclear Cardiology)
425 N 21ST ST, SUITE 102
CAMP HILL, PA 17011
Cumberland County (717) 972-2829
HERITAGE MEDICAL GROUP, LLP
Internal Medicine (Cardiovascular Disease)
425 N 21ST ST, SUITE 102
CAMP HILL, PA 17011
Cumberland County (717) 972-2829
DR. CHRISTOPHER JOHN WITT M.D.
Otolaryngology
425 N 21ST ST, SUITE 301
CAMP HILL, PA 17011
Cumberland County (717) 761-4844
JAMES FRANCIS RICH MD
Internal Medicine
425 N 21ST ST, SUITE 406
CAMP HILL, PA 17011
Cumberland County (717) 695-0236
ERICA J KISSELL CRNP
Nurse Practitioner
425 N 21ST ST, SUITE 102
CAMP HILL, PA 17011
Cumberland County (717) 972-2829
PREMIER VEIN SPECIALISTS LLC
Specialist
425 N 21ST ST
CAMP HILL, PA 17011
Cumberland County (717) 972-2829
MICHELE ANDERSON MD
Dermatology
425 N 21ST ST
CAMP HILL, PA 17011
Cumberland County (717) 972-4250
SPIRIT PHYSICIAN SERVICES, INC.
Internal Medicine (Cardiovascular Disease)
425 N 21ST ST
CAMP HILL, PA 17011
Cumberland County (717) 972-2829

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 Foley's NPI number?

The NPI number for Theodore Foley is 1225242696. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Theodore Foley located?

Theodore Foley practices at 425 N 21st St Suite 405, Camp Hill, PA 17011. The listed phone number is (717) 695-6553.

What is Theodore Foley's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Theodore Foley enrolled in Medicare?

Yes. Theodore Foley 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 Foley affiliated with any hospitals?

According to CMS data, Theodore Foley is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Theodore Foley was last updated on December 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.