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THEODORE ALBRIGHT M.D.
NPI 1245684695
Emergency Medicine in Syracuse, NY

Active since April 21, 2016PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
750 E ADAMS ST, SYRACUSE, NY 13210(315) 464-4363 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theodore Albright M.d. NPPES

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

THEODORE ALBRIGHT M.D. (NPI 1245684695) is an individual emergency medicine provider in Syracuse, New York, licensed in New Mexico (MD2019-0457) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Espanola Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (2016).

NPPES Registry Identity

NPI1245684695
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHEODORE ALBRIGHTCredential: M.D.
Location Address750 E ADAMS STSyracuse, NY 13210-2306
Mailing Address750 E Adams StSyracuse, NY 13210-2306
Phone(315) 464-4363
Sole ProprietorYes
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2016
Enumeration DateApril 21, 2016
Last NPPES UpdateMarch 30, 2020
NPPES CertifiedMarch 30, 2020
✔ NPI 1245684695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NM · MD2019-0457
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
750 E ADAMS ST, Syracuse, NY 13210
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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 Albright 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 ID6103154273
PECOS Enrollment IDI20190827003816
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
63 services60 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
43 services42 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Espanola Hospital

Acute Care Hospitals · Espanola, NM
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320011
Location1010 Spruce StreetEspanola, NM 87532 · Rio Arriba County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

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.

DAVID M KANTER MD
Physical Medicine & Rehabilitation
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5820
BRENNAN ELLIS M.D.
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6202
UPSTATE UROLOGY, INC.
Urology
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6106
DR. AUDREY VICTORIA VANDEWALL DO
Pediatrics
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 408-5854
BETHANY A HAWKE MD
Emergency Medicine
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-4363
BILLAL MOHMAND MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
DAYANA NASR MD
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5240
JARROD THOMAS ELLIS
Student in an Organized Health Care Education/Training Program
750 E ADAMS ST
SYRACUSE, NY 13210
Onondaga County (315) 464-6635

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 Albright's NPI number?

The NPI number for Theodore Albright is 1245684695. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Where is Theodore Albright located?

Theodore Albright practices at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-4363.

What is Theodore Albright's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Theodore Albright enrolled in Medicare?

Yes. Theodore Albright 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 Albright affiliated with any hospitals?

According to CMS data, Theodore Albright is affiliated with Presbyterian Espanola Hospital.

When was this NPI record last updated?

The NPPES record for Theodore Albright was last updated on March 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.