Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

THEODORE FEDEROFF DO
NPI 1326077983
Emergency Medicine in Harrisburg, PA

Active since July 03, 2006Opted out of Medicare · through Jan 4, 2028
111 S FRONT ST, HARRISBURG, PA 17101(717) 728-5908 Get Directions Write a Review

NPPES record last updated: July 5, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Theodore Federoff Do NPPES

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

THEODORE FEDEROFF DO (NPI 1326077983) is an individual emergency medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (OS009510L) and active in the NPI registry since July 2006. He has opted out of Medicare through January 4, 2028.

NPPES Registry Identity

NPI1326077983
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameTHEODORE FEDEROFFCredential: DO
Location Address111 S FRONT STHarrisburg, PA 17101-2010
Mailing Address111 S Front StHarrisburg, PA 17101-2010 · (717) 728-5908
Sole ProprietorNo
Enumeration DateJuly 3, 2006
Last NPPES UpdateJuly 5, 2026
NPI 1326077983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in PA · OS009510L
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.

111 S FRONT ST, Harrisburg, PA 17101

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Theodore Federoff Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2024 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2024
Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17101 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.

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.

Emergency Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Pediatrics (Neonatal-Perinatal Medicine)
111 S FRONT ST
HARRISBURG, PA 17101
Nurse Practitioner (Neonatal)
111 S FRONT ST
HARRISBURG, PA 17101
Preventive Medicine (Medical Toxicology)
111 S FRONT ST
HARRISBURG, PA 17101
Physical Therapist
111 S FRONT ST
HARRISBURG, PA 17101
Pediatrics (Neonatal-Perinatal Medicine)
111 S FRONT ST
HARRISBURG, PA 17101
Physical Therapist
111 S FRONT ST
HARRISBURG, PA 17101
Emergency Medicine
111 S FRONT ST
HARRISBURG, PA 17101

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326077983, enumerated as an "individual" on July 03, 2006.

The provider is located at 111 S FRONT ST HARRISBURG, PA 17101 and the phone number is (717) 728-5908.

Emergency Medicine with taxonomy code 207P00000X.