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DR. THEODORE JOSEPH DEMETRIOU II D.O.
NPI 1417186057
Family Medicine in Reading, PA

Active since July 03, 2009PECOS EnrolledAccepts Medicare Assignment
71.17/100
CMS Quality Rating
145 N 6TH ST FL 2, READING, PA 19601(610) 208-4558 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Oct 27, 2022, Nov 3, 2016 (2 updates tracked since 2016).

About Dr. Theodore Joseph Demetriou Ii D.o. NPPES

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

DR. THEODORE JOSEPH DEMETRIOU II D.O. (NPI 1417186057) is an individual family medicine provider in Reading, Pennsylvania, licensed in Pennsylvania (OS018434) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2009).

NPPES Registry Identity

NPI1417186057
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. THEODORE JOSEPH DEMETRIOU IICredential: D.O.
Location Address145 N 6TH ST FL 2Reading, PA 19601-3096
Mailing Address500 University Dr, Mc A410Hershey, PA 17033-2360
Phone(610) 208-4558
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2009
Enumeration DateJuly 3, 2009
Last NPPES UpdateSeptember 15, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2023
✔ NPI 1417186057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS018434
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.
Also ListedHospitalistTaxonomy 208M00000X · License OS018434 (PA)
145 N 6TH ST FL 2, Reading, PA 19601
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Secondary Practice Locations 2

Location 1503 N 21st StCamp Hill, PA 17011-2204 · Phone (717) 972-4448 · Fax (717) 972-7366
Location 2500 University DrHershey, PA 17033-2360 · Phone (717) 531-5160 · Fax (717) 531-2034

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

Dr. Theodore Joseph Demetriou Ii D.o. 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 ID2567755218
PECOS Enrollment IDI20161207002268
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

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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19601 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.

71.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.05
Promoting Interoperability99
Improvement Activities40
Cost58.7

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.

DONG ER CHEN CNM
Advanced Practice Midwife
145 N 6TH ST FL 2
READING, PA 19601
Berks County (610) 378-2440
NILADRI DAS MD
Family Medicine
145 N 6TH ST FL 2
READING, PA 19601
Berks County (610) 208-4559
LAUREN ALBU
Advanced Practice Midwife
145 N 6TH ST FL 2
READING, PA 19601
Berks County (610) 208-4543

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 Demetriou's NPI number?

The NPI number for Theodore Demetriou is 1417186057. It was assigned to this individual provider in the NPPES registry on July 3, 2009.

Where is Theodore Demetriou located?

Theodore Demetriou practices at 145 N 6th St Fl 2, Reading, PA 19601. The listed phone number is (610) 208-4558.

What is Theodore Demetriou's specialty?

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

Is Theodore Demetriou enrolled in Medicare?

Yes. Theodore Demetriou 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.

When was this NPI record last updated?

The NPPES record for Theodore Demetriou was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.