DR. THERESA DURCHHALTER D.O.
NPI 1427419241
Dermatology in Brooklyn, NY

Q: What is Theresa Durchhalter's NPI number?

The NPI number for Theresa Durchhalter is 1427419241. It was assigned to this individual provider in the NPPES registry on March 8, 2016.

Q: What is Theresa Durchhalter's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since March 08, 2016PECOS EnrolledAccepts Medicare Assignment

83.67/100

CMS Quality Rating

7901 4TH AVE, BROOKLYN, NY 11209(718) 491-5800 Get Directions Write a Review

NPPES record last updated: June 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Theresa Durchhalter D.o. NPPES

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

DR. THERESA DURCHHALTER D.O. (NPI 1427419241) is an individual dermatology provider in Brooklyn, New York, licensed in New York (290730) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1427419241

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameDR. THERESA DURCHHALTERCredential: D.O.

Location Address7901 4TH AVEBrooklyn, NY 11209-3972

Mailing Address998 Third AveFranklin Square, NY 11010-1846 · (516) 640-1336

Phone(718) 491-5800

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 8, 2016

Last NPPES UpdateJune 28, 2021

NPPES CertifiedJune 28, 2021

✔ NPI 1427419241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in NY · 290730

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

7901 4TH AVE, Brooklyn, NY 11209

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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

Dr. Theresa Durchhalter 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 ID6709217680

PECOS Enrollment IDI20200508001068

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 15

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.

Destruction of precancer skin growth, 2-14 growths 17003

This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.

1,081 services156 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.

563 services326 patients

Destruction of precancer skin growth, 1 growth 17000

"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.

342 services221 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.

251 services191 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.

186 services146 patients

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.

136 services136 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

113 services60 patients

Acne surgery 10040

Acne surgery is a procedure to clear up severe acne that doesn't respond to other treatments. It involves a dermatologist using specialized tools to remove blackheads, whiteheads, and pimples. This helps to reduce the appearance of acne and prevent future breakouts.

100 services68 patients

Injection into skin growth, 1-7 growths 11900

This procedure involves injecting medication into 1-7 skin growths. The medication helps to reduce the size of the growths or completely eliminate them. It's a simple, quick, and usually painless process performed by a medical professional.

92 services56 patients

Destruction of skin growth, 1-14 growths 17110

"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.

80 services63 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

45 services45 patients

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

41 services31 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

23 services14 patients

Simple or single drainage of skin abscess 10060

A simple or single drainage of skin abscess is a procedure to remove pus from a skin infection. A small cut is made on the abscess, the pus is drained out, and the area is cleaned. This helps to reduce pain, speed up recovery, and prevent the spread of infection.

17 services16 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11209 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

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.

83.67/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

76.01

Promoting Interoperability

Improvement Activities

Cost

39.58

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Other Providers at the Same Location NPPES 11

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

LAZZARO EYE CENTER LLP

Ophthalmology

7901 4TH AVE, APT A4
BROOKLYN, NY 11209

Kings County (718) 748-1334

EMANUEL CLIFFORD LAZZARO MD

Ophthalmology

7901 4TH AVE
BROOKLYN, NY 11209

Kings County (718) 748-1334

SHERRY H. HSIUNG M.D.

Dermatology (MOHS-Micrographic Surgery)

7901 4TH AVE
BROOKLYN, NY 11209

Kings County (718) 491-5800

DR. RONALD BRANCACCIO

Specialist

7901 4TH AVE
BROOKLYN, NY 11209

Kings County (718) 491-5800

REBECCA LEE RICHARDSON

Registered Nurse

7901 4TH AVE, APT B6
BROOKLYN, NY 11209

Kings County (718) 836-7988

DR. LISA MOED GRUSON M.D.

Dermatology

7901 4TH AVE
BROOKLYN, NY 11209

Kings County (718) 791-5800

NADIA KIANI

Physician Assistant

7901 4TH AVE
BROOKLYN, NY 11209

Kings County (800) 778-3090

DINAROSE MARIE SOLIMAN PA-C

Physician Assistant

7901 4TH AVE
BROOKLYN, NY 11209

Kings County (718) 491-5800

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 Theresa Durchhalter's NPI number?

The NPI number for Theresa Durchhalter is 1427419241. It was assigned to this individual provider in the NPPES registry on March 8, 2016.

Where is Theresa Durchhalter located?

Theresa Durchhalter practices at 7901 4th Ave, Brooklyn, NY 11209. The listed phone number is (718) 491-5800.

What is Theresa Durchhalter's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Theresa Durchhalter enrolled in Medicare?

Yes. Theresa Durchhalter 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 Theresa Durchhalter was last updated on June 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.