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DR. THEODORE BRIAN DOHERTY DO
NPI 1881185544
Emergency Medicine in Allentown, PA

Active since May 29, 2018PECOS EnrolledAccepts Medicare Assignment
94.62/100
CMS Quality Rating
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103(610) 402-2537 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Theodore Brian Doherty Do NPPES

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

DR. THEODORE BRIAN DOHERTY DO (NPI 1881185544) is an individual emergency medicine provider in Allentown, Pennsylvania, licensed in Pennsylvania (OT018402) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS and is a graduate of Touro Un College Of Osteopathic Medicine, Vallejo (2018).

NPPES Registry Identity

NPI1881185544
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. THEODORE BRIAN DOHERTYCredential: DO
Location Address1200 S CEDAR CREST BLVDAllentown, PA 18103-6202
Mailing Address1200 S Cedar Crest BlvdAllentown, PA 18103-6202
Phone(610) 402-2537
Sole ProprietorNo
Medical School CMSTouro Un College Of Osteopathic Medicine, VallejoGraduated 2018
Enumeration DateMay 29, 2018
Last NPPES UpdateMay 12, 2022
NPPES CertifiedMay 12, 2022
✔ NPI 1881185544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · OT018402✔ Licensed in CA · 19301
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.
1200 S CEDAR CREST BLVD, Allentown, PA 18103
Open in Google Maps ↗

Other Identifiers 1

MedicaidOT018402PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodore Brian Doherty Do 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 ID9234484130
PECOS Enrollment IDI20220709000423
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.

Medicare Billing Reassignment

Medicare enrollment records show Theodore Doherty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cep America-California
2,192 mi
Emergency Medicine
250 N 1ST ST
Blythe, CA 92225
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1073554002 (California)
  • 2,323 clinicians in this Medicare group
NPI 1710826581 (760) 922-4115

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.
291 services279 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
179 services165 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.
150 services139 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
50 services50 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
24 services24 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

MUHAMMAD MAJEED MD
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-5369
AARSHITHA SRINIVAS KATTA DO
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-5369
CARLY A. SHAFFER DO
Internal Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (484) 862-3156
NORMA D. WILSON CRNA
Nurse Anesthetist, Certified Registered
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-9099
ASHLEY VOJTEK DO
Student in an Organized Health Care Education/Training Program
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (484) 862-3200
DR. DOUGLAS MCHALE DO
Pediatrics
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-7712
LEHIGH VALLEY SPECIALTY PHYSICIAN GROUP
Hospitalist
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-5369
ANNE ALICIA TOKOS MD
Emergency Medicine
1200 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-8000

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 Doherty's NPI number?

The NPI number for Theodore Doherty is 1881185544. It was assigned to this individual provider in the NPPES registry on May 29, 2018.

Where is Theodore Doherty located?

Theodore Doherty practices at 1200 S Cedar Crest Blvd, Allentown, PA 18103. The listed phone number is (610) 402-2537.

What is Theodore Doherty's specialty?

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

Is Theodore Doherty enrolled in Medicare?

Yes. Theodore Doherty 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.

Which organization bills Medicare for Theodore Doherty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Doherty reassigns Medicare benefits to Cep America-California (Blythe, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Doherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theodore Doherty was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.