Theodore L. Hetrick Jr., MD
NPI 1619904497ActiveIndividual· Emergency Medicine· Lewistown, PA
Emergency Medicine (MD) in Lewistown, Pennsylvania, trained at Temple University School of Medicine (class of 1976). Their prescriptions cost Medicare Part D more than their services did: $140,356 for 2,837 claims, against $4,989 paid for services in 2024.
Overview
| NPI | 1619904497 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 27, 2006 |
| Last updated in NPPES | Feb 12, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | MD018356E | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 31 |
|---|---|
| Services billed | 86 across 7 procedure codes |
| Paid by Medicare | $4,989 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,837 · 2,903 30-day fills |
|---|---|
| Patients | 124 |
| Total drug cost | $140,356 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | Temple University School of Medicine |
|---|---|
| Graduation year | 1976 |
| Medicare specialty | Emergency Medicine |
Medical group
- Pennsylvania Department of Human ServicesClarks Summit, PA · 35 clinicians
Hospital affiliation
- Geisinger Medical CenterDanville, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 17 emergency medicine physicians in Lewistown · All emergency medicine physicians in Pennsylvania