Active NPI 1225242696 Individual Practitioner Male Practitioner

Dr. Theodore Foley , MD

Plastic Surgery • Camp Hill, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Foley, MD is a certified Plastic Surgery practicing in Camp Hill, PA. With approximately 22 years of clinical experience since graduating from Chicago College Of Medicine And Surgery in 2004, Dr. Foley delivers high-quality medical care to the local community at 425 N 21ST ST.

Dr. Foley accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

425 N 21st St
Suite 405

Camp Hill, PA 170112223

Telephone 7176956553

Fax 8553833233

Associated Practice Facility / Clinic

🏢 Ent Surgery Group Pc Facility NPI 1770696833

Medicare Profile & Education

Medical School

Chicago College Of Medicine And Surgery

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Camp Hill, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs Matches City Avg

City Avg: 22.0 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

4 Specialists

Practicing in Camp Hill, PA (239 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

40.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Foley (22 Years) 22 Yrs

Camp Hill Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$164.93	$105.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	35	$82.22	$53.26
99213 Established patient office or other outpatient visit, typically 15 minutes	40	32	$134.13	$85.79
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	16	16	$418.05	$252.72
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	13	13	$388.58	$216.22
11102 Tangential biopsy of single skin lesion	12	12	$151.88	$89.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	77	77	$164.93	$106.38
99213 Established patient office or other outpatient visit, typically 15 minutes	31	27	$134.13	$86.31
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	21	21	$418.05	$268.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$82.22	$53.83
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	16	16	$388.58	$227.14
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	12	$398.25	$151.42
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$254.28	$81.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$164.93	$108.91
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$135.56	$88.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$82.22	$54.86
11102 Tangential biopsy of single skin lesion	16	16	$151.88	$96.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	15	$452.63	$267.40
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	14	12	$418.05	$273.73
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	14	14	$388.58	$249.40
17000 Destruction of skin growth	12	12	$101.12	$62.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$190.55	$124.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$161.20	$109.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	38	34	$69.53	$54.81
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	29	29	$368.21	$248.33
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	25	25	$248.59	$84.76
99213 Established patient office or other outpatient visit, typically 15 minutes	24	22	$116.66	$89.42
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	20	$449.36	$274.32
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	15	$365.48	$121.30
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	13	11	$401.97	$274.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$159.98	$105.58
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	28	28	$361.73	$241.85
11102 Tangential biopsy of single skin lesion	18	18	$144.42	$94.67
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	17	$248.09	$83.24
12051 Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less	16	14	$391.92	$266.19
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	15	13	$448.40	$272.15
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$112.84	$73.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$66.14	$42.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$169.45	$105.09
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$118.55	$71.81
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	11	$178.77	$105.43
11102 Tangential biopsy of single skin lesion	15	15	$151.85	$85.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	56	56	$229.42	$103.34
99213 Established patient office or other outpatient visit, typically 15 minutes	32	26	$154.86	$70.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$91.96	$42.41
11100 Biopsy of single growth of skin and/or tissue	12	12	$275.00	$93.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$228.81	$104.52
99213 Established patient office or other outpatient visit, typically 15 minutes	28	24	$154.86	$68.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	14	$91.96	$41.81

Medical Specialties & State Licenses

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License PA MD438302

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery - Surgery of the Hand

NUCC Taxonomy Code: 2082S0105X

State License PA MD438302

A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Plastic Surgery - Plastic Surgery Within the Head and Neck

NUCC Taxonomy Code: 2082S0099X

State License PA MD438302

A plastic surgeon with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgery is practiced, there are many additional procedures which interface with them.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License#

MD438302 (PA)

Commercial Insurance / Payer ID Caqh#

12386129 (PA)

Commercial Insurance / Payer ID Group Npi

1851794283 (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Alicia Brustein , PA

Physician Assistant - Medical

NPI 1639609696

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active December 30, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 30, 2014

Registered at 425 N 21ST ST, SUITE 405, CAMP HILL, PA 170112223 (Tel: 7176956553)

📍

Updated Business Mailing Address December 30, 2014

Registered at 425 N 21ST ST, SUITE 405, CAMP HILL, PA 170112223 (Tel: 7176956553)

👤

Provider Name / Credentials Updated December 30, 2014

Recorded as THEODORE FOLEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2014

Plastic Surgery (License #MD438302 in PA)

🟢

Initial NPI Registration & Enumeration May 09, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225242696

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 09, 2007

Last Update: December 30, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

425 N 21st St, Suite 405

Camp Hill, PA 170112223

Phone: 7176956553

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.