Theresa O'Doherty, NP
NPI 1043529597 · Family Nurse Practitioner · Buffalo, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa O'Doherty, NP is a Family Nurse Practitioner provider in Buffalo, NY (NPI 1043529597).
Provider details
- NPI number
- 1043529597
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 2258900 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
15 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,988 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Chronic Care Management Services for Two Or More Chronic Conditions, Additional 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99439 | 450 | $45 |
| Telehealth Originating Site Facility FeeQ3014 | 302 | $29 |
| Chronic Care Management Services, First 20 Minutes of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month99490 | 225 | $59 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 222 | $106 |
| Care Management Services for Behavioral Health Conditions, 20 Minutes Or More Clinical Staff Time Directed By Health Care Professional99484 | 213 | $52 |
| Comprehensive Assessment of and Care Planning for Patients Requiring Chronic Care Management Services (list Separately in Addition to Primary Monthly Care Management Service) |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Levothyroxine Sodium | 26 |
| Metformin Hcl | 15 |
| Gabapentin | 13 |
| Trazodone Hcl | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (2)
- 20 Hope AveSte G 01Waltham, MA 02453-2721Phone: (781) 788-0005Fax: (781) 788-0006
- 26 Queen StWorcester, MA 01610-2473Phone: (508) 860-7700Fax: (508) 860-7929
Registry dates
- Enumerated
- 2010-10-01
- Last updated
- 2019-10-28
Frequently asked questions
- What is Theresa O'Doherty's NPI number?
- Theresa O'Doherty's National Provider Identifier (NPI) is 1043529597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa O'Doherty's specialty?
- Theresa O'Doherty is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa O'Doherty located?
- Theresa O'Doherty's practice location on file with NPPES is 701 Seneca St Ste 646c, Buffalo, NY 14210-1351.
- What is Theresa O'Doherty's phone number?
- The practice phone number listed in the NPPES registry for Theresa O'Doherty is (716) 995-4450.
- Does Theresa O'Doherty accept Medicare?
- Theresa O'Doherty is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa O'Doherty's NPI active?
- Yes — Theresa O'Doherty's NPI (1043529597) is active in the NPPES registry as of the last update on 2019-10-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.