Terence O'Rourke, M.D.
NPI 1427139484 · Family Medicine Physician · Allentown, PA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Terence O'Rourke, M.D. is a Family Medicine Physician provider in Allentown, PA (NPI 1427139484).
Provider details
- NPI number
- 1427139484
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD048508L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
264 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 113 | $115 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 69 | $119 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 56 | $85 |
| Administration of Influenza Virus VaccineG0008 | 15 | $31 |
| Transitional Care Management Services for Problem of at Least Moderate Complexity99495 | 11 | $195 |
Typical Medicare-allowed amounts for these services range $31–$195 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 68 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 138 | 38 |
| Gabapentin | 100 | 28 |
| Levothyroxine Sodium | 94 | 28 |
| Amlodipine Besylate | 84 | 27 |
| Lisinopril | 70 | 20 |
| Omeprazole | 64 | 21 |
| Losartan Potassium |
Practice location
Mailing address
Additional practice locations (1)
- 1818 H St NwWashington, DC 20433Phone: (202) 842-1500
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2022-02-15
- Certified
- 2022-02-15
Frequently asked questions
- What is Terence O'Rourke's NPI number?
- Terence O'Rourke's National Provider Identifier (NPI) is 1427139484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Terence O'Rourke's specialty?
- Terence O'Rourke is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Terence O'Rourke located?
- Terence O'Rourke's practice location on file with NPPES is 1791 Airport Rd, Allentown, PA 18109-9528.
- What is Terence O'Rourke's phone number?
- The practice phone number listed in the NPPES registry for Terence O'Rourke is (484) 240-8195.
- Does Terence O'Rourke accept Medicare?
- Terence O'Rourke is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Terence O'Rourke's NPI active?
- Yes — Terence O'Rourke's NPI (1427139484) is active in the NPPES registry as of the last update on 2022-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.