Dr. Theodore Zwerdling, MD

  • Clearlake, CA
  • Pediatrician
NPI1861475865
Medicare services, 2024
70
Medicare patients, 2024
46
Part D claims, 2024
70
Publications
18
MIPS score, 2024
91
Practice address
15230 Lakeshore Drive, Clearlake, CA 95422
Practice phone
Call (707) 994-0407
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Adventist Health Clear Lake - Clearlake

Rural Health Clinic - Hospital-Owned · Clearlake, California

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Dr. Theodore Zwerdling is a pediatrician in Clearlake, California

Dr. Zwerdling practices at Adventist Health Clear Lake - Clearlake in Clearlake, California.

Dr. Zwerdling's NPI, 1861475865, was assigned on November 22, 2005. Dr. Zwerdling graduated from University Of Cincinnati College Of Medicine in 1980. Dr. Zwerdling holds California license G52223.

NPI and contact details
NPI enumeration date
November 22, 2005
NPI status
Active
Practice phone
(707) 994-0407
Professional email
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Personal email
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Mobile number
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Sex
Male
Estimated age
72
Medical school graduation
1980

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Affiliation Data

Dr. Theodore Zwerdling practices at Adventist Health Clear Lake - Clearlake in Clearlake, California

Dr. Zwerdling's primary practice is Adventist Health Clear Lake - Clearlake, at 15230 Lakeshore Drive, Clearlake, CA 95422. The practice phone is (707) 994-0407.

  • Adventist Health Clear Lake - Clearlake
    15230 Lakeshore Drive, Clearlake, CA 95422Phone(707) 994-0407

Source: Dmand AI Affiliation Data

Dr. Theodore Zwerdling is affiliated with 2 sites of care and 1 medical group

Dr. Zwerdling's primary practice is Adventist Health Clear Lake - Clearlake in Clearlake, California. The medical group on file is Adventist Health Clear Lake. Dmand AI also links Dr. Zwerdling to 1 more rural health clinic, named with a free account. Dr. Zwerdling's employer is on file too: a rural health clinic (rhc).

See all 3 affiliations for Dr. Zwerdling

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Theodore Zwerdling's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Zwerdling practices, 2 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Adventist Health Clear Lake - ClearlakeAvailable with a free account
+1 more affiliated siteAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Theodore Zwerdling is one of 8,236 pediatricians in California

Pediatrics is Dr. Zwerdling's primary specialty in the NPI Registry, under taxonomy code 208000000X. Dr. Zwerdling is board certified in pediatric hematology-oncology by the American Board of Pediatrics. Dmand AI has Dr. Zwerdling's licenses on file in 2 states: California and Ohio.

Specialties and state licenses

  • Pediatrics, CaliforniaPrimaryLicense G52223 · 1999 to 2027 · taxonomy 208000000X
  • Ohio license1989 to 2003

Clinical focus

Dmand AI lists acne, adjustment disease, lower back pain, obesity and tobacco use among the conditions Dr. Zwerdling treats.

Pediatricians near Dr. Zwerdling

Counts of pediatricians with a Dmand AI profile, by place and practice. Each opens the list.

8,236pediatricians in California
4pediatricians in Clearlake

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Theodore Zwerdling billed Medicare for 70 services in 2024

CMS data shows 70 Medicare services from Dr. Zwerdling across 2 procedure codes in 2024, for 46 Medicare patients. Medicare paid $4,305 for them. Every service was in an office.

Medicare services, 202470
Medicare patients46
Paid by Medicare$4,305
Procedure codes2

Dr. Zwerdling's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 502024: 7040%

Dr. Zwerdling compared with the California median for pediatricians, 2024

  • Dr. Zwerdling
  • California median
Medicare services
70vs 70Close to median
Medicare patients
46vs 6226% below
Part D claims
52vs 222.4 times

Medians across 807 pediatricians in California with Dmand AI profiles that report each measure.

Dr. Zwerdling's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Zwerdling

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Theodore Zwerdling treated 46 Medicare patients in 2024, average age 76

CMS counts 46 Medicare patients who saw Dr. Zwerdling in 2024. The largest group is 75 to 84, with 20 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 67% are also on Medicaid. Their average risk score is 2.81, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Zwerdling's median patient age at 58, with 75% women.

Medicare patients, 202446
Average age76
Average risk score2.81
Also on Medicaid67%

Dr. Zwerdling's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Zwerdling's Medicare patients by sex, 2024

  • Women3372%
  • Men1328%

Chronic conditions among Dr. Zwerdling's Medicare patients, 2024

  1. High blood pressure75%
  2. High cholesterol75%
  3. COPD72%
  4. Heart failure63%
  5. Atrial fibrillation59%
  6. Chronic kidney disease54%
  7. Mood disorders50%
  8. Anxiety46%

Share of Medicare patients with each condition. A patient can have several.

Dr. Zwerdling's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 58

Patient panel by sex, all payers

  • Women75%
  • Men25%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Theodore Zwerdling wrote 70 Medicare Part D claims in 2024

In 2024, Dr. Zwerdling wrote 70 Medicare Part D claims. 100% of them were for generic drugs. CMS names the drug for 52 of them, across 4 drugs with 11 or more claims each, at $10,555 in total drug cost. In 2023, CMS named 34 claims across 3 drugs.

Part D claims, 202470
Drugs named by CMS4
Total drug cost$10,555

Dr. Zwerdling's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Zwerdling's Part D claims, 2024

  • Opioids83%58 of 70 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 342024: 5253%

Drugs named by CMS: 4 in 2024, 3 in 2023.

See all prescribing by Dr. Zwerdling

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Theodore Zwerdling scored 91 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 91 out of 100 for Dr. Zwerdling for performance year 2024, reported as part of a group.

Dr. Zwerdling's MIPS scores, performance year 2024

  • 91of 100Final score
  • 94of 100Quality
  • 92of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 65of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Source: Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026

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Dr. Theodore Zwerdling has 18 publications on record

Dmand AI links 18 papers to Dr. Zwerdling, published from 2011 to 2020. 2015 was the busiest year, with 2. The most frequent topics are Anemia, Sickle Cell and Microcirculation. Dr. Zwerdling has published most often in J Pediatr Hematol Oncol. Dr. Zwerdling's most frequent co-authors are Susan Blaney, MD, Lisa Bomgaars, MD and Robert Stacy Byrd, MD, MPH.

Papers18
Years published2011 to 2020

Dr. Zwerdling's papers by year, 2011 to 2020

Topics Dr. Zwerdling writes about most

  • Anemia, Sickle Cell
  • Microcirculation

Dr. Zwerdling's most frequent co-authors

Recent publications by Dr. Zwerdling

See all 18 publications and co-authors

See who Dr. Zwerdling researches with

Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Zwerdling works with, so you can find a warm path to the right pediatricians.

How network discovery works

Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage

Dr. Theodore Zwerdling received $104 in industry payments from 2023 to 2024

CMS Open Payments shows 5 general payments to Dr. Zwerdling from 4 drug and device companies from 2023 to 2024. Food and beverage make up the largest share, 100% of the total. Servier Pharmaceuticals LLC paid the most, $34.

General payments to Dr. Zwerdling by program year, 2023 to 2024

Companies that paid Dr. Zwerdling the most, 2023 to 2024

Share is of all general payments to this clinician.

See all payments to Dr. Zwerdling

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Theodore Zwerdling graduated from University Of Cincinnati College Of Medicine

Dr. Zwerdling graduated from University Of Cincinnati College Of Medicine in 1980.

  1. Medical schoolUniversity Of Cincinnati College Of Medicine
  2. Board certified in pediatric hematology-oncologyAmerican Board of Pediatrics
  3. Board certified in pediatricsAmerican Board of Pediatrics

Source: Dmand AI Professional Profile Data

Dr. Theodore Zwerdling accepts plans from 7 insurance carriers

Dr. Zwerdling is in network with 7 carriers, including Elevance, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

  • Elevance
  • Blue Cross Blue Shield of Michigan
  • Blue Cross Blue Shield of Massachusetts
  • HCSC
  • Regence Health Plans
  • Aetna
  • CMS Medicare

Plan types Dr. Zwerdling accepts, by number of carriers

  1. Medicare6
  2. PPO5
  3. HMO3
  4. POS2
  5. EPO1

Source: Dmand AI Insurance Network Data

Sources for Dr. Theodore Zwerdling's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesClinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)
Publications, topics and co-authorsPubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
Insurance carriers and plan typesDmand AI Insurance Network Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Theodore Zwerdling

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Theodore Zwerdling's NPI number?

Dr. Theodore Zwerdling's NPI number is 1861475865. It was assigned on November 22, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Theodore Zwerdling?

Dr. Theodore Zwerdling is a pediatrician in Clearlake, California. The primary specialty in the NPI Registry is Pediatrics Physician (taxonomy code 208000000X).

Where does Dr. Theodore Zwerdling practice?

Dr. Zwerdling practices at 15230 Lakeshore Drive, Clearlake, CA 95422. Dr. Zwerdling's primary practice is Adventist Health Clear Lake - Clearlake in Clearlake, California. Dmand AI also links Dr. Zwerdling to 1 rural health clinic.

What is Dr. Theodore Zwerdling's office phone number?

The practice phone on file for Dr. Zwerdling is (707) 994-0407.

What is Dr. Theodore Zwerdling's medical license number?

Dr. Zwerdling holds California license G52223, one of the licenses on file in 2 states.

Which states has Dr. Theodore Zwerdling been licensed in?

Dmand AI has state licenses on file for Dr. Zwerdling in California (1999 to 2027) and Ohio (1989 to 2003).

What medical group is Dr. Theodore Zwerdling part of?

Dr. Zwerdling is linked to Adventist Health Clear Lake.

Does Dr. Theodore Zwerdling accept Medicare?

Yes. CMS data shows Dr. Zwerdling billed Medicare for 70 services in 2024.

What is Dr. Theodore Zwerdling's MIPS score?

Dr. Zwerdling's MIPS final score for performance year 2024 is 91 out of 100, reported as part of a group.

How many Medicare patients does Dr. Theodore Zwerdling see?

CMS counts 46 Medicare patients who saw Dr. Zwerdling in 2024, with an average age of 76.

Show 9 more questionsShow fewer questions

Is Dr. Theodore Zwerdling board certified?

Yes. Dr. Zwerdling is board certified in pediatric hematology-oncology by the American Board of Pediatrics.

What services does Dr. Theodore Zwerdling bill to Medicare?

In 2024, Dr. Zwerdling's most billed Medicare services were care management and other visits (99497) and care management and other visits (99498).

Where did Dr. Theodore Zwerdling go to medical school?

Dr. Zwerdling graduated from University Of Cincinnati College Of Medicine in 1980.

What drugs does Dr. Theodore Zwerdling prescribe most?

In 2024 Medicare Part D data, Dr. Zwerdling's most prescribed drugs by claims were Hydrocodone-Acetaminophen, Oxycodone-Acetaminophen and Pregabalin.

Has Dr. Theodore Zwerdling received payments from drug or device companies?

CMS Open Payments shows $104 in general payments to Dr. Zwerdling from 4 companies from 2023 to 2024. The largest total came from Servier Pharmaceuticals LLC.

How long has Dr. Theodore Zwerdling been practicing?

Dr. Zwerdling graduated from medical school in 1980, 46 years ago.

Does Dr. Theodore Zwerdling do research?

Dmand AI links 18 publications to Dr. Zwerdling, published from 2011 to 2020.

Who does Dr. Theodore Zwerdling publish with?

Dr. Zwerdling's most frequent co-authors are Susan Blaney, MD (1 shared paper), Lisa Bomgaars, MD (1 shared paper) and Robert Stacy Byrd, MD, MPH (1 shared paper).

What insurance does Dr. Theodore Zwerdling accept?

Dr. Zwerdling is in network with 7 carriers, including Elevance, Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Medicare plans come from the most carriers, 6. Check the plan with the practice before a visit.

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