Br J Haematol
Dr. Theodore Zwerdling, MD
- 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
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Adventist Health Clear Lake - Clearlake
Rural Health Clinic - Hospital-Owned · Clearlake, California
Find Dr. Zwerdling's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
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
- 1861475865NPI Registry (opens in a new tab)
- NPI enumeration date
- November 22, 2005
- NPI status
- Active
- Practice phone
- (707) 994-0407
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- 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 - Clearlake15230 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).
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.
| Site | EHR vendor and product |
|---|---|
| Adventist Health Clear Lake - Clearlake | Available with a free account |
| +1 more affiliated site | Available 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, CaliforniaPrimary
- Ohio license
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.
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.
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.
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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.
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
- High blood pressure75%
- High cholesterol75%
- COPD72%
- Heart failure63%
- Atrial fibrillation59%
- Chronic kidney disease54%
- Mood disorders50%
- 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.
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.
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.
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
- Susan Blaney, MD1 shared paper
- Lisa Bomgaars, MD1 shared paper
- Robert Stacy Byrd, MD, MPH1 shared paper
Recent publications by Dr. Zwerdling
Pediatr Dev Pathol
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.
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.
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.
- Medical school
- Board certified in pediatric hematology-oncology
- Board certified in 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
- Medicare6
- PPO5
- HMO3
- POS2
- EPO1
Source: Dmand AI Insurance Network Data
Sources for Dr. Theodore Zwerdling's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand 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.
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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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