# Theodore Zwerdling, MD

Source: https://ourhealthnetwork.com/doctor/theodore-zwerdling-md-1861475865
NPI: 1861475865
Data source: CMS NPI Registry (DAC), refreshed monthly

## Quick facts

Theodore Zwerdling, MD is a pediatric medicine based in Clearlake, CA practicing at Adventist Health Clearlake Hospital Inc. with NPI 1861475865 and offers telehealth visits.

## Profile

- Primary specialty: Pediatric Medicine
- Secondary specialties: HOSPICE/PALLIATIVE CARE
- Credential: MD
- Gender: Male
- Medical school: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
- Graduation year: 1980
- Telehealth: Yes
- NPI: 1861475865 ([NPPES record](https://npiregistry.cms.hhs.gov/provider-view/1861475865))

## Practice and contact

- Practice name: Adventist Health Clearlake Hospital Inc.
- Address: 15630 18th Ave, Clearlake, CA, 954229336
- Phone: (707) 994-6486
- Group practice size: 90 members

## CMS quality measures (MIPS)

- Overall MIPS final score: 78.29/100
- Quality category score: 71.31/100
- Promoting Interoperability score: 93.00/100
- Improvement Activities score: 40.00/100
- Cost category score: 45.479/100

Source: CMS Quality Payment Program. MIPS scores reflect Medicare provider performance on quality, cost, and care improvement measures.

## Insurance accepted (4 networks)

This provider is in network with the following insurance carriers, based on federal Transparency in Coverage filings and FHIR provider directories:

- [Cigna](https://ourhealthnetwork.com/insurance/cigna) — 17 plans
- [Aetna](https://ourhealthnetwork.com/insurance/aetna) — 7 plans
- [Blue Shield of California](https://ourhealthnetwork.com/insurance/blue-shield-of-california) — 3 plans
- [Medicare](https://ourhealthnetwork.com/insurance/medicare) — 1 plan

To verify a specific plan covers Theodore Zwerdling, use the [OurHealthNetwork Insurance Matcher](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1861475865).

## Industry payments disclosure (CMS Open Payments)

Per CMS Open Payments data (most recent year 2024), this provider has received 1 disclosed payment from medical industry sources totaling approximately $17.

Largest disclosed payer: Alexion Pharmaceuticals, Inc. ($17 cumulative).

Source: CMS Open Payments program (federal financial-transparency dataset). Industry payment disclosures do not imply any wrongdoing; many are legitimate consulting fees, research support, or speaker honoraria.

## Related on OurHealthNetwork

- [More Pediatric Medicine doctors in CLEARLAKE, CA](https://ourhealthnetwork.com/pediatric-medicine/ca/clearlake)
- [Find insurance plans that cover this doctor](https://ourhealthnetwork.com/tools/insurance-matcher?npis=1861475865)
- [Browse all 5.5M US healthcare providers](https://ourhealthnetwork.com/find-doctors)
- [About our data and methodology](https://ourhealthnetwork.com/methodology)