Doylestown Hospital

Hospital in Doylestown, PA, Medicare certification number 390203. CMS publishes 64 quality measures for it.

Medicare certification

Provider of Services

CCN: 390203The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Dec 10, 2024
Beds: 245
Overall star rating: 4 of 5Care Compare
Address: 595 West State St
Doylestown, PA 18901
(215) 345-2200

NPI records for this facility (CCN to NPI Mapping) 1

Doylestown Hospital
- General Acute Care Hospital
- Doylestown, PA
- NPI 1225091697
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.47 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.77 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 3.59 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.13 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.8 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.38 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse2 of 5
- State average 2.85 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 3.67 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.33 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 993

Page 1 of 40Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Huda A Abbas, MD
- Hospitalist Physician
- Doylestown, PA
- NPI 1316187024
Mathew J Abraham, MD
- Physical Medicine & Rehabilitation Physician
- Blue Bell, PA
- NPI 1083818512
Alan I Abramowitz, D.O.
- Internal Medicine Physician
- Fountainville, PA
- NPI 1730181595
Pinak S Acharya, MD
- Pulmonary Disease Physician
- Doylestown, PA
- NPI 1952333965
Lynn Wen Acquaviva, D.O.
- Family Medicine Physician
- Buckingham, PA
- NPI 1205149853
Adedotun Adebamiro, M.D.
- Hospitalist Physician
- Doylestown, PA
- NPI 1801044649
Michael Babatunde Adenaike, MD
- Cardiovascular Disease Physician
- Doylestown, PA
- NPI 1700049939
Asyia Shareen Ahmad, MD
- Gastroenterology Physician
- Philadelphia, PA
- NPI 1609824069
Zubair Ahmed, MD
- Hospitalist Physician
- Doylestown, PA
- NPI 1619354289
Rakhee Ajmera, PA-C
- Medical Physician Assistant
- Lansdale, PA
- NPI 1255658902
Robert P Akbari, M.D.
- Colon & Rectal Surgery Physician
- Doylestown, PA
- NPI 1053328765
Christopher Martin Aland, MD
- Orthopaedic Surgery Physician
- Newtown, PA
- NPI 1073510038
Mitchell B Alden, D.O.
- Hematology & Oncology Physician
- Sellersville, PA
- NPI 1861474991
James Todd Alderfer, MD
- Cardiovascular Disease Physician
- Sellersville, PA
- NPI 1265424477
Kimberly Ann Alfaro, CRNP
- Adult Health Nurse Practitioner
- Doylestown, PA
- NPI 1588838262
Cira L Amenta, DO
- Internal Medicine Physician
- Quakertown, PA
- NPI 1770552762
Vahideh T Ameri, MD
- Obstetrics & Gynecology Physician
- Willow Grove, PA
- NPI 1043212574
Michael Haessam Amini, MD
- Orthopaedic Surgery Physician
- Willow Grove, PA
- NPI 1528292166
Karen Anderson, NP-C
- Family Nurse Practitioner
- Plumsteadville, PA
- NPI 1164063681
Madison Elaine Anderson, PA-C
- Medical Physician Assistant
- Newtown, PA
- NPI 1265025035
Jonathan P. Andrews, M.D.
- Family Medicine Physician
- Warminster, PA
- NPI 1134484942
Donna Marie Angotti, MD
- Surgery Physician
- Doylestown, PA
- NPI 1366499345
Paul Angotti, DPM
- Foot & Ankle Surgery Podiatrist
- Willow Grove, PA
- NPI 1528064862
Patti Anolik, D.O.
- Family Medicine Physician
- Richboro, PA
- NPI 1518222348
Victor Araya, MD
- Hepatology Physician
- Doylestown, PA
- NPI 1285693069

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.74
- State average 1.06 (computed here)
- National average 1.06
- No different than the national rate
- 1,571 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.73
- State average 0.99 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected139.93
- State average 176.01 (computed here)
- National average 173.3
- No different than the national rate
- 73 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.4
- State average 2.21 (computed here)
- National average 2.4
- No different than the national rate
- 147 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.8
- State average 8.11 (computed here)
- National average 8.6
- No different than the national rate
- 200 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11
- State average 11.71 (computed here)
- National average 11.9
- No different than the national rate
- 289 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected10.9
- State average 10.73 (computed here)
- National average 11.1
- No different than the national rate
- 916 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected14.7
- State average 14.97 (computed here)
- National average 15.2
- No different than the national rate
- 749 patients
- Period from 07/01/2022
Death rate for stroke patients As expected11.1
- State average 11.35 (computed here)
- National average 11.9
- No different than the national rate
- 384 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4
- State average 3.79 (computed here)
- National average 3.9
- No different than the national rate
- 4,621 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.16
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 9,663 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.3
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 10,002 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.14
- State average 3.52 (computed here)
- National average 3.52
- No different than the national rate
- 2,529 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.08
- State average 1.63 (computed here)
- National average 1.67
- No different than the national rate
- 1,275 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.07
- State average 2.3 (computed here)
- National average 2.34
- No different than the national rate
- 2,311 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected4.97
- State average 8.98 (computed here)
- National average 9.42
- No different than the national rate
- 1,345 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.04
- State average 5.24 (computed here)
- National average 5.27
- No different than the national rate
- 1,314 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.59
- State average 1.72 (computed here)
- National average 1.77
- No different than the national rate
- 377 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.32
- State average 0.63 (computed here)
- National average 0.63
- No different than the national rate
- 6,724 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.7
- State average 4.17 (computed here)
- National average 4.1
- No different than the national rate
- 371 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.8
- State average 0.56
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.56
- State average 0.59
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.6
- State average 0.44
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.74
- State average 0.77
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.35
- State average 0.84
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 6.9
- State average 6.22 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7.9
- State average 8.63 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.95
- State average 0.98
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 14

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 96
- State average 94.33 (computed here)
- National average 92.79 (computed here)
- 225 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 29
- State average 60
- National average 65
- 123 patients
- Period from 10/01/2024
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 240
- State average 191
- National average 168
- 382 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 228
- State average 186
- National average 162
- 349 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 385
- State average 297
- National average 257
- 29 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 97
- State average 97.94 (computed here)
- National average 96.1 (computed here)
- 281 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 80
- State average 95
- National average 93
- 64 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 86
- State average 83
- National average 78
- 4,031 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 95
- State average 90.77 (computed here)
- National average 93.49 (computed here)
- 1,169 patients
- Period from 01/01/2024
Left before being seen 1
- State average 2
- National average 2
- 54,062 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 18
- State average 16
- National average 15
- 3,091 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 31
- State average 70
- National average 73
- 42 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 63
- State average 78
- National average 81
- 123 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 80
- State average 93
- National average 93
- 44 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (16)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Head CT results — 1
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Septic Shock 6-Hour Bundle — 1, 2
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.6
- State average 14.5 (computed here)
- National average 14.4
- No different than the national rate
- 402 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.8
- State average 21.59 (computed here)
- National average 21.3
- No different than the national rate
- 1,379 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 19.4
- State average 0.71 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 343 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -14.7
- State average -1.7 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 1,116 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -13.7
- State average 2.03 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 802 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.8
- State average 17.56 (computed here)
- National average 17.3
- No different than the national rate
- 965 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.2
- State average 5.1 (computed here)
- National average 5.4
- No different than the national rate
- 42 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.5
- State average 10.83 (computed here)
- National average 10.7
- No different than the national rate
- 42 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected7.4
- State average 5.89 (computed here)
- National average 5.8
- No different than the national rate
- 338 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected10.3
- State average 10.99 (computed here)
- National average 11
- No different than the national rate
- 131 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.2
- State average 20.02 (computed here)
- National average 20
- No different than the national rate
- 286 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) Better10.3
- State average 12.89 (computed here)
- National average 13
- Better than the national rate
- 4,167 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 0.97 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 844 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Other hospitals in Doylestown, PA

Foundations Behavioral Health

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.