THERESA DARLENE PUTMAN (CRNP) – Nurse Practitioner, NPI 1609114198
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for THERESA DARLENE PUTMAN (CRNP)
1100 Ruby Tyler Pkwy
Tuscaloosa, AL 354042959
Phone: (205) 759-2582
Fax: (205) 759-2985
Type: Location
108 4TH AVE SW STE A
REFORM, AL 354818018
Phone: (205) 375-6251
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $1,098.
Total Amount is formed as General ($1,098) + Research ($0) + Ownership ($0) = $1,098.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($240).
Total Amount
$1,098
General + Research + Ownership
Payments
59
Total payment records
General Amount
$1,098
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-04-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130402000284 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 329 | 74 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 292 | 65 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 168 | 123 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 153 | 15 | $0 |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | 71 | 19 | $0 |
Insurance plans in this area (ZIP 35404)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AL | |
| Internal Medicine, Hospice/Palliative Care | AL | |
| Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Internal Medicine | AL | |
| Internal Medicine | AL | |
| Internal Medicine | AL | |
| Internal Medicine | AL |
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