DR. BARRY TEDDER (M.D.) – Cardiovascular Disease Physician, NPI 1467457358

DR. BARRY TEDDER (M.D.) is a healthcare provider. based in Jonesboro, Arkansas. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. R3800 (AR). The NPI Number for DR. BARRY TEDDER (M.D.) is 1467457358

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. BARRY TEDDER (M.D.)
NPI
1467457358
Phone
(870) 932-1198
Address
300 CARSON ST
Enumeration Date
16 June 2005
Last Update Date
30 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8709321198
Graduation Year
1986 (40 years ago)
PAC ID
7517864655
Group Practice PAC ID
7012311269
Professional Enrollment ID
I20040331001309
Address ID
AR724013104JO300XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

260 CARDIOVASCULAR DISEASE (CARDIOLOGY) in AR

Provider Addresses for DR. BARRY TEDDER (M.D.)

  • 300 CARSON ST

    JONESBORO, AR 724013104

    Phone: (870) 932-1198

    Fax: (870) 910-7700

    Type: Mailing

  • 201 E Oak Ave.

    Jonesboro, AR 72401

    Phone: (870) 935-6729

    Fax: (870) 268-4408

    Type: Location

  • 201, East Oak Avenue, Jonesboro, Craighead County, Arkansas, 72401, United States

    JONESBORO, AR 72401

    Phone: (870) 935-6729

    Fax: (870) 268-4408

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 155 Open Payments records for all available years, with a total value of $14,732.

Total Amount is formed as General ($14,732) + Research ($0) + Ownership ($0) = $14,732.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Amgen Inc. ($7,812).

Total Amount

$14,732

General + Research + Ownership

Payments

155

Total payment records

General Amount

$14,732

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-03-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040331001309ICardiovascular Disease (Cardiology)ARTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only505428$0
99214Established patient office or other outpatient visit, 30-39 minutes436404$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes289124$0
93793Anticoagulant management of patient taking warfarin14411$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes114104$0
View full utilization report →

Insurance plans in this area (ZIP 72401)

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Provider's Procedures

DR. BARRY TEDDER (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)AR92928Catheter insertion of stents in major coronary artery or branch, accessed through the skin6449
CARDIOVASCULAR DISEASE (CARDIOLOGY)AR93458Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart127124

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012311269View full group profile
NameSpecialtyState
U R O L O G YAR
Nurse PractitionerAR
Pulmonary DiseaseAR
Family PracticeAR
Family PracticeAR
Nurse PractitionerAR
N E U R O L O G YCA
Nurse PractitionerAR
Nurse PractitionerAR
Family PracticeAR

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Frequently asked questions

What federal number belongs to DR. BARRY TEDDER (M.D.)?
The federal identifier for DR. BARRY TEDDER (M.D.) is NPI 1467457358.
Is DR. BARRY TEDDER (M.D.)'s NPI currently valid?
The extract we use shows DR. BARRY TEDDER (M.D.) as active.
Does DR. BARRY TEDDER (M.D.) list a primary specialty?
If you are matching referrals, note Cardiovascular Disease Physician for DR. BARRY TEDDER (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BARRY TEDDER (M.D.)?
The page summarizes Jonesboro, Arkansas for DR. BARRY TEDDER (M.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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