DR. TEDDY SU (MD) – Diagnostic Radiology Physician, NPI 1003881830
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,800 DIAGNOSTIC RADIOLOGY in CA
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Provider Addresses for DR. TEDDY SU (MD)
DAVID GRANT MEDICAL CENTER
101 BODIN CIRCLE
TRAVIS AFB, CA 94535
Phone: (707) 423-7181
Type: Mailing
101, Bodin Circle, Fairfield, Solano County, California, 94535, United States
60TH MEDICAL GROUP
TRAVIS AFB, CA 945351809
Phone: (707) 423-7181
Type: Location
40087 MISSION BLVD # 250
FREMONT, CA 945393680
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Ipsen Biopharmaceuticals, Inc ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Ipsen Biopharmaceuticals, Inc | $15 |
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: 2013-08-02
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 |
|---|---|---|---|---|
| I20130802000765 | I | Diagnostic Radiology | CA | 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 |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 1,031 | 803 | $0 |
| 71046 | X-ray of chest, 2 views | 220 | 215 | $0 |
| 70450 | Ct scan head or brain without contrast | 177 | 174 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 176 | 151 | $0 |
| 77080 | Dxa bone density measurement of hip, pelvis, spine | 146 | 146 | $0 |
Insurance plans in this area (ZIP 94535)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Internal Medicine | CA | |
| O P H T H A L M O L O G Y | CA | |
| Nurse Practitioner | CA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | CA | |
| O P H T H A L M O L O G Y | NY | |
| Physician Assistant | CA | |
| Gastroenterology, Internal Medicine | CA |
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