TERRY SU (M.D.) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1205164878

TERRY SU (M.D.) is a healthcare provider. based in Windermere, Florida. specializing in MAXILLOFACIAL SURGERY. They hold the professional credentials M.D.. They hold a License No. ME110177 (FL). The NPI Number for TERRY SU (M.D.) is 1205164878

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
TERRY SU (M.D.)
NPI
1205164878
Phone
(407) 463-9588
Address
PO BOX 1112
Enumeration Date
19 November 2009
Last Update Date
26 February 2025

Doctor Profile

Medical School Name
UN OF CALIFORNIA, IRVINE, COLLEGE OF MEDICINE
Secondary Phone
4079135027
Graduation Year
2009 (17 years ago)
PAC ID
1456529908
Professional Enrollment ID
I20110727000610
Address ID
FL328198031OR7350XBLVD405

Contacts

Secure Messaging
TERRY.SU@hca4.eclinicaldirectplus.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:16State licenses:1Other namesUpdated within 12 months

79 MAXILLOFACIAL SURGERY in FL

Provider Addresses for TERRY SU (M.D.)

  • PO BOX 1112

    WINDERMERE, FL 347861112

    Phone: (407) 463-9588

    Fax: (949) 798-7844

    Type: Mailing

  • 7350 SANDLAKE COMMONS BLVD STE 2212A

    ORLANDO, FL 328198031

    Phone: (407) 463-9588

    Fax: (949) 798-7844

    Type: Location

  • School of Dental Medicine, 13065, East 17th Avenue, Aurora, Adams County, Colorado, 80045, United States

    AURORA, CO 800452532

    Phone: (303) 724-7076

    Fax: (303) 724-0672

    Type: Mailing

  • 7350 SANDLAKE COMMONS BLVD STE 2225A

    ORLANDO, FL 328198031

    Phone: (415) 203-1519

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $47.

Total Amount is formed as General ($47) + Research ($0) + Ownership ($0) = $47.

Last reported payment date: 2024-03-07 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($47).

Total Amount

$47

General + Research + Ownership

Payments

2

Total payment records

General Amount

$47

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
DePuy Synthes Sales Inc.$47
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: 2011-07-27

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
I20110727000610IMaxillofacial SurgeryFLTBD

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2726$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
99214Established patient office or other outpatient visit, 30-39 minutes1814$0
View full utilization report →

Insurance plans in this area (ZIP 34786)

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Reviews

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Frequently asked questions

Can I use this page to confirm TERRY SU (M.D.)'s NPI?
Yes. TERRY SU (M.D.) is listed with NPI 1205164878 in the public NPI dataset.
Does CMS list TERRY SU (M.D.) as active?
Yes — TERRY SU (M.D.) is active in the NPI listing used on this page.
What is TERRY SU (M.D.)'s primary classification?
Oral & Maxillofacial Surgery (D.M.D.) is the headline specialty for TERRY SU (M.D.) here. Clinical services aligned with this taxonomy classification.
Does TERRY SU (M.D.) list a practice location?
Patients near Windermere, Florida may find TERRY SU (M.D.) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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