DR. TERESA M LANIER (MD PHD) – Family Medicine Physician, NPI 1104865658
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
514 FAMILY PRACTICE in HI
Provider Addresses for DR. TERESA M LANIER (MD PHD)
PO BOX 337
WAIMEA, HI 967960337
Phone: (808) 338-9431
Fax: (808) 338-9420
Type: Mailing
4643 WAIMEA CANYON DRIVE
WAIMEA, HI 967960337
Phone: (808) 338-9431
Fax: (808) 338-9420
Type: Location
1900 WOODLAND DR
COOS BAY, OR 974202099
Phone: (541) 267-5151
Type: Mailing
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone: (541) 732-5545
Fax: (541) 732-5548
Type: Mailing
Providence Medford Medical Center, 1111, Crater Lake Avenue, Medford, Jackson County, Oregon, 97504, United States
MEDFORD, OR 975046241
Phone: (541) 732-5545
Fax: (541) 732-5548
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2023-10-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20140120000522 | I | Family Practice | OR | TBD |
| I20231005001945 | I | Emergency Medicine | WA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96796)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | NY | |
| Qualified Audiologist | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| - | OR | |
| - | MI | |
| - | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Internal Medicine | OR |
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