DR. FREDERICK LEROY JR. TERIBURY (M.D.) – Internal Medicine Physician, NPI 1982635124

DR. FREDERICK LEROY JR. TERIBURY (M.D.) is a healthcare provider. based in Jerome, Idaho. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. MD427223 (PA). The NPI Number for DR. FREDERICK LEROY JR. TERIBURY (M.D.) is 1982635124

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. FREDERICK LEROY JR. TERIBURY (M.D.)
NPI
1982635124
Phone
(208) 814-9500
Address
709 N Lincoln Ave
Enumeration Date
5 July 2006
Last Update Date
20 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8148271851
Graduation Year
2003 (23 years ago)
PAC ID
1658374384
Group Practice PAC ID
0345467486
Professional Enrollment ID
I20060817000436
Address ID
PA163541404TI406XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

560 INTERNAL MEDICINE in ID

Provider Addresses for DR. FREDERICK LEROY JR. TERIBURY (M.D.)

  • 709 N Lincoln Ave

    Jerome, ID 833381851

    Phone: (208) 814-9500

    Type: Location

  • 406 W Oak St

    Titusville, PA 163541404

    Phone: (303) 390-1940

    Type: Location

  • 114, Desmond Street, Sayre, Bradford County, Pennsylvania, 18840, United States

    SAYRE, PA 188402084

    Phone: (570) 882-7401

    Fax: (570) 882-7404

    Type: Location

  • 590, Old Barton Road, Town of Barton, Town of Tioga, Tioga County, New York, 13734, United States

    BARTON, NY 137342328

    Phone: (607) 321-3386

    Fax: (570) 882-7404

    Type: Mailing

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 $34.

Total Amount is formed as General ($34) + Research ($0) + Ownership ($0) = $34.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($34).

Total Amount

$34

General + Research + Ownership

Payments

2

Total payment records

General Amount

$34

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-09-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20060817000436IInternal MedicinePATBD
I20140716002056IInternal MedicineNYTBD
I20230510000044IInternal MedicineTXTBD
I20240418004361IInternal MedicineCOTBD
I20240917002717IInternal MedicineIDTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes11755$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7370$0
99239Hospital discharge day management, more than 30 minutes5550$0
99238Hospital discharge day management, 30 minutes or less4441$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4125$0
View full utilization report →

Insurance plans in this area (ZIP 83338)

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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: 0345467486View full group profile
NameSpecialtyState
-CO
Pulmonary Disease, Critical Care (Intensivists), Critical Care (Intensivists), Pulmonary Disease, Internal MedicineWA
Internal MedicineAZ
Hospitalist, Internal Medicine, Osteopathic Manipulative MedicineCO
-CO
Internal Medicine, Critical Care (Intensivists), Pulmonary Disease, Critical Care (Intensivists)WA
Family PracticeCO
Hospitalist, Internal Medicine, Internal MedicineND
Pulmonary Disease, Pulmonary Disease, Internal MedicineWA
Nurse PractitionerMI

Reviews

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Frequently asked questions

What identifier follows DR. FREDERICK LEROY JR. TERIBURY (M.D.) across health systems?
The NPI 1982635124 uniquely identifies DR. FREDERICK LEROY JR. TERIBURY (M.D.) in U.S. healthcare data.
Is DR. FREDERICK LEROY JR. TERIBURY (M.D.)'s NPI status active today?
Active status means DR. FREDERICK LEROY JR. TERIBURY (M.D.)'s NPI record is not deactivated in the public file.
What services align with DR. FREDERICK LEROY JR. TERIBURY (M.D.)'s listing?
DR. FREDERICK LEROY JR. TERIBURY (M.D.)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit DR. FREDERICK LEROY JR. TERIBURY (M.D.) in Jerome, Idaho?
For routing, start with Jerome, Idaho for DR. FREDERICK LEROY JR. TERIBURY (M.D.), then verify phone and hours locally.
Who maintains DR. FREDERICK LEROY JR. TERIBURY (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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