TERRY LIGHT (MD) – Orthopaedic Hand Surgery Physician, NPI 1578537874

TERRY LIGHT (MD) is a healthcare provider. based in Maywood, Illinois. specializing in Orthopaedic Hand Surgery Physician. They hold the professional credentials MD. They hold a License No. 36060621 (IL). The NPI Number for TERRY LIGHT (MD) is 1578537874

Main info

Male
53 Years Of Experience
Accepts Medicare Assignment
Name
TERRY LIGHT (MD)
NPI
1578537874
Phone
(708) 216-4570
Address
2160 S FIRST AVE
Enumeration Date
14 February 2006
Last Update Date
24 August 2018

Doctor Profile

Medical School Name
R FRANKLIN UNIVERSITY OF MED & SCI/CHICAGO MEDICAL SCHOOL
Secondary Phone
7082169000
Graduation Year
1973 (53 years ago)
PAC ID
4183536394
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20050915000715
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for TERRY LIGHT (MD)

  • 2160 S FIRST AVE

    101-1740, LOYOLA UNIVERSITY MEDICAL CENTER

    MAYWOOD, IL 60153

    Phone: (708) 216-4570

    Fax: (708) 216-5858

    Mailing address matches the actual address.

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: 2005-09-15

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
I20050915000715IHand SurgeryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60153)

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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: 3779488903View full group profile

Reviews

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Frequently asked questions

Is TERRY LIGHT (MD) listed with a National Provider Identifier?
Yes — TERRY LIGHT (MD) has NPI 1578537874 on file in the registry.
Active or inactive — what applies to TERRY LIGHT (MD)?
You should see TERRY LIGHT (MD) as active in CMS-hosted NPPES data.
What area of care is associated with TERRY LIGHT (MD)?
TERRY LIGHT (MD)'s record emphasizes Orthopaedic Hand Surgery Physician. Clinical services aligned with this taxonomy classification.
Is TERRY LIGHT (MD) located near Maywood?
TERRY LIGHT (MD) currently maps to Maywood, Illinois in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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