DR. TERESA KOELLER (M.D.) – Family Medicine Physician, NPI 1457399917
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
49 ADDICTION MEDICINE in KY
Provider Addresses for DR. TERESA KOELLER (M.D.)
20 W 18TH ST
COVINGTON, KY 410113329
Phone: (859) 757-0717
Fax: (859) 331-2425
Type: Location
112 Links Way
Aurora, IN 470011403
Phone: (812) 496-8785
Fax: (859) 331-2425
Type: Location
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452635283
Phone: (859) 757-0717
Fax: (859) 331-2425
Type: Mailing
351, Centre View Boulevard, Crestview Hills, Kenton County, Kentucky, 41017, United States
CRESTVIEW HILLS, KY 410173477
Phone: (859) 757-0717
Fax: (859) 331-2425
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 42 Open Payments records for all available years, with a total value of $946.
Total Amount is formed as General ($946) + Research ($0) + Ownership ($0) = $946.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($337).
Total Amount
$946
General + Research + Ownership
Payments
42
Total payment records
General Amount
$946
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $337 |
| Janssen Pharmaceuticals, Inc | $142 |
| Axsome Therapeutics, Inc. | $121 |
| Indivior Inc. | $120 |
| Otsuka America Pharmaceutical, Inc. | $53 |
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: 2023-08-01
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20050303000703 | I | Addiction Medicine | KY | TBD |
| I20230801004138 | I | Addiction Medicine | IN | 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 41011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | OH | |
| Family Practice | KY | |
| Family Practice | OH | |
| Marriage And Family Therapist | IN | |
| Family Practice | OH | |
| G A S T R O E N T E R O L O G Y | KY | |
| Clinical Social Worker | KY | |
| - | KY | |
| - | FL | |
| Nurse Practitioner | KY |
Reviews
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