EVAN SIDNEY TEPLOW (MD) – Family Medicine Physician, NPI 1063497089
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,900 FAMILY PRACTICE in MA
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Provider Addresses for EVAN SIDNEY TEPLOW (MD)
150, Park Street, Gouverneur, Saint Lawrence County, New York, 13642, United States
LAWRENCE, MA 018412517
Phone: (978) 685-1770
Fax: (978) 682-5787
Type: Mailing
17707 W MAIN ST FL 1
MONROE, WA 982721967
Phone: (360) 282-3885
Fax: (605) 122-0263
Type: Location
PO BOX 34703
SEATTLE, WA 981241703
Phone: (253) 681-6626
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $247.
Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.
Last reported payment date: 2024-09-24 • Largest payer in this snapshot: ABBVIE INC. ($138).
Total Amount
$247
General + Research + Ownership
Payments
10
Total payment records
General Amount
$247
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $138 |
| PFIZER INC. | $26 |
| Merck Sharp & Dohme LLC | $26 |
| Indivior Inc. | $21 |
| Bayer Healthcare Pharmaceuticals Inc. | $18 |
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: 2018-03-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180308001783 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 83036 | Hemoglobin a1c level | 16 | 16 | $0 |
| G0008 | Administration of influenza virus vaccine | 14 | 14 | $0 |
Insurance plans in this area (ZIP 01841)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | WA | |
| - | TN | |
| Physician Assistant | WA | |
| - | WA | |
| Nurse Practitioner | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| - | TX |
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