SARA A TEPPERBERG (MD) – Family Medicine Physician, NPI 1104816123

SARA A TEPPERBERG (MD) is a healthcare provider. based in Dorchester, Massachusetts. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 151277 (MA). The NPI Number for SARA A TEPPERBERG (MD) is 1104816123

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
SARA A TEPPERBERG (MD)
NPI
1104816123
Phone
(617) 825-9660
Address
637 WASHINGTON ST
Enumeration Date
21 October 2005
Last Update Date
28 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6178259660
Graduation Year
1993 (33 years ago)
PAC ID
2961565411
Group Practice PAC ID
8123013869
Professional Enrollment ID
I20090110000028
Address ID
MA021243510DO637XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,899 FAMILY PRACTICE in MA

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Provider Addresses for SARA A TEPPERBERG (MD)

  • Codman Square Health Center, 637, Washington Street, Dorchester Center, Dorchester, Boston, Suffolk County, Massachusetts, 02124, United States

    DORCHESTER, MA 021243510

    Phone: (617) 825-9660

    Fax: (617) 288-7898

    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: 2009-01-10

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
I20090110000028IFamily PracticeMATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5142$0
99214Established patient office or other outpatient visit, 30-39 minutes2319$0
99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional1311$0
View full utilization report →

Insurance plans in this area (ZIP 02124)

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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: 8123013869View full group profile

Reviews

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Frequently asked questions

Is there an official ID for SARA A TEPPERBERG (MD) in U.S. healthcare records?
The official identifier for SARA A TEPPERBERG (MD) is NPI 1104816123.
Active or inactive — what applies to SARA A TEPPERBERG (MD)?
You should see SARA A TEPPERBERG (MD) as active in CMS-hosted NPPES data.
What clinical focus is listed for SARA A TEPPERBERG (MD)?
At a glance, SARA A TEPPERBERG (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is SARA A TEPPERBERG (MD) registered?
Use Dorchester, Massachusetts as the headline location for SARA A TEPPERBERG (MD) here.
Does SARA A TEPPERBERG (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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