TERA DUFFER – Physician Assistant, NPI 1144862954
Physician Assistant
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,365 PHYSICIAN ASSISTANT in MD
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Provider Addresses for TERA DUFFER
Ridgecrest, Ozark, Christian County, Missouri, 65721, United States
OZARK, MO 65802
Phone: (417) 849-9147
Type: Mailing
7506, 24th Avenue, Adelphi Park, Hyattsville, Prince George's County, Maryland, 20783, United States
HYATTSVILLE, MD 20783
Phone: (808) 228-3858
Type: Location
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: 2025-11-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 7 Medicare enrollment records; no due dates published yet.
Enrollment records
7
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 |
|---|---|---|---|---|
| I20220324002020 | I | Physician Assistant | TX | TBD |
| I20220601003044 | I | Physician Assistant | VA | TBD |
| I20241014003703 | I | Physician Assistant | NM | TBD |
| I20241126002108 | I | Physician Assistant | MT | TBD |
| I20250203000535 | I | Physician Assistant | AZ | TBD |
| I20250912004036 | I | Physician Assistant | WA | TBD |
| I20251105001863 | I | Physician Assistant | CA | 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 65802)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Physician Assistant | MA | |
| Nurse Practitioner | NC | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | OH | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | CA |
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