TERRY D SUPPES (DO) – Family Medicine Physician, NPI 1194763524

TERRY D SUPPES (DO) is a healthcare provider. based in Kansas city, Missouri. specializing in GERIATRIC MEDICINE, FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. 36974 (MO). The NPI Number for TERRY D SUPPES (DO) is 1194763524

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
TERRY D SUPPES (DO)
NPI
1194763524
Phone
(816) 276-7600
Address
6675 HOLMES RD
Enumeration Date
4 June 2006
Last Update Date
11 July 2013

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
8162767600
Graduation Year
1988 (38 years ago)
PAC ID
9830174457
Group Practice PAC ID
8426956681
Professional Enrollment ID
I20040618001296
Address ID
MO641311167KA6675XRDXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

107 GERIATRIC MEDICINE in MO

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Provider Addresses for TERRY D SUPPES (DO)

  • Holmes Road, Oak Meyer Gardens, Kansas City, Jackson County, Missouri, 64131, United States

    SUITE 450

    KANSAS CITY, MO 641311150

    Phone: (816) 276-7600

    Fax: (816) 276-7090

    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: 2004-06-18

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
I20040618001296IFamily PracticeMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes13398$0
99213Established patient office or other outpatient visit, 20-29 minutes8676$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4545$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4113$0
G0444Annual depression screening, 5 to 15 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 64131)

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Provider's Procedures

TERRY D SUPPES (DO) performs procedures in GERIATRIC MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMO20610Aspiration and/or injection of large joint or joint capsule1712
FAMILY MEDICINEMO83036Hemoglobin A1C level3630

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: 8426956681View full group profile
NameSpecialtyState
-MO
Family PracticeMO
Osteopathic Manipulative MedicineMO
Family PracticeMO
Family PracticeAL
Family PracticeMO
Internal Medicine, Critical Care (Intensivists), Geriatric MedicineMO
-MO
-MO
Family PracticeIA

Reviews

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Frequently asked questions

Can I use this page to confirm TERRY D SUPPES (DO)'s NPI?
Yes. TERRY D SUPPES (DO) is listed with NPI 1194763524 in the public NPI dataset.
Can I rely on TERRY D SUPPES (DO) being an active provider?
As of the registry snapshot, TERRY D SUPPES (DO) is marked active.
What healthcare role does TERRY D SUPPES (DO) hold?
Scheduling teams often label TERRY D SUPPES (DO) under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does TERRY D SUPPES (DO) serve?
TERRY D SUPPES (DO)'s listing highlights Kansas City, Missouri; more addresses can appear in NPPES.
Why does TERRY D SUPPES (DO) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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