MR. JEFFREY R TEDROW (M.D.) – Family Medicine Physician, NPI 1548282064

MR. JEFFREY R TEDROW (M.D.) is a healthcare provider. based in Versailles, Missouri. specializing in FAMILY PRACTICE, HOSPICE/PALLIATIVE CARE. They hold the professional credentials M.D.. They hold a License No. R3M74 (MO). The NPI Number for MR. JEFFREY R TEDROW (M.D.) is 1548282064

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFFREY R TEDROW (M.D.)
NPI
1548282064
Phone
(573) 378-2349
Address
1109 W Clay Rd
Enumeration Date
24 July 2006
Last Update Date
26 May 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4178692000
Graduation Year
1990 (36 years ago)
PAC ID
6507774486
Group Practice PAC ID
1355317033
Professional Enrollment ID
I20100928001551
Address ID
MO658074123SP607XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

2,330 FAMILY PRACTICE in MO

Provider Addresses for MR. JEFFREY R TEDROW (M.D.)

  • 1109 W Clay Rd

    Versailles, MO 650841177

    Phone: (573) 378-2349

    Fax: (660) 827-8992

    Type: Location

  • 1240 N Butterfield Rd

    Bolivar, MO 656133016

    Phone: (417) 326-6021

    Type: Location

  • Westwood Drive, Sedalia, Pettis County, Missouri, 65301, United States

    SEDALIA, MO 653012102

    Phone: (660) 826-4774

    Fax: (660) 827-8992

    Type: Mailing

  • 17571 N DAM ACCESS RD

    WARSAW, MO 653556396

    Phone: (660) 438-2717

    Fax: (660) 827-8992

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $376.

Total Amount is formed as General ($376) + Research ($0) + Ownership ($0) = $376.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: ABBVIE INC. ($97).

Total Amount

$376

General + Research + Ownership

Payments

20

Total payment records

General Amount

$376

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-09-28

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
I20100928001551IFamily 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
83036Hemoglobin a1c level2414$0
View full utilization report →

Insurance plans in this area (ZIP 65084)

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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: 1355317033View full group profile
NameSpecialtyState
Family PracticeMO
-MO
Family PracticeMO
Family PracticeMO
Family PracticeMO
C H I R O P R A C T I CMO
Family PracticeMO
Physician AssistantMO
Family PracticeMO
C H I R O P R A C T I CMO

Reviews

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Frequently asked questions

Does MR. JEFFREY R TEDROW (M.D.) have a public NPI I can cite?
Public records show MR. JEFFREY R TEDROW (M.D.) under NPI 1548282064.
Does the public listing show MR. JEFFREY R TEDROW (M.D.) as active?
MR. JEFFREY R TEDROW (M.D.)'s NPI record reflects an active status in NPPES.
Which specialty label fits MR. JEFFREY R TEDROW (M.D.)?
NPPES ties MR. JEFFREY R TEDROW (M.D.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MR. JEFFREY R TEDROW (M.D.) tied to Versailles, Missouri?
If you are local to Versailles, Missouri, MR. JEFFREY R TEDROW (M.D.) may be relevant to your search.
Who maintains MR. JEFFREY R TEDROW (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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