MR. JEFFREY R TEDROW (M.D.) – Family Medicine Physician, NPI 1548282064
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $97 |
| Novo Nordisk Inc | $46 |
| Amgen Inc. | $33 |
| Otsuka America Pharmaceutical, Inc. | $32 |
| Exact Sciences Corporation | $28 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100928001551 | I | Family Practice | MO | 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 | 24 | 14 | $0 |
Insurance plans in this area (ZIP 65084)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Family Practice | MO | |
| - | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| C H I R O P R A C T I C | MO | |
| Family Practice | MO | |
| Physician Assistant | MO | |
| Family Practice | MO | |
| C H I R O P R A C T I C | MO |
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