DR. THERESA MARIE IMPEDUGLIA (M.D.) – Vascular Surgery Physician, NPI 1336189786
Vascular Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
264 VASCULAR SURGERY in NJ
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Provider Addresses for DR. THERESA MARIE IMPEDUGLIA (M.D.)
83, Summit Avenue, Hackensack, Bergen County, New Jersey, 07601, United States
HACKENSACK, NJ 076011262
Phone: (201) 646-0010
Fax: (201) 646-0600
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)
CMS reports 36 Open Payments records for all available years, with a total value of $756.
Total Amount is formed as General ($756) + Research ($0) + Ownership ($0) = $756.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Organogenesis Inc. ($180).
Total Amount
$756
General + Research + Ownership
Payments
36
Total payment records
General Amount
$756
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Organogenesis Inc. | $180 |
| TACTILE SYSTEMS TECHNOLOGY INC | $131 |
| Hydrofera LLC | $106 |
| ABBVIE INC. | $61 |
| Medtronic, Inc. | $47 |
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: 2005-02-24
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20050224000204 | I | Vascular Surgery | NJ | 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 |
|---|---|---|---|---|
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 186 | 29 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 117 | 85 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 116 | 112 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 88 | 69 | $0 |
| 99183 | Management of oxygen chamber therapy | 60 | 11 | $0 |
Insurance plans in this area (ZIP 07601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | NJ | |
| Internal Medicine | NJ | |
| U R O L O G Y | PA | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | FL | |
| - | AR | |
| - | NJ | |
| General Surgery | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ |
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