ANNETTE K TEREBUH (MD) – Ophthalmology Physician, NPI 1497774483
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ANNETTE K TEREBUH (MD)
PO BOX 190
1107 RUSH AVE
BELLEFONTAINE, OH 433110190
Phone: (937) 593-3881
Fax: (937) 593-2430
Type: Mailing
1107, Rush Avenue, Bellefontaine, Lake Township, Logan County, Ohio, 43311, United States
BELLEFONTAINE, OH 433119488
Phone: (937) 593-3881
Fax: (937) 593-2430
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $462.
Total Amount is formed as General ($462) + Research ($0) + Ownership ($0) = $462.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Alcon Vision LLC ($346).
Total Amount
$462
General + Research + Ownership
Payments
7
Total payment records
General Amount
$462
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $346 |
| Mallinckrodt Hospital Products Inc. | $98 |
| Lombart Brothers, Inc. | $19 |
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: 2007-10-08
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 |
|---|---|---|---|---|
| I20071008000362 | I | Ophthalmology | OH | 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 43311)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | OH | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 110 | 79 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Ophthalmology | OH | |
| - | OH | |
| O P H T H A L M O L O G Y | OH |
Reviews
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