DR. TERRY LEE PUCKETT (M.D., M.P.H.) – Aerospace Medicine Physician, NPI 1376510222
Aerospace Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. TERRY LEE PUCKETT (M.D., M.P.H.)
378 Marketplace Dr Ste 5
Johnson City, TN 376042361
Phone: (423) 282-0751
Fax: (423) 282-1577
Type: Location
111 W Stone Dr Ste 110
Kingsport, TN 376606027
Phone: (423) 224-3701
Fax: (423) 224-3709
Type: Location
603 Campus Dr Ste 100
Abingdon, VA 242109700
Phone: (276) 739-8010
Fax: (276) 628-1410
Type: Location
24530 FALCON PLACE BLVD STE 100
ABINGDON, VA 242117665
Phone: (276) 619-0075
Fax: (276) 619-0077
Type: Location
603, Campus Drive, Abingdon, Washington County, Virginia, 24210, United States
SUITE 100
ABINGDON, VA 242109700
Phone: (276) 739-8010
Fax: (276) 628-1410
Type: Mailing
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: 2013-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (924 days ago).
Enrollment records
2
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20070327000518 | I | Preventive Medicine | TN | 2023-11-30 |
| I20130131000517 | I | Family Practice | VA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 37604)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PREVENTATIVE MEDICINE | VA | 81002 | Urinalysis, manual test | 20 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | TN | |
| General Surgery | MD | |
| Pulmonary Disease, Internal Medicine | TN | |
| G A S T R O E N T E R O L O G Y | TN | |
| N E U R O S U R G E R Y | IL | |
| Nurse Practitioner | TN | |
| - | TN | |
| Physician Assistant | KY | |
| Orthopedic Surgery | GA |
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