TERESA GOTTFREDSON (PA-C) – Specialist, NPI 1770205098
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,491 PHYSICIAN ASSISTANT in TX
Provider Addresses for TERESA GOTTFREDSON (PA-C)
7321 TRIANON CT
COLLEYVILLE, TX 760347334
Phone: (817) 403-4100
Type: Mailing
5236 W UNIVERSITY DR PHYSICIAN OFFICE BUILDING I
STE 2200
MCKINNEY, TX 75071
Phone: (469) 800-5325
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 75 Open Payments records for all available years, with a total value of $1,642.
Total Amount is formed as General ($1,642) + Research ($0) + Ownership ($0) = $1,642.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($404).
Total Amount
$1,642
General + Research + Ownership
Payments
75
Total payment records
General Amount
$1,642
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $404 |
| Regeneron Healthcare Solutions, Inc. | $183 |
| Lilly USA, LLC | $127 |
| Amgen Inc. | $94 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $74 |
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: 2023-02-01
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 |
|---|---|---|---|---|
| I20230201002475 | I | Physician Assistant | TX | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 390 | 73 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 221 | 166 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 132 | 109 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 117 | 102 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 73 | 46 | $0 |
Insurance plans in this area (ZIP 76034)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| D E R M A T O L O G Y | TX | |
| Physician Assistant | TX |
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