DR. MOLLY ELIZABETH TEGERDINE (D.D.S) – Dentist, NPI 1780017889
Dentist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MOLLY ELIZABETH TEGERDINE (D.D.S)
1001 W WORLEY ST
COLUMBIA, MO 652032037
Phone: (573) 214-2314
Fax: (573) 607-2885
Type: Mailing
1101 N Providence Rd
Columbia, MO 652034365
Phone: (844) 853-8937
Type: Location
2475 Broadway Bluffs Dr
Columbia, MO 652018148
Phone: (844) 853-8937
Type: Location
307 N Broadway
Salisbury, MO 652811407
Phone: (844) 853-8937
Type: Location
1600 N Missouri Ave
Marceline, MO 646581012
Phone: (844) 853-8937
Type: Location
303 N Keene St Ste 202
Columbia, MO 652018052
Phone: (844) 853-8937
Type: Location
1800 COMMUNITY
CLINTON, MO 647358804
Phone: (660) 885-8131
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $268.
Total Amount is formed as General ($268) + Research ($0) + Ownership ($0) = $268.
Last reported payment date: 2024-05-13 • Largest payer in this snapshot: ZIMVIE INC. ($268).
Total Amount
$268
General + Research + Ownership
Payments
2
Total payment records
General Amount
$268
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ZIMVIE INC. | $268 |
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: 2020-05-27
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 |
|---|---|---|---|---|
| I20200527002502 | I | Dentist | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65203)
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Reviews
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