Active NPI
Jeffrey Lynn Teeter, D.O.
- Family Medicine Physician
- Jefferson City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2017011936
- Practice address
- 3121 Emerald LN Ste 800
Jefferson City, MO 65109-6843 - Phone
- (573) 614-7022
- Fax
- (573) 635-5899
- NPI assigned
- Jul 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2017011936 | MO | Primary |
Addresses
Primary practice location
3121 Emerald LN Ste 800
Jefferson City, MO 65109-6843
Mailing address
345 Miracle Strip Pkwy SW
Fort Walton Beach, FL 32548-5210
Phone (850) 244-3211
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
601 E 14TH St
Bothwell Regional Health Center
Sedalia, MO 65301-5972
Phone (660) 826-8833
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.5 of 100
- Quality
- 53.06
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017011936 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bothwell Regional Health Center | Current | Accepting new patients | |
| Bothwell Regional Health Center | Family Medicine | Current | Accepting new patients |
| Gulf Coast Immediate Care Center Inc. | Past | Accepting new patients |
Locations
601 E 14th St
Sedalia, MO 65301
Phone (660) 826-8833
Interoperability endpoints
- https://api.platform.athenahealth.com/8204/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
-
- Rural Health Clinic/Center
- Cole Camp, MO
- NPI 1497705313
Family Medicine
-
- Primary Care Clinic/Center
- Fort Walton Beach, FL
- NPI 1437113057
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sedalia, MO
- NPI 1235102690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1215343769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 MIRACLE STRIP PKWY SW",
"city": "FORT WALTON BEACH",
"state": "FL",
"postal_code": "325485210",
"telephone_number": "850-244-3211",
"fax_number": "850-243-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3121 EMERALD LN STE 800",
"city": "JEFFERSON CITY",
"state": "MO",
"postal_code": "651096843",
"telephone_number": "573-614-7022",
"fax_number": "573-635-5899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEETER",
"first_name": "JEFFREY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-05",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2017011936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.