Individual provider Active NPI

Brian H Teeter, MD

  • Emergency Medicine Physician
  • Ozark, MO
National Provider Identifier
1346285590
Registry record updated Sep 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MDR5F63 Issued in MO
Practice address
4302 N. Quail Run Rd
Ozark, MO 65721
Phone
(417) 230-4810
Fax
(417) 581-5080
NPI assigned
Jun 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MDR5F63 MO Primary

Addresses

Primary practice location

4302 N. Quail Run Rd
Ozark, MO 65721

Mailing address

4302 N. Quail Run Rd
Ozark, MO 65721
Phone (417) 335-7218

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050323000475 MO Practitioner - Emergency MedicinePractitioner - Internal Medicine 7810947223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
67.5 of 100Reported as group
Quality
53.06
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MDR5F63MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iron County Hospital District CurrentSince Aug 1, 2015 Accepting new patients
Potosi Emergency Group, LLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Iron County Hospital District CurrentSince Aug 1, 2015 Accepting new patients
Quickstone LLC Past Accepting new patients
Skaggs Community Hospital Association Emergency Medicine Past Accepting new patients
Southtowne Urgent Care LLC PastSince May 1, 2004 Accepting new patients

Locations

300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221523200000",
    "number": "1346285590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 N. QUAIL RUN RD",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "65721",
            "telephone_number": "417-335-7218",
            "fax_number": "417-334-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 N. QUAIL RUN RD",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "65721",
            "telephone_number": "417-230-4810",
            "fax_number": "417-581-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEETER",
        "first_name": "BRIAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2008-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "MDR5F63",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ozark, MO

Sources for this page

Verify at the official NPI Registry.