Active NPI
Brian H Teeter, MD
- Emergency Medicine Physician
- Ozark, MO
National Provider Identifier
1346285590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MDR5F63
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDR5F63 | MO | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iron County Hospital District | Current | Accepting new patients | |
| Potosi Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Iron County Hospital District | Current | Accepting new patients | |
| Quickstone LLC | Past | Accepting new patients | |
| Skaggs Community Hospital Association | Emergency Medicine | Past | Accepting new patients |
| Southtowne Urgent Care LLC | Past | 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.
-
- Critical Access Hospital
- Pilot Knob, MO
- NPI 1477648178
-
- Emergency Medicine Physician
- Potosi, MO
- NPI 1881075349
-
- Clinic/Center
- Hollister, MO
- NPI 1124057112
-
- Rural Health Clinic/Center
- Pilot Knob, MO
- NPI 1073799367
-
- Family Medicine Physician
- Ozark, MO
- NPI 1205053246
-
- Emergency Medicine Physician
- Branson, MO
- NPI 1073686879
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2008; 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.