Marcos Andres Teran, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

53332 Issued in AZ

Practice address

450 S Ocotillo Ave
Benson, AZ 85602-6403

Phone

(520) 586-2261

NPI assigned

Aug 10, 2012

Last updated

May 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, TX2 enrollments

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 2

Merit-based Incentive Payment System (MIPS)

Final score

23.64 of 100Reported as group

Quality

27.81

Improvement activities

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marcos.teran.1@18129.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benson Hospital Corporation

  • Critical Access Hospital
  • Benson, AZ
  • NPI 1336118322
  Medicare reassignment NPD
• San Carlos Apache Healthcare Corporation

  • Critical Access Hospital Clinic/Center
  • Peridot, AZ
  • NPI 1265813075

  TX

  Medicare reassignment NPD
• Green Valley Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Paducah, KY
  • NPI 1720755739

  AZ

  Medicare reassignment NPD
• Green Valley Hospital Medicine Physicians, LLC

  • Internal Medicine Physician
  • Paducah, KY
  • NPI 1215604236

  AZ

  Medicare reassignment NPD
• Benson Hospital Corporation

  • Rural Health Clinic/Center
  • Vail, AZ
  • NPI 1457924920
  NPD
• San Carlos Apache Healthcare Corporation

  dba Clarence Wesley Health Center

  • Clinic/Center
  • Bylas, AZ
  • NPI 1417330713
  NPD

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1851648638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 N CAMINO MIRAFLORES",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451604",
            "telephone_number": "520-390-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S OCOTILLO AVE",
            "city": "BENSON",
            "state": "AZ",
            "postal_code": "856026403",
            "telephone_number": "520-586-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAN",
        "first_name": "MARCOS",
        "middle_name": "ANDRES",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-10",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A129082",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "53332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271283",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tomas G. Soto, LBSW-1504
• Southeastern Arizona Behavioral Health Services, Inc.
• Southeastern Arizona Behavioral Health Services, Inc. (Benson Outpatient Treatment Center)
• John Sowersby
• Stephanie Starnes, NP-C
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Quiburi Mission)
• Cherie Alta Thomas, M.D.
• Judeth L Thorndike, LISAC, BSBA
• Tracey Lynn Tinnon, RN,MSN,FNP-BC
• Robin A. Toole, MSW, LCSW

• Family Medicine Physician in Benson, AZ
• Providers in Benson, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.

Verify at the official NPI Registry.