Individual provider Active NPI

Terrol Duane Marshall, DPM

  • Podiatrist
  • Pendleton, OR
National Provider Identifier
1861442998
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DP00357 Issued in OR
Practice address
714 SW Dorion Ave
Pendleton, OR 97801-2086
Phone
(541) 276-2372
Fax
(541) 276-2411
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DP00357 OR
Podiatrist 213E00000X DP00357 OR Primary

Addresses

Primary practice location

714 SW Dorion Ave
Pendleton, OR 97801-2086

Mailing address

714 SW Dorion Ave
Pendleton, OR 97801-2086
Phone (541) 276-2372

Other identifiers 2

IdentifierTypeStateIssuer
P00613653OtherORRAILROAD MEDICARE
234444MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040824001144 OR Practitioner - Podiatry 4789655648 Reassigns benefits to 1 organization
I20110915000092 TX Practitioner - Podiatry 4789655648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Mountain Foot Specialists IncGroup PAC ID 8426023649, 2 clinicians

Practice addresses (Care Compare)

714 SW Dorion Ave
Suite 1
Pendleton, OR 97801-2086
Phone (541) 276-2372

Hospital & facility affiliations

  • St Anthony Hospital Hospital, Pendleton, OR, CCN 381319

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue76
Removal of skin lesions1-10
Removal of nail tissue702
Removal or shaving of skin growth216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00357ORMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Mountain Foot Specialists Inc Podiatrist CurrentSince Jun 30, 2008 Accepting new patients
Yellowhawk Tribal Health Center CurrentSince Jul 3, 2011 Accepting new patients
Sanders Podiatry LLC Podiatrist PastSince Jun 14, 2020 Accepting new patients
Rushton Podiatry PC Podiatrist PastSince May 1, 2004 Accepting new patients

Locations

714 SW Dorion Ave
Pendleton, OR 97801
Phone (541) 276-2372

714 SW Dorion Ave
Ste 1
Pendleton, OR 97801
Phone (541) 276-2372

46314 Timine Way
Pendleton, OR 97801
Phone (541) 966-9830

Interoperability endpoints

  • Direct secure messaging: terrol.marshall@bmfsi-or.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • FHIR API: https://app.meldrx.com/api/fhir/sanderspodiatry

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1861442998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 SW DORION AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012086",
            "telephone_number": "541-276-2372",
            "fax_number": "541-276-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 SW DORION AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978012086",
            "telephone_number": "541-276-2372",
            "fax_number": "541-276-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "TERROL",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00357",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP00357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00613653",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234444",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pendleton, OR

Sources for this page

Verify at the official NPI Registry.