Shelby L Terpstra, D.O.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

OS8844 Issued in FL

Practice address

3310 Waterman Way
Tavares, FL 32778-5250

Phone

(352) 343-2020

Fax

(352) 343-4728

NPI assigned

Jun 7, 2006

Last updated

Mar 15, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

92.24 of 100Reported as group

Quality

100

Improvement activities

40

Cost

74.15

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18839/brand/1/csg/1/fhir/r4
• FHIR API: https://fhir4.healow.com/fhir/r4/FAEBAA

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.

• Innovative Primary Care PLC

  dba Lake Palliative Care Providers

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Eustis, FL
  • NPI 1346524956
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1972543312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785250",
            "telephone_number": "352-343-2020",
            "fax_number": "352-343-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 WATERMAN WAY",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785250",
            "telephone_number": "352-343-2020",
            "fax_number": "352-343-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERPSTRA",
        "first_name": "SHELBY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "OS8844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265950600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tavares Pharmacy LLC
• Tavares Surgery LLC
• Tavares Village Retirement Community, LLC (The Cove at Tavares Village)
• Kayli Taylor, ARNP
• Ramona Teasley, M.S., CCC-SLP
• Mary Ann Tesalona, M.D.
• The Gardens at Tavares
• The Grove Pediatric Therapy LLC
• The Heritage of Tavares Alf
• Devon Nicole Thomas, MD

• Ophthalmology Physician in Tavares, FL
• Providers in Tavares, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.