MICHAEL TEDDER M.D. NPI 1962463091

NPI Information

  • NPI: 1962463091
  • Provider Name: MICHAEL TEDDER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3003 APACHE DR
    JONESBORO, AR
    ZIP 72401
  • Phone: (870) 931-8800

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NPI Details

Michael Tedder, M.D. is a family medicine in Jonesboro, AR with 51 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Michael Tedder, M.D. NPI is 1962463091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduation Year:1974

The provider's business location address is:

3003 APACHE DR
JONESBORO, AR
ZIP 72401-432
Phone: (870) 931-8800
Fax: (870) 934-3656

The NPI 1962463091 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Injection, ceftriaxone sodium, per 250 mg (HCPCS:J0696)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Hemoglobin a1c level (HCPCS:83036)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
  • Blood potassium level (HCPCS:84132)
  • Blood creatinine level (HCPCS:82565)
  • Detection test by immunoassay with direct visual observation for influenza virus (HCPCS:87804)
  • Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Blood glucose (sugar) measurement using reagent strip (HCPCS:82948)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Removal of impacted ear wax (HCPCS:69210)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 3/29/2006 and was last updated on 3/23/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineC-4865ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B90611MEDICARE UPINARKANSAS
2102541001MEDICAIDARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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