CARMEN E. TERREROS M.D.
NPI 1093975229
Family Medicine in Santa Ana, CA

Q: What is Carmen Terreros's NPI number?

The NPI number for Carmen Terreros is 1093975229. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Q: What is Carmen Terreros's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Carmen Terreros was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 11, 2008PECOS Enrolled

801 N TUSTIN AVE, SUITE 607, SANTA ANA, CA 92705(714) 541-4145 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Carmen E. Terreros M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARMEN E. TERREROS M.D. (NPI 1093975229) is an individual family medicine provider in Santa Ana, California, licensed in California (A70383) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1093975229

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameCARMEN E. TERREROSCredential: M.D.

Location Address801 N TUSTIN AVE, SUITE 607Santa Ana, CA 92705-3612

Mailing Address801 N Tustin Ave, Suite 607Santa Ana, CA 92705-3612

Phone(714) 541-4145

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateJune 11, 2008

Last NPPES UpdateJune 23, 2008

✔ NPI 1093975229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A70383

Definition

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.

801 N TUSTIN AVE, Santa Ana, CA 92705

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Other Identifiers 2

Medicare PINWA70383BCA

Medicare UPINH31148CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmen E. Terreros M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668426859

PECOS Enrollment IDI20050311000336

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carmen Terreros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carmen Terreros MD Inc

Same address

Family Medicine

801 NORTH TUSTIN AVENUE, SUITE 607
Santa Ana, CA 92705

Reassigned Medicare billing, California enrollment

NPI 1275649642 (714) 541-4145

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

83 services44 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

100%55 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers22 claims73 services$6.25 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers16 claims31 services$1.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VIRGIL HERNANDEZ DPM AACFAS A PROFESSIONAL CORPORATION

Podiatrist (Foot & Ankle Surgery)

801 N TUSTIN AVE, SUITE 202
SANTA ANA, CA 92705

Orange County (714) 265-5824

HARVEST HEALTH CLINIC FOR ACUPUNCTURE, INC.

Chiropractor

801 N TUSTIN AVE, 702
SANTA ANA, CA 92705

Orange County (714) 564-0226

SCOTT R. HARRISON M.D.

Pediatrics

801 N TUSTIN AVE
SANTA ANA, CA 92705

Orange County (714) 953-9100

MICHAEL B LAPPIN,MD,INC

Ophthalmology

801 N TUSTIN AVE, SUITE 700
SANTA ANA, CA 92705

Orange County (714) 541-4185

HARINDER S GOGIA MD INC

Internal Medicine (Cardiovascular Disease)

801 N TUSTIN AVE, SUITE 706
SANTA ANA, CA 92705

Orange County (714) 568-6600

RONALD CHARLES NEUMAN MD

Surgery

801 N TUSTIN AVE, SUITE 305
SANTA ANA, CA 92705

Orange County (714) 544-6580

DR. LAILA LABIB MALEK DDS

Dentist

801 N TUSTIN AVE, STE 504
SANTA ANA, CA 92705

Orange County (714) 550-0500

ISRAEL PEDRO CHAMBI M.D.

Specialist

801 N TUSTIN AVE, SUITE 406
SANTA ANA, CA 92705

Orange County (714) 973-0810

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Terreros's NPI number?

The NPI number for Carmen Terreros is 1093975229. It was assigned to this individual provider in the NPPES registry on June 11, 2008.

Where is Carmen Terreros located?

Carmen Terreros practices at 801 N Tustin Ave Suite 607, Santa Ana, CA 92705. The listed phone number is (714) 541-4145.

What is Carmen Terreros's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carmen Terreros enrolled in Medicare?

Yes. Carmen Terreros is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carmen Terreros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Terreros reassigns Medicare benefits to Carmen Terreros MD Inc (Santa Ana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carmen Terreros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carmen Terreros was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.