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

Active since June 11, 2008PECOS EnrolledCLIA 05D1038578 · Waiver
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: July 26, 2026.

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, holds a CLIA Waiver certificate valid through March 21, 2027, 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
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

Other Identifiers 2

Medicare PINWA70383BCA
Medicare UPINH31148CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1038578

Carmen Terreros MD Inc · Santa Ana, CA
Active · expires Mar 21, 2027
CLIA Number05D1038578
Laboratory TypePhysician Office
Certificate Effective DateMarch 22, 2025
Certificate Expiration DateMarch 21, 2027
Laboratory DirectorCarmen E. Terreros MD
Laboratory Phone(714) 541-4145
Laboratory LocationCarmen Terreros MD Inc801 N Tustin Suite 607, Santa Ana, CA 92705
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Podiatrist (Foot & Ankle Surgery)
801 N TUSTIN AVE, SUITE 202
SANTA ANA, CA 92705
Chiropractor
801 N TUSTIN AVE, 702
SANTA ANA, CA 92705
Pediatrics
801 N TUSTIN AVE
SANTA ANA, CA 92705
Ophthalmology
801 N TUSTIN AVE, SUITE 700
SANTA ANA, CA 92705
Internal Medicine (Cardiovascular Disease)
801 N TUSTIN AVE, SUITE 706
SANTA ANA, CA 92705
Surgery
801 N TUSTIN AVE, SUITE 305
SANTA ANA, CA 92705
Dentist
801 N TUSTIN AVE, STE 504
SANTA ANA, CA 92705
Specialist
801 N TUSTIN AVE, SUITE 406
SANTA ANA, CA 92705

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.

Does Carmen Terreros hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1038578) is associated with this NPI, valid through March 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Carmen Terreros was last updated on June 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.