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DR. KENNETH DAVID TERRY DO
NPI 1144712902
Family Medicine in Barstow, CA

Active since June 06, 2018PECOS Enrolled
83.99/100
CMS Quality Rating
303 E BUENA VISTA ST, BARSTOW, CA 92311(760) 241-4929(760) 241-5950 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 19, 2025, Dec 27, 2021, Feb 5, 2021 and 3 more (6 updates tracked since 2018).

About Dr. Kenneth David Terry Do NPPES

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

DR. KENNETH DAVID TERRY DO (NPI 1144712902) is an individual family medicine provider in Barstow, California, licensed in California (20A16604) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144712902
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KENNETH DAVID TERRYCredential: DO
Location Address303 E BUENA VISTA STBarstow, CA 92311-2803
Mailing Address303 E Buena Vista StBarstow, CA 92311-2803 · (760) 241-4929 · Fax (760) 241-5950
Phone(760) 241-4929
Fax(760) 241-5950
Sole ProprietorNo
Enumeration DateJune 6, 2018
Last NPPES UpdateDecember 19, 20256 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1144712902 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 · 20A16604
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.
303 E BUENA VISTA ST, Barstow, CA 92311
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth David Terry Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Kenneth Terry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vvipa Medical Group Inc
33 mi
Clinic/Center
12370 HESPERIA RD, SUITE 6
Victorville, CA 92395
  • Reassigned Medicare billing, California enrollment
  • 28 clinicians in this Medicare group
NPI 1295126001 (760) 245-4747
High Desert Medical Group
66 mi
Multi-Specialty
43839 15TH ST W
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: High Desert Medical Corporation
  • 81 clinicians in this Medicare group
NPI 1720196702 (661) 945-5984

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

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.
135 services58 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92311 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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.

83.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability91
Improvement Activities40
Cost68.53

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$168.35 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

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

DR. MOHAN MALLAM M.D.
Internal Medicine (Geriatric Medicine)
303 E BUENA VISTA ST
BARSTOW, CA 92311
San Bernardino County (760) 256-4601

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 Kenneth Terry's NPI number?

The NPI number for Kenneth Terry is 1144712902. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Kenneth Terry located?

Kenneth Terry practices at 303 E Buena Vista St, Barstow, CA 92311. The listed phone number is (760) 241-4929.

What is Kenneth Terry's specialty?

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

Is Kenneth Terry enrolled in Medicare?

Yes. Kenneth Terry is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kenneth Terry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Terry reassigns Medicare benefits to 2 organizations: Vvipa Medical Group Inc (Victorville, CA) and High Desert Medical Group (Lancaster, CA). Each 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 Kenneth Terry'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 Kenneth Terry was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.