JAN DAVID TEPPER DPM
NPI 1184666299
Podiatrist - Foot & Ankle Surgery in Upland, CA

Q: What is Jan Tepper's NPI number?

The NPI number for Jan Tepper is 1184666299. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Jan Tepper's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Q: When was this NPI record last updated?

The NPPES record for Jan Tepper was last updated on March 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 12, 2006PECOS Enrolled

984 W FOOTHILL BLVD, SUITE B, UPLAND, CA 91786(909) 920-0884(909) 920-9810 Get Directions Write a Review

NPPES record last updated: March 1, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Jan David Tepper Dpm NPPES

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

JAN DAVID TEPPER DPM (NPI 1184666299) is an individual foot & ankle surgery provider in Upland, California, licensed in California (E2154) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184666299

Entity TypeIndividualMale

Primary Taxonomy213ES0103X

Provider Legal NameJAN DAVID TEPPERCredential: DPM

Location Address984 W FOOTHILL BLVD, SUITE BUpland, CA 91786-3700

Mailing Address984 W Foothill Blvd, Suite BUpland, CA 91786-3700 · (909) 920-0884 · Fax (909) 920-9810

Phone(909) 920-0884

Fax(909) 920-9810

Sole ProprietorYes

Enumeration DateJune 12, 2006

Last NPPES UpdateMarch 1, 2011

✔ NPI 1184666299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers

Taxonomy Code213ES0103X

License✔ Licensed in CA · E2154

984 W FOOTHILL BLVD, Upland, CA 91786

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Other Identifiers 1

Medicare UPIN000E21541CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jan David Tepper Dpm 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

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

Jan David Tepper, D.P.M., Inc

0.1 mi

Foot & Ankle Surgery

984 W FOOTHILL BLVD, SUITE B
Upland, CA 91786

Reassigned Medicare billing, California enrollment
5 clinicians in this Medicare group

NPI 1851328744 (909) 920-0884

Vascular Interventional Partners Inc

16 mi

Vascular & Interventional Radiology

935 S SUNSET AVE
West Covina, CA 91790

Reassigned Medicare billing, California enrollment
22 clinicians in this Medicare group

NPI 1306218011 (626) 888-7814

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

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.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

1 supplier37 claims73 services$61.70 avg. paid by Medicare

For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513

DME-Orthotic Devices · category DF000N

1 supplier36 claims216 services$37.55 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 8

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

MICHAEL ANTHONY BENAVIDEZ D.O.

Family Medicine