DR. GREGORY K. TERPSTRA D.O., FAMILY PRACTICE, L.L.C.
NPI 1295867968
Clinic/Center - Primary Care in Potosi, MO

Active since March 09, 2007CLIA 26D0921211 · Microscopy
612 E HIGH ST STE 210, POTOSI, MO 63664(573) 438-3660(573) 438-1140 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Gregory K. Terpstra D.o., Family Practice, L.l.c. NPPES

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

DR. GREGORY K. TERPSTRA D.O., FAMILY PRACTICE, L.L.C. (NPI 1295867968) is a healthcare organization registered as a primary care in Potosi, Missouri and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through January 8, 2027 and lists Wilma Terpstra, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1295867968
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameDR. GREGORY K. TERPSTRA D.O., FAMILY PRACTICE, L.L.C.
Location Address612 E HIGH ST STE 210Potosi, MO 63664-1426
Mailing Address612 E High St Ste 210Potosi, MO 63664-1426 · (573) 438-3660 · Fax (573) 438-1140
Fax(573) 438-1140
Organization SubpartNo
Authorized OfficialWilma TerpstraOffice Manager · (573) 438-3660
Enumeration DateMarch 9, 2007
Last NPPES UpdateMay 13, 2008
✔ NPI 1295867968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in MO · 110137
612 E HIGH ST STE 210, Potosi, MO 63664

Other Identifiers 2

Medicare UPINF57275MO
Medicare ID-Type Unspecified000006721MO

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gregory K. Terpstra D.o., Family Practice, L.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Gregory K. Terpstra D.O., Family Practice, L.L.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1952399792
612 E HIGH ST STE 210
Potosi, MO 63664
(573) 438-3660
✔ PECOS✔ Accepts MedicareSame address

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

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 for Provider-Performed Microscopy Procedures (PPMP) 26D0921211

Gregory K Terpstra Do · Potosi, MO
Active · expires Jan 8, 2027
CLIA Number26D0921211
Laboratory TypePhysician Office
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorGregory Terpstra Do
Laboratory Phone(573) 438-3660
Laboratory LocationGregory K Terpstra Do612 E High St, Ste 210, Potosi, MO 63664
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Dr. Gregory K. Terpstra D.O., Family Practice, L.L.C.'s NPI number?

The NPI number for Dr. Gregory K. Terpstra D.O., Family Practice, L.L.C. is 1295867968. It was assigned to this organization in the NPPES registry on March 9, 2007.

Where is Dr. Gregory K. Terpstra D.O., Family Practice, L.L.C. located?

Dr. Gregory K. Terpstra D.O., Family Practice, L.L.C. is located at 612 E High St Ste 210, Potosi, MO 63664. The listed phone number is (573) 438-3660.

What is Dr. Gregory K. Terpstra D.O., Family Practice, L.L.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Dr. Gregory K. Terpstra D.O., Family Practice, L.L.C. enrolled in Medicare?

Yes. Dr. Gregory K. Terpstra D.O., Family Practice, L.L.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr. Gregory K. Terpstra D.O., Family Practice, L.L.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dr. Gregory K. Terpstra D.O., Family Practice, L.L.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Dr. Gregory K. Terpstra D.O., Family Practice, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 26D0921211) is associated with this NPI, valid through January 8, 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 Dr. Gregory K. Terpstra D.O., Family Practice, L.L.C. was last updated on May 13, 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.