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TERESA JEAN PELLETIER MD
NPI 1386131167
Pediatrics in Bronx, NY

Active since April 17, 2018PECOS Enrolled
3400 BAINBRIDGE AVE FL 8, BRONX, NY 10467(718) 920-5161 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 14, 2021, Jul 7, 2021, Apr 17, 2018 (3 updates tracked since 2018).

About Teresa Jean Pelletier Md NPPES

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

TERESA JEAN PELLETIER MD (NPI 1386131167) is an individual pediatrics provider in Bronx, New York, licensed in New York (309173-01) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1386131167
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTERESA JEAN PELLETIERCredential: MD
Location Address3400 BAINBRIDGE AVE FL 8Bronx, NY 10467-2404
Mailing Address3400 Bainbridge Ave Fl 8Bronx, NY 10467-2404 · (718) 920-5161
Phone(718) 920-5161
Sole ProprietorNo
Enumeration DateApril 17, 2018
Last NPPES UpdateJune 28, 20233 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1386131167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 309173-01
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3400 BAINBRIDGE AVE FL 8, Bronx, NY 10467
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Fordham Plz Fl 5Bronx, NY 10458-5871 · Phone (718) 933-2400

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Teresa Jean Pelletier Md 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 Reassignment

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

Montefiore Medical Center
0.1 mi
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 2

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

PAMELLA BROWN RICHARDSON NP
Nurse Practitioner (Family)
3400 BAINBRIDGE AVE FL 8
BRONX, NY 10467
Bronx County (718) 920-8888
DR. FARNOOSH KHAN PSY.D.
Psychologist (Clinical Child & Adolescent)
3400 BAINBRIDGE AVE FL 8
BRONX, NY 10467
Bronx County (718) 741-2046

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 Teresa Pelletier's NPI number?

The NPI number for Teresa Pelletier is 1386131167. It was assigned to this individual provider in the NPPES registry on April 17, 2018.

Where is Teresa Pelletier located?

Teresa Pelletier practices at 3400 Bainbridge Ave Fl 8, Bronx, NY 10467. The listed phone number is (718) 920-5161.

What is Teresa Pelletier's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Teresa Pelletier enrolled in Medicare?

Yes. Teresa Pelletier is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Teresa Pelletier's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Pelletier reassigns Medicare benefits to Montefiore Medical Center (Bronx, NY). 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 Teresa Pelletier'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 Teresa Pelletier was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.