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LAWRENCE NUNEZ TERUEL M.D.
NPI 1467405050
Otolaryngology in Sierra Vista, AZ

Active since May 18, 2006PECOS EnrolledAccepts Medicare Assignment
155 CALLE PORTAL, SUITE 600, SIERRA VISTA, AZ 85635(520) 458-4919 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lawrence Nunez Teruel M.d. NPPES

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

LAWRENCE NUNEZ TERUEL M.D. (NPI 1467405050) is an individual otolaryngology provider in Sierra Vista, Arizona, licensed in Arizona (34998) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Emory University School Of Medicine (1990).

NPPES Registry Identity

NPI1467405050
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameLAWRENCE NUNEZ TERUELCredential: M.D.
Location Address155 CALLE PORTAL, SUITE 600Sierra Vista, AZ 85635-2900
Mailing AddressPo Box 93Sierra Vista, AZ 85636-0093 · (520) 458-4919
Phone(520) 458-4919
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 1990
Enumeration DateMay 18, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467405050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in AZ · 34998
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
155 CALLE PORTAL, Sierra Vista, AZ 85635
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Other Identifiers 1

Medicare UPING17563

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lawrence Nunez Teruel M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749292613
PECOS Enrollment IDI20060613000300
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 Lawrence Teruel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yuma Regional Medical Center
268 mi
General Acute Care Hospital
2400 S AVE A
Yuma, AZ 85364
  • Reassigned Medicare billing, Arizona enrollment
  • 557 clinicians in this Medicare group
NPI 1194706655 (928) 344-2000
Ellis Hospital
2,131 mi
General Acute Care Hospital
1101 NOTT ST
Schenectady, NY 12308
  • Reassigned Medicare billing, New York enrollment
  • 462 clinicians in this Medicare group
NPI 1487644993 (518) 243-4000

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 8

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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
185 services185 patients
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 services68 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
78 services57 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
59 services55 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
44 services38 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
35 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85635 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
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

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
14%1,493 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
12%185 patients1/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%299 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
2%48 patients1/55-star benchmark: 99%
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…
34%1,486 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
1%480 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%480 patients1/55-star benchmark: 59%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 699 patients
7%699 patients3/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
91%128 patients
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.

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.

DEAN ETTINGER MD, PC
Pediatrics
155 CALLE PORTAL, SUITE 200
SIERRA VISTA, AZ 85635
Cochise County (520) 458-0660
AKDHC, LLC
Internal Medicine (Nephrology)
155 CALLE PORTAL, SUITE 400
SIERRA VISTA, AZ 85635
Cochise County (520) 458-0229
DR. KATHLEEN JANE VEDOCK DO, FAAP
Pediatrics
155 CALLE PORTAL, SUITE 700
SIERRA VISTA, AZ 85635
Cochise County (520) 459-0203
SARAH ELMER PHARMD
Pharmacist
155 CALLE PORTAL
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
KERSTIN P. HURLEY, PHD
Psychologist
155 CALLE PORTAL, SUITE 300
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
MARK CHRISTIAN CARNETT D.O.
Family Medicine (Adult Medicine)
155 CALLE PORTAL, SUITE 600
SIERRA VISTA, AZ 85635
Cochise County (520) 439-5186
DEANNA LEE MERRILL RN, CNP
Nurse Practitioner
155 CALLE PORTAL
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011
CHIRICAHUA COMMUNITY HEALTH CENTERS, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
155 CALLE PORTAL, SUITE 300
SIERRA VISTA, AZ 85635
Cochise County (520) 459-3011

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 Lawrence Teruel's NPI number?

The NPI number for Lawrence Teruel is 1467405050. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Lawrence Teruel located?

Lawrence Teruel practices at 155 Calle Portal Suite 600, Sierra Vista, AZ 85635. The listed phone number is (520) 458-4919.

What is Lawrence Teruel's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Lawrence Teruel enrolled in Medicare?

Yes. Lawrence Teruel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lawrence Teruel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawrence Teruel reassigns Medicare benefits to 2 organizations: Yuma Regional Medical Center (Yuma, AZ) and Ellis Hospital (Schenectady, NY). 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 Lawrence Teruel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lawrence Teruel accept?

Health plans from Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc list Lawrence Teruel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lawrence Teruel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.