MARYANNA C TER POORTEN MD
NPI 1477539724
Dermatology - Procedural Dermatology in Concord, NC

Active since December 19, 2005PECOS Enrolled
87.13/100
CMS Quality Rating
335 PENNY LN, CONCORD, NC 28025(704) 784-5901(704) 721-0413 Get Directions Write a Review

NPPES record last updated: February 12, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maryanna C Ter Poorten Md NPPES

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

MARYANNA C TER POORTEN MD (NPI 1477539724) is an individual procedural dermatology provider in Concord, North Carolina, licensed in North Carolina (2003-00893) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477539724
Entity TypeIndividualFemale
Primary Taxonomy207NS0135X
Provider Legal NameMARYANNA C TER POORTENCredential: MD
Location Address335 PENNY LNConcord, NC 28025-1221
Mailing Address335 Penny LnConcord, NC 28025-1221 · (704) 784-5901 · Fax (704) 721-0413
Fax(704) 721-0413
Sole ProprietorNo
Enumeration DateDecember 19, 2005
Last NPPES UpdateFebruary 12, 2009
NPI 1477539724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License Licensed in NC · 2003-00893
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
335 PENNY LN, Concord, NC 28025

Other Identifiers 4

OtherP00232695NC · Medicare Railroad
Medicaid89134VKNC
Medicare PIN1434NC
Medicare UPINH88863NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Maryanna C Ter Poorten 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

87.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.61
Promoting Interoperability100
Improvement Activities40

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.

Dermatology
335 PENNY LN
CONCORD, NC 28025
Pathology (Dermatopathology)
335 PENNY LN
CONCORD, NC 28025
Dermatology
335 PENNY LN
CONCORD, NC 28025
Dermatology
335 PENNY LN
CONCORD, NC 28025
Dermatology
335 PENNY LN
CONCORD, NC 28025
Dermatology
335 PENNY LN
CONCORD, NC 28025
Dermatology
335 PENNY LN
CONCORD, NC 28025
Dermatology
335 PENNY LN
CONCORD, NC 28025

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 Maryanna Ter Poorten's NPI number?

The NPI number for Maryanna Ter Poorten is 1477539724. It was assigned to this individual provider in the NPPES registry on December 19, 2005.

Where is Maryanna Ter Poorten located?

Maryanna Ter Poorten practices at 335 Penny Ln, Concord, NC 28025. The listed phone number is (704) 784-5901.

What is Maryanna Ter Poorten's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Maryanna Ter Poorten enrolled in Medicare?

Yes. Maryanna Ter Poorten is registered in the Medicare PECOS enrollment system.

What insurance does Maryanna Ter Poorten accept?

Health plans from Blue Cross and Blue Shield of NC list Maryanna Ter Poorten 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 Maryanna Ter Poorten was last updated on February 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.