MARYANNA C TER POORTEN MD
NPI 1477539724
Dermatology - Procedural Dermatology in Concord, NC
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
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Maryanna C Ter Poorten Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Maryanna Ter Poorten reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Concord, NC 28025
- Reassigned Medicare billing, North Carolina enrollment
- 25 clinicians in this Medicare group
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 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.
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.
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.
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.
Which organization bills Medicare for Maryanna Ter Poorten's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maryanna Ter Poorten reassigns Medicare benefits to Dermatology Group Of The Carolinas (Concord, NC). 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 Maryanna Ter Poorten's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Maryanna Ter Poorten accept?
Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare 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.
# Maryanna C Ter Poorten, MD · NPI 1477539724
Procedural Dermatology physician in Concord, North Carolina. Individual provider, active in the CMS NPPES registry since December 19, 2005.
## Identity
- **NPI:** 1477539724 (Entity type: Individual)
- **Enumerated:** December 19, 2005
- **Primary specialty:** Dermatology - Procedural Dermatology · taxonomy 207NS0135X
- **State license:** 2003-00893 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 335 PENNY LN, Concord, NC 28025-1221
- **Phone:** (704) 784-5901 · **Fax:** (704) 721-0413
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dermatology Group Of The Carolinas (NPI 1437110772, Concord, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 12, 2009
- **Other identifiers:** Other P00232695 (NC); Medicaid 89134VK (NC); Medicare PIN 1434 (NC); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1477539724) · Data from the CMS NPPES public registry.