DR. THEODORE H TERUYA MD
NPI 1538233572
Surgery - Vascular Surgery in Loma Linda, CA

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
85.71/100
CMS Quality Rating
11370 ANDERSON ST, SUITE 2100, LOMA LINDA, CA 92354(909) 558-2126(909) 558-2401 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Theodore H Teruya Md NPPES

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

DR. THEODORE H TERUYA MD (NPI 1538233572) is an individual vascular surgery provider in Loma Linda, California, licensed in California (A71912) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Pasadena, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (1995).

NPPES Registry Identity

NPI1538233572
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. THEODORE H TERUYACredential: MD
Location Address11370 ANDERSON ST, SUITE 2100Loma Linda, CA 92354-3450
Mailing Address11370 Anderson St, Suite 2100Loma Linda, CA 92354-3450 · (909) 558-2126 · Fax (909) 558-2401
Fax(909) 558-2401
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 1995
Enumeration DateNovember 20, 2006
Last NPPES UpdateJune 29, 2023
NPPES CertifiedJune 29, 2023
✔ NPI 1538233572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Licenses✔ Licensed in CA · A71912✔ Licensed in HI · 10795
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 10795 (HI)
11370 ANDERSON ST, Loma Linda, CA 92354

Secondary Practice Location 1

Location 110 Congress St Ste 210Pasadena, CA 91105-3027 · Phone (626) 995-4447

Other Identifiers 16

Other55759801Alohacare
Other990287995Uha
Other990287995Vet Admin
Other990287995Pac Admin
Other0000249011Hmsa
Medicaid55759801HI
Other990287995Aetna
Other990287995Cyrca
Other990287995Uhc
Other990287995Tricare
Other990287995Dmba
Other990287995Hmaa
Other990287995Hpmr
Other990287995Hma
OtherMD10795Mdx
Other517420Hma New

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Theodore H Teruya Md 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 ID8729043377
PECOS Enrollment IDI20050401000978
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.

Areas of Expertise CMS Part B claims 12

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
218 services215 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
80 services80 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
51 services48 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
49 services49 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.
43 services30 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
34 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92354 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

85.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.67
Promoting Interoperability100
Improvement Activities40
Cost61.47

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.

Social Worker (Clinical)
11370 ANDERSON ST
LOMA LINDA, CA 92354
Otolaryngology
11370 ANDERSON ST, SUITE 2100
LOMA LINDA, CA 92354
Urology
11370 ANDERSON ST, SUITE 1100
LOMA LINDA, CA 92354
Internal Medicine (Gastroenterology)
11370 ANDERSON ST, STE 3150
LOMA LINDA, CA 92354
Internal Medicine
11370 ANDERSON ST
LOMA LINDA, CA 92354
Psychiatry & Neurology (Neurology)
11370 ANDERSON ST, SUITE 2400
LOMA LINDA, CA 92354
Pediatrics (Neonatal-Perinatal Medicine)
11370 ANDERSON ST, STE B-100
LOMA LINDA, CA 92354
Dermatology (MOHS-Micrographic Surgery)
11370 ANDERSON ST, STE 2600
LOMA LINDA, CA 92354

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 Theodore Teruya's NPI number?

The NPI number for Theodore Teruya is 1538233572. It was assigned to this individual provider in the NPPES registry on November 20, 2006.

Where is Theodore Teruya located?

Theodore Teruya practices at 11370 Anderson St Suite 2100, Loma Linda, CA 92354. The listed phone number is (909) 558-2126.

What is Theodore Teruya's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Theodore Teruya enrolled in Medicare?

Yes. Theodore Teruya 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.

When was this NPI record last updated?

The NPPES record for Theodore Teruya was last updated on June 29, 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.