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JUAN MARTIN TERAN PLASENCIA M.D.
NPI 1538693791
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since April 14, 2017PECOS EnrolledAccepts Medicare Assignment
725 ALBANY ST FL 9, BOSTON, MA 02118(617) 414-4290(617) 414-4285 Get Directions Write a Review

NPPES record last updated: June 19, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 5, 2024, Jun 19, 2020, Nov 21, 2017 and 1 more (4 updates tracked since 2017).

About Juan Martin Teran Plasencia M.d. NPPES

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

JUAN MARTIN TERAN PLASENCIA M.D. (NPI 1538693791) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and maintains a secondary practice location in Boston.

NPPES Registry Identity

NPI1538693791
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUAN MARTIN TERAN PLASENCIACredential: M.D.
Location Address725 ALBANY ST FL 9Boston, MA 02118-3549
Mailing Address1 Boston Medical Ctr PlBoston, MA 02118-2908 · (617) 414-4290 · Fax (617) 414-4285
Phone(617) 414-4290
Fax(617) 414-4285
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 14, 2017
Last NPPES UpdateJune 19, 20204 updates tracked since enumeration
NPPES CertifiedJune 19, 2020
✔ NPI 1538693791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
725 ALBANY ST FL 9, Boston, MA 02118
Open in Google Maps ↗

Secondary Practice Location 1

Location 1725 Albany St Fl 9Boston, MA 02118-3549 · Phone (617) 414-4290 · Fax (617) 414-4285

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Blue Cross and Blue Shield of Nebraska and more.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

Juan Martin Teran Plasencia 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 ID244573400
PECOS Enrollment IDI20230824001190
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 Juan Teran Plasencia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unmc Physicians
1,293 mi
Multi-Specialty
988102 NEBRASKA MEDICAL CTR
Omaha, NE 68198
  • Reassigned Medicare billing, Nebraska enrollment
  • 2,154 clinicians in this Medicare group
NPI 1417912114 (402) 552-3739

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
59 services28 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.
27 services19 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number280013
Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County
Emergency services Birthing friendly

Bellevue Medical Center, LLC

Acute Care Hospitals · Bellevue, NE
5/5 CMS rating
OwnershipProprietary
CMS Certification Number280132
Location2500 Bellevue Medical Center DrBellevue, NE 68123 · Sarpy County
Emergency services

Other Providers at the Same Location NPPES 5

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

DR. ANGELA L MCLAUGHLIN MD
Internal Medicine
725 ALBANY ST FL 9
BOSTON, MA 02118
Suffolk County (617) 414-4290
MEGAN ELIZABETH MOORE MD
Student in an Organized Health Care Education/Training Program
725 ALBANY ST FL 9
BOSTON, MA 02118
Suffolk County (617) 638-7480
WEI HE M.D.
Internal Medicine (Pulmonary Disease)
725 ALBANY ST FL 9
BOSTON, MA 02118
Suffolk County (617) 638-7480
EDUARDO RAMON NUNEZ M.D.
Internal Medicine
725 ALBANY ST FL 9
BOSTON, MA 02118
Suffolk County (617) 638-7480
EMILY CETRONE MD
Internal Medicine
725 ALBANY ST FL 9
BOSTON, MA 02118
Suffolk County (617) 414-4639

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 Juan Teran Plasencia's NPI number?

The NPI number for Juan Teran Plasencia is 1538693791. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Juan Teran Plasencia located?

Juan Teran Plasencia practices at 725 Albany St Fl 9, Boston, MA 02118. The listed phone number is (617) 414-4290.

What is Juan Teran Plasencia's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Juan Teran Plasencia enrolled in Medicare?

Yes. Juan Teran Plasencia 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 organization bills Medicare for Juan Teran Plasencia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Teran Plasencia reassigns Medicare benefits to Unmc Physicians (Omaha, NE). 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 Juan Teran Plasencia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Teran Plasencia accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company and 2 other insurers list Juan Teran Plasencia 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.

Is Juan Teran Plasencia affiliated with any hospitals?

According to CMS data, Juan Teran Plasencia is affiliated with The Nebraska Medical Center and Bellevue Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Juan Teran Plasencia was last updated on June 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.