MR. JEFFREY R TEDROW M.D.
NPI 1548282064
Family Medicine in Warsaw, MO

Q: What is Jeffrey Tedrow's NPI number?

The NPI number for Jeffrey Tedrow is 1548282064. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Jeffrey Tedrow's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Tedrow was last updated on May 26, 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.

Active since July 24, 2006PECOS EnrolledAccepts Medicare Assignment

17571 N DAM ACCESS RD, WARSAW, MO 65355(660) 438-2717(660) 827-8992 Get Directions Write a Review

NPPES record last updated: May 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 26, 2020, Aug 8, 2019 (2 updates tracked since 2019).

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About Mr. Jeffrey R Tedrow M.d. NPPES

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

MR. JEFFREY R TEDROW M.D. (NPI 1548282064) is an individual family medicine provider in Warsaw, Missouri, licensed in Missouri (R3M74) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Citizens Memorial Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1548282064

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMR. JEFFREY R TEDROWCredential: M.D.

Location Address17571 N DAM ACCESS RDWarsaw, MO 65355-6396

Mailing Address821 Westwood DrSedalia, MO 65301-2102 · (660) 826-4774 · Fax (660) 827-8992

Phone(660) 438-2717

Fax(660) 827-8992

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJuly 24, 2006

Last NPPES UpdateMay 26, 20202 updates tracked since enumeration

NPPES CertifiedMay 26, 2020

✔ NPI 1548282064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · R3M74

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

17571 N DAM ACCESS RD, Warsaw, MO 65355

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Other Identifiers 2

Other113190MO · Bcbs Mo #

Medicaid202868501MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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

Mr. Jeffrey R Tedrow 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 ID6507774486

PECOS Enrollment IDI20100928001551

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.

Hospital Affiliations CMS Care Compare

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

Citizens Memorial Hospital

Acute Care Hospitals · Bolivar, MO

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number260195

Location1500 N OaklandBolivar, MO 65613 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65355 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers12 claims34 services$3.79 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers13 claims20 services$0.71 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier12 claims2,400 services$1.68 avg. paid by Medicare

Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425

DME-Orthotic Devices · category DF010N

1 supplier11 claims220 services$3.46 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier11 claims11 services$859.00 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers11 claims11 services$23.69 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

REGIONAL HEALTH CARE CLINIC INC

Clinic/Center (Federally Qualified Health Center (FQHC))