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SHELBY A TERSTRIEP M.D.
NPI 1578536728
Internal Medicine - Hematology & Oncology in Fargo, NC

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
82.99/100
CMS Quality Rating
820 4 STREET NORTH, FARGO, NC 58122(701) 234-2397(701) 234-3861 Get Directions Write a Review

NPPES record last updated: November 14, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shelby A Terstriep M.d. NPPES

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

SHELBY A TERSTRIEP M.D. (NPI 1578536728) is an individual hematology & oncology provider in Fargo, North Carolina, licensed in North Dakota (10689) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Sanford Bemidji Medical Center, and is a graduate of University Of Missouri, Kansas City, School Of Medicine (2001).

NPPES Registry Identity

NPI1578536728
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameSHELBY A TERSTRIEPCredential: M.D.
Location Address820 4 STREET NORTHFargo, NC 58122
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(701) 234-2397
Fax(701) 234-3861
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2001
Enumeration DateFebruary 8, 2006
Last NPPES UpdateNovember 14, 2019
✔ NPI 1578536728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in ND · 10689✔ Licensed in MN · 44845
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal Medicine · Medical OncologyTaxonomy 207RX0202X · License 10689 (ND)
820 4 STREET NORTH, Fargo, NC 58122
Open in Google Maps ↗

Other Identifiers 7

Medicaid14402ND
Medicaid350433600MN
Other3600840Medica
OtherHEALTHPARTNERSHp62138
Other1052299Preferredone
Other28864ND · Nd Bcbs
Other0T949TEMN · Mn Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan, Security Health Plan.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

Shelby A Terstriep 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 ID5496730210
PECOS Enrollment IDI20040623001627, I20071211000029
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 Reassignments

2

Medicare enrollment records show Shelby Terstriep reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sanford Medical Center Fargo
16 mi
Family Medicine
1220 SHEYENNE ST
West Fargo, ND 58078
  • Reassigned Medicare billing, Minnesota and North Dakota enrollments
  • 376 clinicians in this Medicare group
NPI 1184917924 (701) 234-4445
Lutheran Charity Association
72 mi
Multi-Specialty
2422 20TH ST SW
Jamestown, ND 58401
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1548256753 (North Dakota)
  • 95 clinicians in this Medicare group
NPI 1073569794 (701) 252-1050

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 7

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.

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.
209 services115 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
74 services45 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services31 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients
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.
22 services14 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.
21 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Bemidji Medical Center

Acute Care Hospitals · Bemidji, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240100
Location1300 Anne St NWBemidji, MN 56601 · Beltrami County
Emergency services Birthing friendly

Perham Health

Critical Access Hospitals · Perham, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241373
Location1000 Coney Street WestPerham, MN 56573 · Otter Tail County
Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Carrington Health Center

Critical Access Hospitals · Carrington, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351318
LocationPO Box 461Carrington, ND 58421 · Foster County
Emergency services

Jamestown Regional Medical Center

Critical Access Hospitals · Jamestown, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number351335
Location2422 20th St SWJamestown, ND 58401 · Stutsman County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58122 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
$168.12 typical visit price
range $55.75 – $168.12
Typical copayment $42.03 (range $13.93 – $42.03)
Most-billed visit code 99205
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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.

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.

82.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.06
Promoting Interoperability99
Improvement Activities40
Cost57.08

Referred Medical Equipment & Supplies CMS DME claims 3

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

Capecitabine, oral, 500 mg J8521
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier18 claims1,512 services$0.64 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
4 suppliers18 claims39 services$32.52 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier16 claims16 services$17.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Shelby Terstriep's NPI number?

The NPI number for Shelby Terstriep is 1578536728. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Shelby Terstriep located?

Shelby Terstriep practices at 820 4 Street North, Fargo, NC 58122. The listed phone number is (701) 234-2397.

What is Shelby Terstriep's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Shelby Terstriep enrolled in Medicare?

Yes. Shelby Terstriep 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 organizations bill Medicare for Shelby Terstriep's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Terstriep reassigns Medicare benefits to 2 organizations: Sanford Medical Center Fargo (West Fargo, ND) and Lutheran Charity Association (Jamestown, ND). Each 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 Shelby Terstriep's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Terstriep accept?

Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Shelby Terstriep 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 Shelby Terstriep affiliated with any hospitals?

According to CMS data, Shelby Terstriep is affiliated with Sanford Bemidji Medical Center, Perham Health, Sanford Medical Center Fargo, Carrington Health Center and Jamestown Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shelby Terstriep was last updated on November 14, 2019. 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.