Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TERENCE YOUNG M.D.
NPI 1639274491
Obstetrics & Gynecology in Carmel, IN

Active since September 14, 2006PECOS EnrolledAccepts Medicare Assignment
78.37/100
CMS Quality Rating
11725 ILLINOIS ST, CARMEL, IN 46032(317) 688-5200 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 4, 2026, Aug 24, 2023, Sep 28, 2020 (3 updates tracked since 2020).

About Terence Young M.d. NPPES

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

TERENCE YOUNG M.D. (NPI 1639274491) is an individual obstetrics & gynecology provider in Carmel, Indiana, licensed in Indiana (01091120A) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Washington University School Of Medicine (1996).

NPPES Registry Identity

NPI1639274491
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameTERENCE YOUNGCredential: M.D.
Location Address11725 ILLINOIS STCarmel, IN 46032-3008
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1996
Enumeration DateSeptember 14, 2006
Last NPPES UpdateSeptember 4, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1639274491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in IN · 01091120A✔ Licensed in OH · 35.140168
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
11725 ILLINOIS ST, Carmel, IN 46032

Secondary Practice Locations 2

Location 1101 Looney RdPiqua, OH 45356-4153 · Phone (937) 615-9601 · Fax (937) 615-9602
Location 2960 S Prospect StMarion, OH 43302-6225 · Phone (740) 383-2776 · Fax (740) 383-2978

Other Identifiers 2

Medicaid0418884OH
Medicaid300134930IN

Accepted 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

Terence Young 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 ID7012802895
PECOS Enrollment IDI20040219000780, I20201012001316
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

8

Medicare enrollment records show Terence Young reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Urology
112 S MAIN ST
Middletown, OH 45044
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
Surgery
3130 N COUNTY ROAD 25-A
Troy, OH 45373
  • Reassigned Medicare billing, Ohio enrollment
  • 154 clinicians in this Medicare group
Neonatal-Perinatal Medicine
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 47 clinicians in this Medicare group
Surgery
4600 MCAULEY PL STE 600
Blue Ash, OH 45242
  • Reassigned Medicare billing, Ohio enrollment
  • 481 clinicians in this Medicare group
Obstetrics & Gynecology
3249 OAK PARK AVE
Berwyn, IL 60402
  • Reassigned Medicare billing, Illinois enrollment
  • 219 clinicians in this Medicare group
Internal Medicine
1040 DELAWARE AVE
Marion, OH 43302
  • Reassigned Medicare billing, Ohio enrollment
  • 423 clinicians in this Medicare group
Obstetrics & Gynecology
1320 MERCY DR NW
Canton, OH 44708
  • Reassigned Medicare billing, Ohio enrollment
  • 76 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.

Areas of Expertise CMS Part B claims

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 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.
65 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

78.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.63
Promoting Interoperability100
Improvement Activities40
Cost52.29

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.

Nurse Practitioner (Women's Health)
11725 ILLINOIS ST
CARMEL, IN 46032
Obstetrics & Gynecology (Obstetrics)
11725 ILLINOIS ST
CARMEL, IN 46032
Obstetrics & Gynecology
11725 ILLINOIS ST
CARMEL, IN 46032
Obstetrics & Gynecology
11725 ILLINOIS ST
CARMEL, IN 46032
Obstetrics & Gynecology (Obstetrics)
11725 ILLINOIS ST
CARMEL, IN 46032
Internal Medicine (Gastroenterology)
11725 ILLINOIS ST, STE 275
CARMEL, IN 46032
Advanced Practice Midwife
11725 ILLINOIS ST
CARMEL, IN 46032
Surgery
11725 ILLINOIS ST
CARMEL, IN 46032

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 Terence Young's NPI number?

The NPI number for Terence Young is 1639274491. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Terence Young located?

Terence Young practices at 11725 Illinois St, Carmel, IN 46032. The listed phone number is (317) 688-5200.

What is Terence Young's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Terence Young enrolled in Medicare?

Yes. Terence Young 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 Terence Young's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Terence Young reassigns Medicare benefits to 8 organizations: Iu Health Medical Group, LLC (Indianapolis, IN), Premier Health Specialists Inc (Middletown, OH), Uvpc Specialists Inc. (Troy, OH), Pediatrix Medical Group Of Ohio Corp (Dayton, OH), Mercy Health Physicians Cincinnati Specialty Care LLC (Blue Ash, OH) and 3 more organizations, listed in the Medicare section above. 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 Terence Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Terence Young accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Terence Young 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 Terence Young was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.