Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DOMINICK TEDESCHI DO
NPI 1720778558
Family Medicine in Jasper, IN

Q: What is Dominick Tedeschi's NPI number?

The NPI number for Dominick Tedeschi is 1720778558. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Q: What is Dominick Tedeschi'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 Dominick Tedeschi was last updated on July 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 15, 2023PECOS Enrolled

966 BARTLEY ST, JASPER, IN 47546(812) 996-7810 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2026, May 15, 2023 (2 updates tracked since 2023).

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About Dominick Tedeschi Do NPPES

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

DOMINICK TEDESCHI DO (NPI 1720778558) is an individual family medicine provider in Jasper, Indiana, licensed in Indiana (02009224A) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720778558

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDOMINICK TEDESCHICredential: DO

Location Address966 BARTLEY STJasper, IN 47546-2641

Mailing Address966 Bartley StJasper, IN 47546-2641 · (812) 996-7810

Phone(812) 996-7810

Sole ProprietorNo

Enumeration DateMay 15, 2023

Last NPPES UpdateJuly 7, 20262 updates tracked since enumeration

NPPES CertifiedJuly 7, 2026

✔ NPI 1720778558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IN · 02009224A

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.

966 BARTLEY ST, Jasper, IN 47546

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dominick Tedeschi Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47546 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

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