DR. ALEXANDRA LYNN TEPKASETKUL DO
NPI 1770013203
Psychiatry & Neurology - Psychiatry in Lebanon, NH

Active since June 18, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1 MEDICAL CENTER DR, LEBANON, NH 03756(603) 650-5000 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 19, 2025, Jul 28, 2022, Jul 21, 2022 and 5 more (8 updates tracked since 2017).

About Dr. Alexandra Lynn Tepkasetkul Do NPPES

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

DR. ALEXANDRA LYNN TEPKASETKUL DO (NPI 1770013203) is an individual psychiatry provider in Lebanon, New Hampshire, licensed in Michigan (5101026453) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1770013203
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. ALEXANDRA LYNN TEPKASETKULCredential: DO
Location Address1 MEDICAL CENTER DRLebanon, NH 03756-1000
Mailing Address1 Medical DrLebanon, NH 03756-1000 · (603) 650-5000
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2017
Enumeration DateJune 18, 2017
Last NPPES UpdateDecember 19, 20258 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
NPI 1770013203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in MI · 5101026453 Licensed in MI · 5151013197 Licensed in MI · 5101023326
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1 MEDICAL CENTER DR, Lebanon, NH 03756

Secondary Practice Locations 4

Location 14230 Copper Ridge DrTraverse City, MI 49684-7256 · Phone (231) 935-6380
Location 21105 Sixth St Ste D6Traverse City, MI 49684-2345 · Phone (231) 935-6380 · Fax (231) 935-6920
Location 3385 Leonard St NEGrand Rapids, MI 49503-1129 · Phone (616) 301-8000
Location 4300 68th Street SE, Pine Rest Christian Mental Health ServicesGrand Rapids, MI 49548 · Phone (616) 456-0842 · Fax (616) 559-5864

Accepted 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

Dr. Alexandra Lynn Tepkasetkul Do 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 ID4587934096
PECOS Enrollment IDI20211231000025
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.

Areas of Expertise CMS Part B claims 3

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.
128 services38 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.
18 services11 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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230097
Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03756 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
$174.26 typical visit price
range $57.75 – $174.26
Typical copayment $43.56 (range $14.43 – $43.56)
Most-billed visit code 99205
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

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

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 (Family)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF OCCUPATION MEDICINE
LEBANON, NH 03756
Pharmacist (Oncology)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Internal Medicine
1 MEDICAL CENTER DR, DHMC SECTION OF HOSPITAL MEDICINE
LEBANON, NH 03756
Otolaryngology
1 MEDICAL CENTER DR, OTOLARYNGOLOGY
LEBANON, NH 03756
Colon & Rectal Surgery
1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT
LEBANON, NH 03756
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Internal Medicine (Cardiovascular Disease)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756

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 Alexandra Tepkasetkul's NPI number?

The NPI number for Alexandra Tepkasetkul is 1770013203. It was assigned to this individual provider in the NPPES registry on June 18, 2017.

Where is Alexandra Tepkasetkul located?

Alexandra Tepkasetkul practices at 1 Medical Center Dr, Lebanon, NH 03756. The listed phone number is (603) 650-5000.

What is Alexandra Tepkasetkul's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Alexandra Tepkasetkul enrolled in Medicare?

Yes. Alexandra Tepkasetkul 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.

What insurance does Alexandra Tepkasetkul accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Alexandra Tepkasetkul 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 Alexandra Tepkasetkul affiliated with any hospitals?

According to CMS data, Alexandra Tepkasetkul is affiliated with Munson Medical Center.

When was this NPI record last updated?

The NPPES record for Alexandra Tepkasetkul was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.