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TERESA LYNN MICOTTO M.D.
NPI 1932580388
Preventive Medicine - Aerospace Medicine in Jbsa Lackland, TX

Active since June 11, 2015PECOS Enrolled
1100 WILFORD HALL LOOP, ATTN: 59 MDW/SGHC, JBSA LACKLAND, TX 78236(210) 292-9556 Get Directions Write a Review

NPPES record last updated: October 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 10, 2023, Aug 2, 2018, Jul 9, 2018 and 2 more (5 updates tracked since 2016).

About Teresa Lynn Micotto M.d. NPPES

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

TERESA LYNN MICOTTO M.D. (NPI 1932580388) is an individual aerospace medicine provider in Jbsa Lackland, Texas, licensed in Nebraska (29639) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932580388
Entity TypeIndividualFemale
Primary Taxonomy2083A0100X
Provider Legal NameTERESA LYNN MICOTTOCredential: M.D.
Location Address1100 WILFORD HALL LOOP, ATTN: 59 MDW/SGHCJbsa Lackland, TX 78236-5638
Mailing Address1100 Wilford Hall Loop, Attn: 59 Mdw/sghcJbsa Lackland, TX 78236-5638 · (210) 292-9556
Phone(210) 292-9556
Sole ProprietorYes
Enumeration DateJune 11, 2015
Last NPPES UpdateOctober 10, 20235 updates tracked since enumeration
NPPES CertifiedOctober 10, 2023
✔ NPI 1932580388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Aerospace MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083A0100X
License✔ Licensed in NE · 29639
Definition
Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 29639 (NE)
1100 WILFORD HALL LOOP, Jbsa Lackland, TX 78236
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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)

Teresa Lynn Micotto M.d. 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 78236 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

DR. HENRY ANDREW FOERSTER DMD
Dentist (Periodontics)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-6990
HEIDI DEARBORN DO
Dermatology
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-5350
PARAMJIT BHULLAR MD
Ophthalmology (Cornea and External Diseases Specialist)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 916-9900
SARAH MCDONALD MD
Pediatrics
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-4277
DANIEL ALLAN WEIDNER DO
Emergency Medicine
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 292-3403
THOMAS BERNARD HOLLAND PSY. D
Psychologist (Clinical)
1100 WILFORD HALL LOOP
SAN ANTONIO, TX 78236
Bexar County (304) 702-5431
MICHELL ALEXANDRE LLERENA
Psychiatry & Neurology (Psychiatry)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 997-2060
MS. KIMBERLY K MORGAN APN
Nurse Practitioner (Family)
1100 WILFORD HALL LOOP
JBSA LACKLAND, TX 78236
Bexar County (210) 925-8318

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 Teresa Micotto's NPI number?

The NPI number for Teresa Micotto is 1932580388. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Teresa Micotto located?

Teresa Micotto practices at 1100 Wilford Hall Loop Attn: 59 Mdw/Sghc, Jbsa Lackland, TX 78236. The listed phone number is (210) 292-9556.

What is Teresa Micotto's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Aerospace Medicine, with taxonomy code 2083A0100X.

Is Teresa Micotto enrolled in Medicare?

Yes. Teresa Micotto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Teresa Micotto was last updated on October 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.