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Deactivated NPI 1700992625 Deactivated / Inactive NPI Male Practitioner

Dr. Terry Wayne Ebert , MD

Specialist • Munster, IN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Terry Ebert has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 22, 2006
NPI Deactivation Date January 08, 2026
Total Practice Duration ~20 Years of Practice (2006 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Terry Ebert, MD was a registered Specialist practicing in Munster, IN. Throughout an active medical career spanning 20 years, Dr. Ebert provided care at the practice location at 509 RIDGE RD until profile deactivation on 2026-01-08.

Historical Medicare Part B clinical services included established patient outpatient office visit, shaving of skin growth of body, arms, or legs, 1.1-2.0 cm, new patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

509 Ridge Rd
Suite 1

Munster, IN 463211643

Telephone 2198361050
Fax 2198364969
Associated Practice Facility / Clinic
🏢 Terry Ebert, Md, Inc Facility NPI 1417173717

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Munster, IN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 39.7 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
11 Specialists

Practicing in Munster, IN (456 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
50 46 $65.00 $40.14

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IN 01022150A

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. David Radovich , DDS

Dentist - General Practice

NPI 1972646461

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 08, 2026

Record deactivated on January 08, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 509 RIDGE RD, SUITE 1, MUNSTER, IN 463211643 (Tel: 2198361050)

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Updated Business Mailing Address July 08, 2007

Registered at 509 RIDGE RD, SUITE 1, MUNSTER, IN 463211643 (Tel: 2198361050)

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Provider Name / Credentials Updated July 08, 2007

Recorded as TERRY EBERT, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #01022150A in IN)

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Initial NPI Registration & Enumeration August 22, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700992625
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2006
Last Update: July 08, 2007
Deactivation Date: January 08, 2026

Mailing Address

509 Ridge Rd, Suite 1

Munster, IN 463211643

Phone: 2198361050

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.