TEODORO MEDINA M.D.
NPI 1093852113
General Practice in Tavares, FL

Q: What is Teodoro Medina's NPI number?

The NPI number for Teodoro Medina is 1093852113. It was assigned to this individual provider in the NPPES registry on January 30, 2007. The provider is also known as Teodoro Medina Montano MD.

Q: What is Teodoro Medina's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Teodoro Medina was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment

1729 DAVID WALKER DR, TAVARES, FL 32778(352) 508-4455 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 9, 2026, Dec 8, 2017, Jul 1, 2016 (3 updates tracked since 2016).

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About Teodoro Medina M.d. NPPES

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

TEODORO MEDINA M.D. (NPI 1093852113) is an individual general practice provider in Tavares, Florida, licensed in Florida (ACN 793) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1093852113

Entity TypeIndividualMale

Primary Taxonomy208D00000X

Provider Legal NameTEODORO MEDINACredential: M.D.

Location Address1729 DAVID WALKER DRTavares, FL 32778-5745

Mailing Address601 S Harbour Island Blvd Ste 200Tampa, FL 33602-5925 · (727) 322-3439

Phone(352) 508-4455

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJanuary 30, 2007

Last NPPES UpdateJuly 9, 20263 updates tracked since enumeration

NPPES CertifiedJuly 9, 2026

✔ NPI 1093852113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in FL · ACN 793✔ Licensed in PR · 14489

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1729 DAVID WALKER DR, Tavares, FL 32778

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Other Names 1

Other Name (5)Teodoro Medina Montano Md

Other Identifiers 1

OtherTW49TFL · Fl Blue

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Teodoro Medina 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 ID5890785463

PECOS Enrollment IDI20160720002795

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

Medicare enrollment records show Teodoro Medina reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Medical Associates LLC

19 mi

Primary Care

13940 N US HIGHWAY 441 STE 102
Lady Lake, FL 32159

Reassigned Medicare billing, Florida enrollment
177 clinicians in this Medicare group

NPI 1336153709 (352) 751-9900

Roy H Hinman MD PA

78 mi

Family Medicine

100 ARRICOLA AVENUE
St Augustine, FL 32080

Reassigned Medicare billing, Florida enrollment
82 clinicians in this Medicare group

NPI 1649383845 (904) 825-4368

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 2

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.

68 services31 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.

39 services17 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBRA BABCOCK ARNP

Nurse Practitioner (Family)

1729 DAVID WALKER DR
TAVARES, FL 32778

Lake County (352) 508-4455

DR. JOHN THOMAS WATSON M.D.

Family Medicine

1729 DAVID WALKER DR
TAVARES, FL 32778

Lake County (352) 508-4455

SANDRA F DAWSON NP

Nurse Practitioner (Family)

1729 DAVID WALKER DR
TAVARES, FL 32778

Lake County (352) 508-4455

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 Teodoro Medina's NPI number?

The NPI number for Teodoro Medina is 1093852113. It was assigned to this individual provider in the NPPES registry on January 30, 2007. The provider is also known as Teodoro Medina Montano MD.

Where is Teodoro Medina located?

Teodoro Medina practices at 1729 David Walker Dr, Tavares, FL 32778. The listed phone number is (352) 508-4455.

What is Teodoro Medina's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Teodoro Medina enrolled in Medicare?

Yes. Teodoro Medina 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 Teodoro Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teodoro Medina reassigns Medicare benefits to 2 organizations: Florida Medical Associates LLC (Lady Lake, FL) and Roy H Hinman MD PA (St Augustine, FL). 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 Teodoro Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Teodoro Medina accept?

Health plans from UnitedHealthcare list Teodoro Medina 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 Teodoro Medina was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.