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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: August 16, 2026.

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

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 Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

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.

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.

What insurance does Teodoro Medina accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) 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 43 days 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.