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THEODORA BRANDON MD
NPI 1194102616
Internal Medicine in Altamonte Springs, FL

Active since May 05, 2015PECOS EnrolledAccepts Medicare Assignment
140 N WESTMONTE DR STE 1000, ALTAMONTE SPRINGS, FL 32714(407) 862-4500(407) 862-1173 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 8, 2021, Sep 10, 2019 (2 updates tracked since 2019).

About Theodora Brandon Md NPPES

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

THEODORA BRANDON MD (NPI 1194102616) is an individual internal medicine provider in Altamonte Springs, Florida, licensed in Florida (ME140054) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1194102616
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTHEODORA BRANDONCredential: MD
Location Address140 N WESTMONTE DR STE 1000Altamonte Springs, FL 32714-3303
Mailing Address140 N Westmonte Dr Ste 1000Altamonte Springs, FL 32714-3303 · (407) 862-4500 · Fax (407) 862-1173
Phone(407) 862-4500
Fax(407) 862-1173
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 5, 2015
Last NPPES UpdateSeptember 28, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2023
✔ NPI 1194102616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in FL · ME140054✔ Licensed in CA · A175427
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License ME140054 (FL), A175427 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
140 N WESTMONTE DR STE 1000, Altamonte Springs, FL 32714
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Accepted Insurance

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

Theodora Brandon Md 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 ID6800124389
PECOS Enrollment IDI20190821002988
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

3

Medicare enrollment records show Theodora Brandon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vmd Primary Providers Central Florida PLLC
29 mi
Family Medicine
4501 13TH ST
Saint Cloud, FL 34769
  • Reassigned Medicare billing, Florida enrollment
  • 151 clinicians in this Medicare group
NPI 1134738974 (407) 798-8800
Optumcare Florida LLC
84 mi
General Practice
5130 SUNFOREST DR STE 300
Tampa, FL 33634
  • Reassigned Medicare billing, Florida enrollment
  • 315 clinicians in this Medicare group
NPI 1053384214 (727) 824-0780
University Of Miami
148 mi
Ambulatory Surgical
7103 FAIRWAY DR
Palm Beach Gardens, FL 33418
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1346317039 (561) 515-1500

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.
63 services38 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32714 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Theodora Brandon's NPI number?

The NPI number for Theodora Brandon is 1194102616. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Where is Theodora Brandon located?

Theodora Brandon practices at 140 N Westmonte Dr Ste 1000, Altamonte Springs, FL 32714. The listed phone number is (407) 862-4500.

What is Theodora Brandon's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Theodora Brandon enrolled in Medicare?

Yes. Theodora Brandon 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 Theodora Brandon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodora Brandon reassigns Medicare benefits to 3 organizations: Vmd Primary Providers Central Florida PLLC (Saint Cloud, FL), Optumcare Florida LLC (Tampa, FL) and University Of Miami (Palm Beach Gardens, 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 Theodora Brandon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodora Brandon accept?

Health plans from Molina Healthcare list Theodora Brandon 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 Theodora Brandon affiliated with any hospitals?

According to CMS data, Theodora Brandon is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Theodora Brandon was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.