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DR. HERMAN RICARDO MATALLANA DO
NPI 1205982931
Otolaryngology - Plastic Surgery within the Head & Neck in Lakeland, FL

Active since January 26, 2007PECOS EnrolledAccepts Medicare Assignment
5420 STRICKLAND AVE, LAKELAND, FL 33812(863) 701-9510(863) 701-9518 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Herman Ricardo Matallana Do NPPES

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

DR. HERMAN RICARDO MATALLANA DO (NPI 1205982931) is an individual plastic surgery within the head & neck provider in Lakeland, Florida, licensed in Florida (OS7773) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Winter Haven Hospital, and is a graduate of Kansas City University Of Physicians And Surgeons (1996).

NPPES Registry Identity

NPI1205982931
Entity TypeIndividualMale
Primary Taxonomy207YX0007X
Provider Legal NameDR. HERMAN RICARDO MATALLANACredential: DO
Location Address5420 STRICKLAND AVELakeland, FL 33812-4264
Mailing Address5420 Strickland AveLakeland, FL 33812-4264 · (863) 701-9510 · Fax (863) 701-9518
Phone(863) 701-9510
Fax(863) 701-9518
Sole ProprietorYes
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 1996
Enumeration DateJanuary 26, 2007
Last NPPES UpdateJuly 26, 2016
✔ NPI 1205982931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Plastic Surgery within the Head & NeckAllopathic & Osteopathic Physicians
Taxonomy Code207YX0007X
License✔ Licensed in FL · OS7773
Definition
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Also ListedOtolaryngology · Otolaryngic AllergyTaxonomy 207YX0602X · License OS7773 (FL)
5420 STRICKLAND AVE, Lakeland, FL 33812
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Other Identifiers 3

Medicaid264722200FL
Medicare UPINH66521FL
Medicare ID-Type Unspecified17406FL · Provider #

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Molina Healthcare, UnitedHealthcare and more.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

Dr. Herman Ricardo Matallana Do 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 ID446249718
PECOS Enrollment IDI20040511000920
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 8

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 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.
105 services67 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
60 services60 patients
Test to assess middle ear function 92567
A test to assess middle ear function, also known as an impedance audiometry, helps evaluate how well your middle ear works. It measures the movement of your eardrum in response to changes in air pressure. This can help identify issues like fluid build-up, ear infections, or eardrum perforations.
40 services36 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
23 services19 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
19 services13 patients
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.
16 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Winter Haven Hospital

Acute Care Hospitals · Winter Haven, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100052
Location200 Ave F NEWinter Haven, FL 33881 · Polk County
Emergency services Birthing friendly

Bartow Regional Medical Center

Acute Care Hospitals · Bartow, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100121
Location2200 Osprey BlvdBartow, FL 33831 · Polk County
Emergency services

Other Providers at the Same Location NPPES

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

HERMAN R MATALLANA DO PA
Otolaryngology (Facial Plastic Surgery)
5420 STRICKLAND AVE
LAKELAND, FL 33812
Polk County (863) 701-9510

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 Herman Matallana's NPI number?

The NPI number for Herman Matallana is 1205982931. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Herman Matallana located?

Herman Matallana practices at 5420 Strickland Ave, Lakeland, FL 33812. The listed phone number is (863) 701-9510.

What is Herman Matallana's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Plastic Surgery within the Head & Neck, with taxonomy code 207YX0007X.

Is Herman Matallana enrolled in Medicare?

Yes. Herman Matallana 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 Herman Matallana accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Molina Healthcare, UnitedHealthcare and Wellpoint list Herman Matallana 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 Herman Matallana affiliated with any hospitals?

According to CMS data, Herman Matallana is affiliated with Winter Haven Hospital and Bartow Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Herman Matallana was last updated on July 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.