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MATTHEW R. THEADO M.D.
NPI 1235149139
Pediatrics in De Pere, WI

Active since August 09, 2006PECOS Enrolled
555 REDBIRD CIR, SUITE 200, DE PERE, WI 54115(920) 338-6820(920) 338-6829 Get Directions Write a Review

NPPES record last updated: October 11, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew R. Theado M.d. NPPES

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

MATTHEW R. THEADO M.D. (NPI 1235149139) is an individual pediatrics provider in De Pere, Wisconsin, licensed in Wisconsin (39636) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235149139
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameMATTHEW R. THEADOCredential: M.D.
Location Address555 REDBIRD CIR, SUITE 200De Pere, WI 54115-7977
Mailing Address555 Redbird Cir, Suite 200De Pere, WI 54115-7977 · (920) 338-6820 · Fax (920) 338-6829
Phone(920) 338-6820
Fax(920) 338-6829
Sole ProprietorNo
Enumeration DateAugust 9, 2006
Last NPPES UpdateOctober 11, 2011
✔ NPI 1235149139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WI · 39636
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
555 REDBIRD CIR, De Pere, WI 54115
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Other Identifiers 4

Medicaid32447000WI
Medicare OSCAR/certification073550090WI
Medicare UPING74053
Medicare ID-Type Unspecified004580034

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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 (PECOS)

Matthew R. Theado M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Other Providers at the Same Location NPPES 20

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

BOZENA J BIERNAT MD
Internal Medicine
555 REDBIRD CIR, SUITE 300
DE PERE, WI 54115
Brown County (920) 338-6870
CHARIS N CARTER DPT
Physical Therapist
555 REDBIRD CIR
DE PERE, WI 54115
Brown County (920) 338-6870
RONELLE M MOE MD
Internal Medicine
555 REDBIRD CIR, SUITE 300
DE PERE, WI 54115
Brown County (920) 338-6870
BELLIN PSYCHIATRIC CENTER INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
555 REDBIRD CIR
DE PERE, WI 54115
Brown County (920) 338-6830
BELLIN MEMORIAL HOSPITAL INC
Pediatrics
555 REDBIRD CIR
DE PERE, WI 54115
Brown County (920) 338-6820
COURTNEY M QUINN-SCOTT PT, DPT
Physical Therapist
555 REDBIRD CIR
DE PERE, WI 54115
Brown County (920) 338-6870
DR. RODERICK L MEVES MD
Internal Medicine
555 REDBIRD CIR
DE PERE, WI 54115
Brown County (920) 338-6870
ASHLEY LUCILLE DUDKA OTR
Occupational Therapist
555 REDBIRD CIR
DE PERE, WI 54115
Brown County (920) 338-6870

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 Matthew Theado's NPI number?

The NPI number for Matthew Theado is 1235149139. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Matthew Theado located?

Matthew Theado practices at 555 Redbird Cir Suite 200, De Pere, WI 54115. The listed phone number is (920) 338-6820.

What is Matthew Theado's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Matthew Theado enrolled in Medicare?

Yes. Matthew Theado is registered in the Medicare PECOS enrollment system.

What insurance does Matthew Theado accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Matthew Theado 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 Matthew Theado was last updated on October 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.