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: July 19, 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
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

Other Identifiers 4

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

Accepted 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Adm sarscv2 30mcg trs-sucr b 0054A
This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.
179 services178 patients
Fee covid-19 vac 13 res 0124A
The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.
154 services154 patients
Adm sarscov2 50mcg/0.25mlbst 0064A
This procedure involves administering a dose of a SARS-CoV-2 vaccine. The specific dosage is 50 micrograms in a 0.25 milliliter booster shot. This vaccine helps your body build immunity against the COVID-19 virus. It's a key part of global efforts to control the pandemic.
80 services80 patients
Fee covid-19 vac 14 res 0134A
The "Fee covid-19 vac 14 res" refers to a charge for a specific service related to the COVID-19 vaccine. This could be for administering the vaccine or related care. It's crucial to get vaccinated to protect against the virus. The fee ensures quality service.
17 services17 patients

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.

Pediatrics
555 REDBIRD CIR, SUITE 200
DE PERE, WI 54115
Pediatrics
555 REDBIRD CIR
DE PERE, WI 54115
Internal Medicine
555 REDBIRD CIR, SUITE 300
DE PERE, WI 54115
Nurse Practitioner (Family)
555 REDBIRD CIR, SUITE 200
DE PERE, WI 54115
Internal Medicine
555 REDBIRD CIR, SUITE 300
DE PERE, WI 54115
Family Medicine
555 REDBIRD CIR, STE 300
DE PERE, WI 54115
Pediatrics
555 REDBIRD CIR
DE PERE, WI 54115
Pediatrics
555 REDBIRD CIR
DE PERE, WI 54115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235149139, enumerated as an "individual" on August 09, 2006.

The provider is located at 555 REDBIRD CIR SUITE 200 DE PERE, WI 54115 and the phone number is (920) 338-6820.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to verify.