MR. THEODORE FRANK MATEJKA ARNP-BC
NPI 1396742490
Nurse Practitioner - Psychiatric/Mental Health in Daytona Beach, FL

Q: What is Theodore Matejka's NPI number?

The NPI number for Theodore Matejka is 1396742490. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Q: What is Theodore Matejka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Theodore Matejka was last updated on March 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since July 05, 2005PECOS EnrolledAccepts Medicare Assignment

1150 RED JOHN DR, DAYTONA BEACH, FL 32124(386) 236-1711(386) 226-0200 Get Directions Write a Review

NPPES record last updated: March 26, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Theodore Frank Matejka Arnp-bc NPPES

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

MR. THEODORE FRANK MATEJKA ARNP-BC (NPI 1396742490) is an individual psychiatric/mental health provider in Daytona Beach, Florida, licensed in Florida (ARNP3074712) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1396742490

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. THEODORE FRANK MATEJKACredential: ARNP-BC

Location Address1150 RED JOHN DRDaytona Beach, FL 32124-1016

Mailing Address1150 Red John DrDaytona Beach, FL 32124-1016 · (386) 236-1711 · Fax (386) 226-0200

Phone(386) 236-1711

Fax(386) 226-0200

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJuly 5, 2005

Last NPPES UpdateMarch 26, 2013

✔ NPI 1396742490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · ARNP3074712

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License ARNP3074712 (FL)

1150 RED JOHN DR, Daytona Beach, FL 32124

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.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

Mr. Theodore Frank Matejka Arnp-bc 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 ID5092953083

PECOS Enrollment IDI20130604000012

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

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.

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

113 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32124 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

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.

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.

AMANDA TAM

Psychiatry & Neurology (Psychiatry)