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DR. THEODORE MATT WARE D.O.
NPI 1417067794
Emergency Medicine in Oklahoma City, OK

Active since August 30, 2006PECOS Enrolled
12200 RIVENDELL DR, OKLAHOMA CITY, OK 73170(405) 735-5677 Get Directions Write a Review

NPPES record last updated: December 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Theodore Matt Ware D.o. NPPES

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

DR. THEODORE MATT WARE D.O. (NPI 1417067794) is an individual emergency medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (3516) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417067794
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. THEODORE MATT WARECredential: D.O.
Location Address12200 RIVENDELL DROklahoma City, OK 73170-4704
Mailing Address12200 Rivendell DrOklahoma City, OK 73170-4704 · (405) 735-5677
Phone(405) 735-5677
Sole ProprietorYes
Enumeration DateAugust 30, 2006
Last NPPES UpdateDecember 11, 2013
✔ NPI 1417067794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in OK · 3516✔ Licensed in CO · 37640
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
12200 RIVENDELL DR, Oklahoma City, OK 73170
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Other Identifiers 1

Medicare UPING94049OK

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Matt Ware D.o. 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 73170 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 Theodore Ware's NPI number?

The NPI number for Theodore Ware is 1417067794. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Theodore Ware located?

Theodore Ware practices at 12200 Rivendell Dr, Oklahoma City, OK 73170. The listed phone number is (405) 735-5677.

What is Theodore Ware's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Theodore Ware enrolled in Medicare?

Yes. Theodore Ware is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Ware was last updated on December 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.