DR. THEODORE MATT WARE D.O.
NPI 1417067794
Emergency Medicine in Oklahoma City, OK
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
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
4Medicare enrollment records show Theodore Ware reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Norman, OK 73071
- Reassigned Medicare billing, Oklahoma enrollment
- 418 clinicians in this Medicare group
Oklahoma City, OK 73120
- Reassigned Medicare billing, Oklahoma enrollment
- 975 clinicians in this Medicare group
Stillwater, OK 74074
- Reassigned Medicare billing, Oklahoma enrollment
- 298 clinicians in this Medicare group
Lawton, OK 73505
- Reassigned Medicare billing, Oklahoma enrollment
- 96 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
Which organizations bill Medicare for Theodore Ware's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Ware reassigns Medicare benefits to 4 organizations: Emergency Services Of Oklahoma PC (Norman, OK), Mercy Clinic Oklahoma Communities (Oklahoma City, OK), South Central Emergency Services PC (Stillwater, OK) and Oklahoma Emergency Services PC (Lawton, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Ware's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Ware accept?
Health plans from Blue Cross Blue Shield of Wyoming list Theodore Ware 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 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.
# Dr. Theodore Matt Ware, D.O. · NPI 1417067794
Emergency Medicine physician in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since August 30, 2006.
## Identity
- **NPI:** 1417067794 (Entity type: Individual)
- **Enumerated:** August 30, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 3516 (Oklahoma)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 12200 RIVENDELL DR, Oklahoma City, OK 73170-4704
- **Phone:** (405) 735-5677
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Emergency Services Of Oklahoma PC (NPI 1215249891, Norman, OK); Mercy Clinic Oklahoma Communities (NPI 1386874550, Oklahoma City, OK); South Central Emergency Services PC (NPI 1558663724, Stillwater, OK); Oklahoma Emergency Services PC (NPI 1114239795, Lawton, OK) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 11, 2013
- **Other identifiers:** Medicare UPIN G94049 (OK)
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Source: [NPI Profile](https://npiprofile.com/npi/1417067794) · Data from the CMS NPPES public registry.