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THEODORE RAYMOND MATHENY MD
NPI 1619060530
Family Medicine in Edmonds, WA

Active since October 02, 2006Opted out of Medicare · through May 19, 2028
617 DAYTON ST STE 2, #A, EDMONDS, WA 98020(425) 776-3399(425) 776-5511 Get Directions Write a Review

NPPES record last updated: February 16, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Theodore Raymond Matheny Md NPPES

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

THEODORE RAYMOND MATHENY MD (NPI 1619060530) is an individual family medicine provider in Edmonds, Washington, licensed in Washington (MD00040536) and active in the NPI registry since October 2006. He has opted out of Medicare through May 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619060530
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHEODORE RAYMOND MATHENYCredential: MD
Location Address617 DAYTON ST STE 2, #AEdmonds, WA 98020-3446
Mailing Address617 Dayton St Ste 2Edmonds, WA 98020-3446 · (425) 776-3399 · Fax (425) 776-5511
Phone(425) 776-3399
Fax(425) 776-5511
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateFebruary 16, 2010
✔ NPI 1619060530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00040536
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
617 DAYTON ST STE 2, Edmonds, WA 98020
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Other Identifiers 2

Medicare UPINF71214WA
Medicaid8289753WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Theodore Raymond Matheny Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 19, 2020 through May 19, 2028.

Opt-Out Effective DateMay 19, 2020
Opt-Out In Effect ThroughMay 19, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98020 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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 Matheny's NPI number?

The NPI number for Theodore Matheny is 1619060530. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Theodore Matheny located?

Theodore Matheny practices at 617 Dayton St Ste 2 #a, Edmonds, WA 98020. The listed phone number is (425) 776-3399.

What is Theodore Matheny's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Theodore Matheny enrolled in Medicare?

No. Theodore Matheny has opted out of Medicare through May 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Theodore Matheny was last updated on February 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.