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DR. TERESA CONE M.D.
NPI 1861670887
Psychiatry & Neurology - Psychiatry in Merced, CA

Active since January 31, 2008PECOS Enrolled
480 E 13TH ST, MERCED, CA 95341(304) 617-7447 Get Directions Write a Review

NPPES record last updated: February 13, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Teresa Cone M.d. NPPES

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

DR. TERESA CONE M.D. (NPI 1861670887) is an individual psychiatry provider in Merced, California, licensed in California (A138875) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861670887
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. TERESA CONECredential: M.D.
Location Address480 E 13TH STMerced, CA 95341-6214
Mailing Address2055 Hospital Drive, Suite 130Batavia, OH 45103 · (513) 732-0870 · Fax (513) 732-0873
Phone(304) 617-7447
Sole ProprietorNo
Enumeration DateJanuary 31, 2008
Last NPPES UpdateFebruary 13, 2020
✔ NPI 1861670887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CA · A138875✔ Licensed in GA · 002609✔ Licensed in OH · 35097433
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
480 E 13TH ST, Merced, CA 95341
Open in Google Maps ↗

Other Identifiers 1

Medicaid0054258OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Teresa Cone 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.

Medicare Billing Reassignment

Medicare enrollment records show Teresa Cone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Santa Barbara County Department Of Behavioral Wellness
163 mi
Adult Mental Health
212 CARMEN LN
Santa Maria, CA 93458
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Santa Barbara County Auditor
  • 100 clinicians in this Medicare group
NPI 1467707331 (805) 346-7620

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 95341 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
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
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.

PATRICIA ROCHA PONCEANO
Counselor (Mental Health)
480 E 13TH ST
MERCED, CA 95341
Merced County (209) 381-6800
MARIO BORGE
Rehabilitation Practitioner
480 E 13TH ST
MERCED, CA 95341
Merced County (093) 816-8002
MAYSEE LEE
Counselor (Mental Health)
480 E 13TH ST
MERCED, CA 95341
Merced County (209) 381-6800
MRS. MARCELA TORREZ RN
Registered Nurse (Psychiatric/Mental Health)
480 E 13TH ST, BUILDING 1
MERCED, CA 95341
Merced County (209) 381-6800
KATHRYN EYBERG LVN
Licensed Vocational Nurse
480 E 13TH ST
MERCED, CA 95341
Merced County (209) 381-6800
MR. JOHN CARLOS
Counselor (Mental Health)
480 E 13TH ST
MERCED, CA 95341
Merced County (209) 385-7311
COUNTY OF MERCED
Clinic/Center (Adolescent and Children Mental Health)
480 E 13TH ST
MERCED, CA 95341
Merced County (209) 381-6800
EMILIA YANETH FLORES DE PEREZ
Rehabilitation Practitioner
480 E 13TH ST
MERCED, CA 95341
Merced County (209) 381-6800

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 Teresa Cone's NPI number?

The NPI number for Teresa Cone is 1861670887. It was assigned to this individual provider in the NPPES registry on January 31, 2008.

Where is Teresa Cone located?

Teresa Cone practices at 480 E 13th St, Merced, CA 95341. The listed phone number is (304) 617-7447.

What is Teresa Cone's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Teresa Cone enrolled in Medicare?

Yes. Teresa Cone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Teresa Cone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Teresa Cone reassigns Medicare benefits to Santa Barbara County Department Of Behavioral Wellness (Santa Maria, CA). The 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 Teresa Cone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Teresa Cone was last updated on February 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.