DR. THEODORE MATTHEW COHEN M.D.
NPI 1922340397
Anesthesiology in Miami, FL

Active since March 22, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1120 NW 14TH ST, MIAMI, FL 33136(305) 243-8500(305) 243-6425 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Theodore Matthew Cohen M.d. NPPES

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

DR. THEODORE MATTHEW COHEN M.D. (NPI 1922340397) is an individual anesthesiology provider in Miami, Florida, licensed in Florida (ME146754) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1922340397
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDR. THEODORE MATTHEW COHENCredential: M.D.
Location Address1120 NW 14TH STMiami, FL 33136-2107
Mailing Address1120 Nw 14th StMiami, FL 33136-2107 · (305) 243-8500 · Fax (305) 243-6425
Fax(305) 243-6425
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 22, 2013
Last NPPES UpdateJuly 19, 2023
NPPES CertifiedJuly 19, 2023
NPI 1922340397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License Licensed in FL · ME146754
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License ME146754 (FL)
1120 NW 14TH ST, Miami, FL 33136

Accepted 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

Dr. Theodore Matthew Cohen M.d. 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 ID840500229
PECOS Enrollment IDI20210511000505
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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
216 services123 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
131 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
42 services42 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
27 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services20 patients
Fluoroscopic guidance for needle placement 77002
Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.
22 services14 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.25
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
2%66 patients
Breast Cancer Screening
29%203 patients2/55-star benchmark: 93%
Cervical Cancer Screening
12%259 patients1/55-star benchmark: 98%
Colorectal Cancer Screening
20%465 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
75%124 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
39%80 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
43%80 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
96%1,746 patients4/55-star benchmark: 100%
e-Prescribing
99%388 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%244 patients5/55-star benchmark: 100%
HIV Screening
25%545 patients2/55-star benchmark: 60%
Oncology: Medical and Radiation - Pain Intensity Quantified
98%117 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
39%713 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
99%559 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
31%1,436 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 413 patients
Patients screened: 100% · 413 patients
56%34 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%336 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 17% · 236 patients
Patients totalRate: 25% · 236 patients
23%236 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Psychiatry & Neurology (Psychiatry)
1120 NW 14TH ST
MIAMI, FL 33136
Psychiatry & Neurology (Neurology)
1120 NW 14TH ST, SUITE 1323 13TH FLOOR
MIAMI, FL 33136
Orthopaedic Surgery
1120 NW 14TH ST
MIAMI, FL 33136
Otolaryngology
1120 NW 14TH ST, 5TH FLOOR
MIAMI, FL 33136
Speech-Language Pathologist
1120 NW 14TH ST
MIAMI, FL 33136
Obstetrics & Gynecology
1120 NW 14TH ST
MIAMI, FL 33136
Nurse Practitioner (Psychiatric/Mental Health)
1120 NW 14TH ST
MIAMI, FL 33136
Internal Medicine (Nephrology)
1120 NW 14TH ST
MIAMI, FL 33136

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 Cohen's NPI number?

The NPI number for Theodore Cohen is 1922340397. It was assigned to this individual provider in the NPPES registry on March 22, 2013.

Where is Theodore Cohen located?

Theodore Cohen practices at 1120 NW 14th St, Miami, FL 33136. The listed phone number is (305) 243-8500.

What is Theodore Cohen's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Theodore Cohen enrolled in Medicare?

Yes. Theodore Cohen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theodore Cohen accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Theodore Cohen 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 Cohen was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.