TEOFILO ENRIQUE MATOS SANTANA M.D
NPI 1932497955
Psychiatry & Neurology - Psychiatry in Hialeah, FL

Active since July 11, 2011PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
4175 W 20TH AVE, HIALEAH, FL 33012(305) 424-3118 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2024, Sep 6, 2023 (2 updates tracked since 2023).

About Teofilo Enrique Matos Santana M.d NPPES

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

TEOFILO ENRIQUE MATOS SANTANA M.D (NPI 1932497955) is an individual psychiatry provider in Hialeah, Florida, licensed in Florida (ME161306) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miami, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1932497955
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameTEOFILO ENRIQUE MATOS SANTANACredential: M.D
Location Address4175 W 20TH AVEHialeah, FL 33012-5874
Mailing Address4175 W 20th AveHialeah, FL 33012-5874 · (305) 424-3118
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJuly 11, 2011
Last NPPES UpdateSeptember 16, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
NPI 1932497955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in FL · ME161306 Licensed in CT · 052182
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.
4175 W 20TH AVE, Hialeah, FL 33012

Secondary Practice Location 1

Location 1133 NE 2nd Ave Apt 202Miami, FL 33132-2906 · Phone (475) 227-6646

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

Teofilo Enrique Matos Santana 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 ID5597054213
PECOS Enrollment IDI20240814001954
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 33012 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
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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.

Psychologist
4175 W 20TH AVE
HIALEAH, FL 33012
Counselor (Mental Health)
4175 W 20TH AVE
HIALEAH, FL 33012
Counselor (Mental Health)
4175 W 20TH AVE
HIALEAH, FL 33012
Social Worker (Clinical)
4175 W 20TH AVE
HIALEAH, FL 33012
Student in an Organized Health Care Education/Training Program
4175 W 20TH AVE
HIALEAH, FL 33012
Nurse Practitioner (Primary Care)
4175 W 20TH AVE
HIALEAH, FL 33012
Psychiatry & Neurology (Psychiatry)
4175 W 20TH AVE
HIALEAH, FL 33012
Psychiatry & Neurology (Psychiatry)
4175 W 20TH AVE
HIALEAH, FL 33012

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 Teofilo Matos Santana's NPI number?

The NPI number for Teofilo Matos Santana is 1932497955. It was assigned to this individual provider in the NPPES registry on July 11, 2011.

Where is Teofilo Matos Santana located?

Teofilo Matos Santana practices at 4175 W 20th Ave, Hialeah, FL 33012. The listed phone number is (305) 424-3118.

What is Teofilo Matos Santana's specialty?

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

Is Teofilo Matos Santana enrolled in Medicare?

Yes. Teofilo Matos Santana 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 Teofilo Matos Santana accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Teofilo Matos Santana 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 Teofilo Matos Santana was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.