Dr Matthew Ryan Deboer, DO - Medicare Family Practice in Saint Johns, FL

Dr Matthew Ryan Deboer, DO is a medicare enrolled "Family Medicine" physician in Saint Johns, Florida. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Baptist Primary Care Inc and his current practice location is 1310 County Road 210 W, Saint Johns, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 824-4407.

Dr Matthew Ryan Deboer is licensed to practice in Florida (license number OS10998) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104047893.

Contact Information

Dr Matthew Ryan Deboer, DO
1310 County Road 210 W,
Saint Johns, FL 32259
(904) 824-4407
(904) 390-7459

Map and Direction




Physician's Profile

Full NameDr Matthew Ryan Deboer
GenderMale
SpecialityFamily Practice
Experience20 Years
Location1310 County Road 210 W, Saint Johns, Florida
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Matthew Ryan Deboer attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2004
  NPI Data:
  • NPI Number: 1104047893
  • Provider Enumeration Date: 05/01/2007
  • Last Update Date: 08/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9133217557
  • Enrollment ID: I20100708000837

Medical Identifiers

Medical identifiers for Dr Matthew Ryan Deboer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104047893NPI-NPPES
P00855555OtherFLRR MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS10998 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Primary Care Inc0648177733399

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Matthew Ryan Deboer allows following entities to bill medicare on his behalf.
Entity NameBaptist Primary Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508817529
PECOS PAC ID: 0648177733
Enrollment ID: O20031217000248

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Matthew Ryan Deboer is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Matthew Ryan Deboer, DO
Po Box 44004,
Jacksonville, FL 32231-4004

Ph: (904) 202-1032
Dr Matthew Ryan Deboer, DO
1310 County Road 210 W,
Saint Johns, FL 32259

Ph: (904) 824-4407

Reviews and Comments


Family Medicine Doctors in Saint Johns, FL

Olivia Michelle Bullock, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259
Phone: 904-824-4407    Fax: 904-390-7459
Dr. Ana Maria Romero, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259
Phone: 904-824-4407    Fax: 904-390-7459
Farid Ahmed, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2001 County Road 210 W Ste 101, Saint Johns, FL 32259
Phone: 904-450-8401    Fax: 904-450-8419
Robert Edward Stapleton, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259
Phone: 904-824-4407    Fax: 904-390-7459
Tristan A Imhof, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2570 Race Track Road, Suite A, Saint Johns, FL 32259
Phone: 904-819-1005    Fax: 904-819-1002

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.