MATTHEW PALMER OD
NPI 1093970931
Optometrist in Mesa, AZ

Active since July 21, 2008PECOS EnrolledAccepts Medicare Assignment
87.65/100
CMS Quality Rating
1055 S STAPLEY DR, MESA, AZ 85204(480) 833-9100(480) 833-6000 Get Directions Write a Review

NPPES record last updated: July 21, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew Palmer Od NPPES

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

MATTHEW PALMER OD (NPI 1093970931) is an individual optometrist in Mesa, Arizona, licensed in Arizona (1627) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2008).

NPPES Registry Identity

NPI1093970931
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMATTHEW PALMERCredential: OD
Location Address1055 S STAPLEY DRMesa, AZ 85204-5013
Mailing Address2610 E University DrMesa, AZ 85213-8436 · (480) 892-8400 · Fax (480) 892-9533
Fax(480) 833-6000
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2008
Enumeration DateJuly 21, 2008
NPI 1093970931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in AZ · 1627
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1055 S STAPLEY DR, Mesa, AZ 85204

Other Identifiers 1

Other1627AZ · Az License Number

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

Matthew Palmer Od 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 ID8527133362
PECOS Enrollment IDI20080813000804
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 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.
462 services214 patients
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.
447 services308 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
135 services94 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.
100 services100 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
94 services75 patients
Closure of tear duct opening using plug 68761
Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.
91 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85204 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost58.84

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Polishing/resurfacing of ocular prosthesis V2624
Other-Vision, Hearing, and Speech Services · category OC000N
3 suppliers123 claims124 services$44.53 avg. paid by Medicare
Scleral cover shell V2627
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers24 claims24 services$1,062.38 avg. paid by Medicare
Fabrication and fitting of ocular conformer V2628
Other-Vision, Hearing, and Speech Services · category OC000N
2 suppliers17 claims17 services$239.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ophthalmologic Surgery)
1055 S STAPLEY DR
MESA, AZ 85204
Optometrist
1055 S STAPLEY DR
MESA, AZ 85204
Optometrist
1055 S STAPLEY DR
MESA, AZ 85204
Optometrist
1055 S STAPLEY DR
MESA, AZ 85204
Ophthalmology
1055 S STAPLEY DR
MESA, AZ 85204
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
1055 S STAPLEY DR
MESA, AZ 85204
Ophthalmology (Retina Specialist)
1055 S STAPLEY DR
MESA, AZ 85204
Specialist/Technologist, Other (Surgical Technologist)
1055 S STAPLEY DR
MESA, AZ 85204

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 Matthew Palmer's NPI number?

The NPI number for Matthew Palmer is 1093970931. It was assigned to this individual provider in the NPPES registry on July 21, 2008.

Where is Matthew Palmer located?

Matthew Palmer practices at 1055 S Stapley Dr, Mesa, AZ 85204. The listed phone number is (480) 833-9100.

What is Matthew Palmer's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Matthew Palmer enrolled in Medicare?

Yes. Matthew Palmer 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 Matthew Palmer accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Imperial Insurance Companies, Inc. and 3 other insurers list Matthew Palmer 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 Matthew Palmer was last updated on July 21, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.