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MATTHEW KENNETH ADAMS MD
NPI 1124361076
Ophthalmology - Retina Specialist in Plano, TX

Active since March 28, 2013PECOS EnrolledAccepts Medicare Assignment
6843 COMMUNICATIONS PKWY STE 810, PLANO, TX 75024(972) 440-2020(469) 409-0595 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 18, 2023, Jun 16, 2021, Jun 29, 2020 and 4 more (7 updates tracked since 2017).

About Matthew Kenneth Adams Md NPPES

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

MATTHEW KENNETH ADAMS MD (NPI 1124361076) is an individual retina specialist in Plano, Texas, licensed in Texas (U1846) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (2013).

NPPES Registry Identity

NPI1124361076
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameMATTHEW KENNETH ADAMSCredential: MD
Location Address6843 COMMUNICATIONS PKWY STE 810Plano, TX 75024-6150
Mailing Address6843 Communications Pkwy Ste 810Plano, TX 75024-6150 · (972) 440-2020 · Fax (469) 409-0595
Phone(972) 440-2020
Fax(469) 409-0595
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 2013
Enumeration DateMarch 28, 2013
Last NPPES UpdateDecember 18, 20237 updates tracked since enumeration
NPPES CertifiedDecember 18, 2023
✔ NPI 1124361076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in TX · U1846
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
6843 COMMUNICATIONS PKWY STE 810, Plano, TX 75024
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew Kenneth Adams Md 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 ID3072883644
PECOS Enrollment IDI20230816000078
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 Matthew Adams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Macula & Retina, PLLC
Same address
Retina Specialist
6843 COMMUNICATIONS PKWY
Plano, TX 75024
  • Reassigned Medicare billing, Texas enrollment
NPI 1275224487 (972) 440-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
17,520 services58 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
436 services181 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
306 services78 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.
232 services232 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.
207 services137 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
130 services122 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75024 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

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 Adams's NPI number?

The NPI number for Matthew Adams is 1124361076. It was assigned to this individual provider in the NPPES registry on March 28, 2013.

Where is Matthew Adams located?

Matthew Adams practices at 6843 Communications Pkwy Ste 810, Plano, TX 75024. The listed phone number is (972) 440-2020.

What is Matthew Adams's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Matthew Adams enrolled in Medicare?

Yes. Matthew Adams 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.

Which organization bills Medicare for Matthew Adams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Adams reassigns Medicare benefits to Texas Macula & Retina, PLLC (Plano, TX). 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 Matthew Adams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Adams accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Matthew Adams 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 Adams was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.