MATTHEW GIFFORD OD
NPI 1124401773
Optometrist in Mishawaka, IN

Active since July 01, 2015PECOS EnrolledAccepts Medicare Assignment
5111 N MAIN ST REET, STE 200, MISHAWAKA, IN 46545(574) 277-8121 Get Directions Write a Review

NPPES record last updated: May 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 29, 2021, Jun 13, 2016 (2 updates tracked since 2016).

About Matthew Gifford Od NPPES

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

MATTHEW GIFFORD OD (NPI 1124401773) is an individual optometrist in Mishawaka, Indiana, licensed in Indiana (18003913A) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (2015).

NPPES Registry Identity

NPI1124401773
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMATTHEW GIFFORDCredential: OD
Location Address5111 N MAIN ST REET, STE 200Mishawaka, IN 46545
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899
Sole ProprietorNo
Medical School CMSIndiana University - School Of OptometryGraduated 2015
Enumeration DateJuly 1, 2015
Last NPPES UpdateMay 20, 20242 updates tracked since enumeration
NPPES CertifiedMay 20, 2024
NPI 1124401773 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 IN · 18003913A
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.
5111 N MAIN ST REET, Mishawaka, IN 46545

Other Identifiers 1

Medicaid201299850IN

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 Gifford 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 ID5597079905
PECOS Enrollment IDI20150729009298
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

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 Gifford's NPI number?

The NPI number for Matthew Gifford is 1124401773. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Where is Matthew Gifford located?

Matthew Gifford practices at 5111 N Main St Reet Ste 200, Mishawaka, IN 46545. The listed phone number is (574) 277-8121.

What is Matthew Gifford's specialty?

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

Is Matthew Gifford enrolled in Medicare?

Yes. Matthew Gifford 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 Gifford accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Matthew Gifford 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 Gifford was last updated on May 20, 2024. 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.