DR. COLLEEN MATURANA M.D.
NPI 1174905202
Ophthalmology in New York, NY

Active since June 25, 2015PECOS EnrolledAccepts Medicare Assignment
78.5/100
CMS Quality Rating
1305 YORK AVE FL 11, NEW YORK, NY 10021(646) 962-2020(646) 962-0602 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2019, May 19, 2016 (2 updates tracked since 2016).

About Dr. Colleen Maturana M.d. NPPES

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

DR. COLLEEN MATURANA M.D. (NPI 1174905202) is an individual ophthalmology provider in New York, New York, licensed in New Jersey (25MA11374900) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Saint Clare's Hospital/ Denville Campus, and maintains a secondary practice location in Mineola.

NPPES Registry Identity

NPI1174905202
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. COLLEEN MATURANACredential: M.D.
Location Address1305 YORK AVE FL 11New York, NY 10021-5663
Mailing Address1305 York Ave Fl 11New York, NY 10021-5663 · (646) 962-2020 · Fax (646) 962-0602
Fax(646) 962-0602
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 2015
Enumeration DateJune 25, 2015
Last NPPES UpdateNovember 27, 20242 updates tracked since enumeration
NPPES CertifiedNovember 27, 2024
NPI 1174905202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MA11374900
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Glaucoma SpecialistTaxonomy 207WX0009X · License 298933-1 (NY)
1305 YORK AVE FL 11, New York, NY 10021

Secondary Practice Location 1

Location 1259 1st StMineola, NY 11501-3957 · Phone (908) 461-7047

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

Dr. Colleen Maturana 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 ID4486990363
PECOS Enrollment IDI20220623001762
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 21

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
805 services481 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
543 services511 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.
339 services267 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).
282 services270 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.
240 services204 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
172 services172 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

78.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost28.33

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.

Ophthalmology (Retina Specialist)
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology (Glaucoma Specialist)
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology (Retina Specialist)
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology (Neuro-ophthalmology)
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology (Cornea and External Diseases Specialist)
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology (Neuro-ophthalmology)
1305 YORK AVE FL 11
NEW YORK, NY 10021

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 Colleen Maturana's NPI number?

The NPI number for Colleen Maturana is 1174905202. It was assigned to this individual provider in the NPPES registry on June 25, 2015.

Where is Colleen Maturana located?

Colleen Maturana practices at 1305 York Ave Fl 11, New York, NY 10021. The listed phone number is (646) 962-2020.

What is Colleen Maturana's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Colleen Maturana enrolled in Medicare?

Yes. Colleen Maturana 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 Colleen Maturana accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Colleen Maturana 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.

Is Colleen Maturana affiliated with any hospitals?

According to CMS data, Colleen Maturana is affiliated with Saint Clare's Hospital/ Denville Campus.

When was this NPI record last updated?

The NPPES record for Colleen Maturana was last updated on November 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.