DR. COLLEEN MATURANA M.D.
NPI 1174905202
Ophthalmology in New York, NY
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
Specialties & Licenses 3
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Colleen Maturana reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Succasunna, NJ 07876
- Reassigned Medicare billing, New Jersey enrollment
- 4 clinicians in this Medicare group
Mt Arlington, NJ 07856
- Reassigned Medicare billing, New Jersey enrollment
- 15 clinicians in this Medicare group
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 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.
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, NJPhysician 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.
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.
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.
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.
Which organizations bill Medicare for Colleen Maturana's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Maturana reassigns Medicare benefits to 2 organizations: Roxbury Eye Center PC (Succasunna, NJ) and Ophthalmology Nj LLC (Mt Arlington, NJ). Each 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 Colleen Maturana's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.