DR. MATTHEW R MARSHALL O.D.
NPI 1184936353
Optometrist in Tyler, TX

Q: What is Matthew Marshall's NPI number?

The NPI number for Matthew Marshall is 1184936353. It was assigned to this individual provider in the NPPES registry on July 5, 2010.

Q: What is Matthew Marshall's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Marshall was last updated on August 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 05, 2010PECOS EnrolledAccepts Medicare Assignment

96.01/100

CMS Quality Rating

3355 EARL CAMPBELL PKWY, TYLER, TX 75701(903) 526-0444 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 22, 2025, Nov 18, 2024, Aug 9, 2023 (3 updates tracked since 2023).

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About Dr. Matthew R Marshall O.d. NPPES

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

DR. MATTHEW R MARSHALL O.D. (NPI 1184936353) is an individual optometrist in Tyler, Texas, licensed in Texas (7831) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Southern College Of Optometry (2010).

NPPES Registry Identity

NPI1184936353

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MATTHEW R MARSHALLCredential: O.D.

Location Address3355 EARL CAMPBELL PKWYTyler, TX 75701-8435

Mailing Address3355 Earl Campbell PkwyTyler, TX 75701-8435 · (903) 526-0444 · Fax (903) 595-6650

Phone(903) 526-0444

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 2010

Enumeration DateJuly 5, 2010

Last NPPES UpdateAugust 28, 20253 updates tracked since enumeration

NPPES CertifiedAugust 28, 2025

✔ NPI 1184936353 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 TX · 7831

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.

3355 EARL CAMPBELL PKWY, Tyler, TX 75701

Open in Google Maps ↗

Secondary Practice Locations 3

Location 13415 Golden RdTyler, TX 75701-8355 · Phone (903) 526-0444 · Fax (903) 526-2051

Location 21240 S Palestine StAthens, TX 75751-3619 · Phone (903) 526-0444

Location 32394 H G Mosley PkwyLongview, TX 75604-3661 · Phone (903) 526-0444

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Matthew R Marshall O.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 ID7214119411

PECOS Enrollment IDI20111025000158

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 12

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 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.

1,169 services1,126 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).

364 services354 patients

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.

342 services277 patients

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.

273 services238 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.

231 services221 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.

228 services206 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.

87 services87 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.

78 services74 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

32 services29 patients

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.

22 services21 patients

New patient problem focused exam of visual system 92002

A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.

19 services19 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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.

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.

96.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

92.03

Improvement Activities

Reported Quality Measures

Diabetes: Eye Exam

100%738 patients5/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

95%5,980 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

51%2,929 patients3/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

89%885 patients

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%738 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 3,029 patients

Patients totalRate: 0% · 3,029 patients

0%3,029 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

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

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