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MATTHEW THIBODEAUX OD
NPI 1194249086
Optometrist in Boutte, LA

Active since August 01, 2017PECOS EnrolledAccepts Medicare Assignment
98.26/100
CMS Quality Rating
13322 HIGHWAY 90 STE L, BOUTTE, LA 70039(985) 785-8484(985) 785-8483 Get Directions Write a Review

NPPES record last updated: October 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2020, Aug 8, 2017, Aug 1, 2017 (3 updates tracked since 2017).

About Matthew Thibodeaux Od NPPES

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

MATTHEW THIBODEAUX OD (NPI 1194249086) is an individual optometrist in Boutte, Louisiana, licensed in Louisiana (1859-793AT) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2017).

NPPES Registry Identity

NPI1194249086
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMATTHEW THIBODEAUXCredential: OD
Location Address13322 HIGHWAY 90 STE LBoutte, LA 70039-3010
Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780
Phone(985) 785-8484
Fax(985) 785-8483
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2017
Enumeration DateAugust 1, 2017
Last NPPES UpdateOctober 26, 20203 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1194249086 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 LA · 1859-793AT
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.
13322 HIGHWAY 90 STE L, Boutte, LA 70039
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Accepted Insurance

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

Matthew Thibodeaux 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 ID6709143217
PECOS Enrollment IDI20171207002000
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 5

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.
150 services101 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.
50 services48 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.
33 services33 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.
19 services19 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70039 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
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.

98.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.2

Other Providers at the Same Location NPPES 2

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

ARTIS BEATTY A PROFESSIONAL OPTOMETRY CORPORATION
Optometrist
13322 HIGHWAY 90 STE L
BOUTTE, LA 70039
St. Charles Parish (985) 807-1373
DYLAN EDWARD DELEE
Student in an Organized Health Care Education/Training Program
13322 HIGHWAY 90 STE L
BOUTTE, LA 70039
St. Charles Parish (985) 785-8484

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 Thibodeaux's NPI number?

The NPI number for Matthew Thibodeaux is 1194249086. It was assigned to this individual provider in the NPPES registry on August 1, 2017.

Where is Matthew Thibodeaux located?

Matthew Thibodeaux practices at 13322 Highway 90 Ste L, Boutte, LA 70039. The listed phone number is (985) 785-8484.

What is Matthew Thibodeaux's specialty?

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

Is Matthew Thibodeaux enrolled in Medicare?

Yes. Matthew Thibodeaux 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 Thibodeaux accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross Blue Shield of Wyoming and 5 other insurers list Matthew Thibodeaux 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 Thibodeaux was last updated on October 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.