DR. JOSEPH MATZ M.D.
NPI 1205215787
Ophthalmology in Pottsville, PA

Active since May 29, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
201 E LAUREL BLVD, POTTSVILLE, PA 17901(570) 530-4444 Get Directions Write a Review

NPPES record last updated: November 4, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Joseph Matz M.d. NPPES

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

DR. JOSEPH MATZ M.D. (NPI 1205215787) is an individual ophthalmology provider in Pottsville, Pennsylvania, licensed in Pennsylvania (MD468248) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1205215787
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. JOSEPH MATZCredential: M.D.
Location Address201 E LAUREL BLVDPottsville, PA 17901-2534
Mailing Address3401 N Broad StPhiladelphia, PA 19140-5103
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2015
Enumeration DateMay 29, 2015
Last NPPES UpdateNovember 4, 2019
NPI 1205215787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD468248
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 ListedInternal MedicineTaxonomy 207R00000X · License MT208022 (PA)
201 E LAUREL BLVD, Pottsville, PA 17901

Secondary Practice Location 1

Location 13401 N Broad StPhiladelphia, PA 19140-5103 · Phone (215) 707-2000

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. Joseph Matz 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 ID9234442302
PECOS Enrollment IDI20191007002897
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 23

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 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.
602 services378 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.
590 services499 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.
318 services287 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
262 services162 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.
210 services209 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
199 services112 patients

Hospital Affiliations CMS Care Compare

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17901 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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

Other Providers at the Same Location NPPES 8

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

Optometrist
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Ophthalmology
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Ophthalmology
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Optometrist
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Ophthalmology
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Clinic/Center (Ambulatory Surgical)
201 E LAUREL BLVD
POTTSVILLE, PA 17901
Ophthalmology
201 E LAUREL BLVD, POTTSVILLE
POTTSVILLE, PA 17901
Ophthalmology
201 E LAUREL BLVD
POTTSVILLE, PA 17901

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 Joseph Matz's NPI number?

The NPI number for Joseph Matz is 1205215787. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Joseph Matz located?

Joseph Matz practices at 201 E Laurel Blvd, Pottsville, PA 17901. The listed phone number is (570) 530-4444.

What is Joseph Matz's specialty?

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

Is Joseph Matz enrolled in Medicare?

Yes. Joseph Matz 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 Joseph Matz accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 1 other insurer list Joseph Matz 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 Joseph Matz affiliated with any hospitals?

According to CMS data, Joseph Matz is affiliated with Reading Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Matz was last updated on November 4, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.