DR. MATTHEW STEIN OD
NPI 1205501095
Optometrist in Maple Grove, MN

Active since August 12, 2021PECOS Enrolled
13195 WEAVER LAKE RD, MAPLE GROVE, MN 55369(763) 420-5112 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Matthew Stein Od NPPES

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

DR. MATTHEW STEIN OD (NPI 1205501095) is an individual optometrist in Maple Grove, Minnesota, licensed in Minnesota (3886) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS and is a graduate of International American University At Puerto Rico - School Of Optometry (2021).

NPPES Registry Identity

NPI1205501095
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MATTHEW STEINCredential: OD
Location Address13195 WEAVER LAKE RDMaple Grove, MN 55369-9410
Mailing Address13195 Weaver Lake RdMaple Grove, MN 55369-9410 · (763) 420-5112 · Fax (763) 420-6957
Sole ProprietorNo
Medical School CMSInternational American University At Puerto Rico - School Of OptometryGraduated 2021
Enumeration DateAugust 12, 2021
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1205501095 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 MN · 3886
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.
13195 WEAVER LAKE RD, Maple Grove, MN 55369

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Stein Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507261708
PECOS Enrollment IDI20231205000079
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Matthew Stein reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
13195 WEAVER LAKE RD
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 17 clinicians in this Medicare group
Optometrist
7880 MAIN ST N
Maple Grove, MN 55369
  • Reassigned Medicare billing, Minnesota enrollment
  • 11 clinicians in this Medicare group
Specialist
2601 UNIVERSITY DR S
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • 6 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 6

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.
72 services72 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.
33 services23 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.
29 services22 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.
19 services17 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.
17 services17 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.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 13

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

Optometrist
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369
Optometrist
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369
Optometrist
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369
Optometrist
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369
Optometrist
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369
Optometrist
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369
Optometrist (Corneal and Contact Management)
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369
Optometrist
13195 WEAVER LAKE RD
MAPLE GROVE, MN 55369

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 Stein's NPI number?

The NPI number for Matthew Stein is 1205501095. It was assigned to this individual provider in the NPPES registry on August 12, 2021.

Where is Matthew Stein located?

Matthew Stein practices at 13195 Weaver Lake Rd, Maple Grove, MN 55369. The listed phone number is (763) 420-5112.

What is Matthew Stein's specialty?

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

Is Matthew Stein enrolled in Medicare?

Yes. Matthew Stein is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Stein's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Stein reassigns Medicare benefits to 3 organizations: Brokea Inc. (Maple Grove, MN), Optometric Eye Care Centers, PA (Maple Grove, MN) and Lance K Bergstrom MD, PC (Fargo, ND). 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 Matthew Stein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Stein accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 3 other insurers list Matthew Stein 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 Stein was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.