DR. ROBERT KEN MATOBA O.D.
NPI 1215911417
Optometrist in Lakewood, CO

Active since December 01, 2005PECOS EnrolledAccepts Medicare Assignment
200 UNION BLVD, SUITE 415, LAKEWOOD, CO 80228(303) 988-2777(303) 988-8855 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Robert Ken Matoba O.d. NPPES

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

DR. ROBERT KEN MATOBA O.D. (NPI 1215911417) is an individual optometrist in Lakewood, Colorado, licensed in Colorado (OPT1378) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1986).

NPPES Registry Identity

NPI1215911417
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROBERT KEN MATOBACredential: O.D.
Location Address200 UNION BLVD, SUITE 415Lakewood, CO 80228-1830
Mailing Address200 Union Blvd, Suite 415Lakewood, CO 80228-1830 · (303) 988-2777 · Fax (303) 988-8855
Fax(303) 988-8855
Sole ProprietorYes
Medical School CMSSouthern California College Of OptometryGraduated 1986
Enumeration DateDecember 1, 2005
Last NPPES UpdateMarch 27, 2013
NPI 1215911417 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 CO · OPT1378
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.
200 UNION BLVD, Lakewood, CO 80228

Other Identifiers 4

Medicare UPINT60451CO
Medicare PINC41403CO
OtherCO303184CO · Medicare Ptan
Medicaid79637256CO

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. Robert Ken Matoba 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 ID1456385053
PECOS Enrollment IDI20050922001121
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 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.
73 services43 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
30 services30 patients
Laser repair to improve eye fluid flow 65855
Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.
19 services12 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.
11 services11 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80228 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$72.20 typical visit price
range $18.88 – $142.79
Typical copayment $18.05 (range $4.72 – $35.69)
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 20

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

Speech-Language Pathologist
200 UNION BLVD, SUITE 200
LAKEWOOD, CO 80228
Behavior Analyst
200 UNION BLVD
LAKEWOOD, CO 80228
Specialist/Technologist, Other (EEG)
200 UNION BLVD, STE. 200
LAKEWOOD, CO 80228
Internal Medicine
200 UNION BLVD, SUITE 311
LAKEWOOD, CO 80228
Acupuncturist
200 UNION BLVD, SUITE 440
LAKEWOOD, CO 80228
Family Medicine
200 UNION BLVD
LAKEWOOD, CO 80228
Massage Therapist
200 UNION BLVD, SUITE #221
LAKEWOOD, CO 80228
Optometrist
200 UNION BLVD, STE 415
LAKEWOOD, CO 80228

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 Robert Matoba's NPI number?

The NPI number for Robert Matoba is 1215911417. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Robert Matoba located?

Robert Matoba practices at 200 Union Blvd Suite 415, Lakewood, CO 80228. The listed phone number is (303) 988-2777.

What is Robert Matoba's specialty?

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

Is Robert Matoba enrolled in Medicare?

Yes. Robert Matoba 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 Robert Matoba accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Robert Matoba 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 Robert Matoba was last updated on March 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.