MATTHEW NGUYEN MD
NPI 1235576901
Ophthalmology - Cornea and External Diseases Specialist in New York, NY

Active since June 04, 2013PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1305 YORK AVE FL 11, NEW YORK, NY 10021(646) 962-2020(646) 962-0602 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, Oct 11, 2023, May 18, 2022 and 2 more (5 updates tracked since 2016).

About Matthew Nguyen Md NPPES

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

MATTHEW NGUYEN MD (NPI 1235576901) is an individual cornea and external diseases specialist in New York, New York, licensed in New York (311308) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (2013).

NPPES Registry Identity

NPI1235576901
Entity TypeIndividualMale
Primary Taxonomy207WX0120X
Provider Legal NameMATTHEW NGUYENCredential: MD
Location Address1305 YORK AVE FL 11New York, NY 10021-5663
Mailing Address1305 York Ave Fl 11New York, NY 10021-5663 · (646) 962-2020 · Fax (646) 962-0602
Fax(646) 962-0602
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2013
Enumeration DateJune 4, 2013
Last NPPES UpdateOctober 31, 20235 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
NPI 1235576901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Cornea and External Diseases SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0120X
License Licensed in NY · 311308
Definition
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.
1305 YORK AVE FL 11, New York, NY 10021

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

Matthew Nguyen Md 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 ID1658640875
PECOS Enrollment IDI20220413000641
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 15

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.

Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
290 services283 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.
211 services206 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.
130 services98 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.
114 services114 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.
57 services57 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).
55 services55 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10021 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.09
Promoting Interoperability100
Improvement Activities40
Cost56.12

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.

Ophthalmology (Retina Specialist)
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology (Glaucoma Specialist)
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology (Retina Specialist)
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology (Neuro-ophthalmology)
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology
1305 YORK AVE FL 11
NEW YORK, NY 10021
Ophthalmology (Neuro-ophthalmology)
1305 YORK AVE FL 11
NEW YORK, NY 10021

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 Nguyen's NPI number?

The NPI number for Matthew Nguyen is 1235576901. It was assigned to this individual provider in the NPPES registry on June 4, 2013.

Where is Matthew Nguyen located?

Matthew Nguyen practices at 1305 York Ave Fl 11, New York, NY 10021. The listed phone number is (646) 962-2020.

What is Matthew Nguyen's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Is Matthew Nguyen enrolled in Medicare?

Yes. Matthew Nguyen 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 Nguyen accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Matthew Nguyen 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 Matthew Nguyen affiliated with any hospitals?

According to CMS data, Matthew Nguyen is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Nguyen was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.