MATTHEW PHILIBIN OD
NPI 1245756014
Optometrist in Randolph, MA

Q: What is Matthew Philibin's NPI number?

The NPI number for Matthew Philibin is 1245756014. It was assigned to this individual provider in the NPPES registry on August 14, 2017.

Q: What is Matthew Philibin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Philibin was last updated on February 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 14, 2017PECOS EnrolledAccepts Medicare Assignment

27 MEMORIAL PKWY, RANDOLPH, MA 02368(781) 986-7400(781) 986-5201 Get Directions Write a Review

NPPES record last updated: February 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 8, 2022, Oct 28, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Matthew Philibin Od NPPES

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

MATTHEW PHILIBIN OD (NPI 1245756014) is an individual optometrist in Randolph, Massachusetts, licensed in Massachusetts (5330) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, maintains a secondary practice location in E Harwich, and is a graduate of New England College Of Optometry (2017).

NPPES Registry Identity

NPI1245756014

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameMATTHEW PHILIBINCredential: OD

Location Address27 MEMORIAL PKWYRandolph, MA 02368-4539

Mailing Address1950 Old Gallows Rd Ste 520Vienna, VA 22182-3970 · (703) 847-8899 · Fax (571) 223-6780

Phone(781) 986-7400

Fax(781) 986-5201

Sole ProprietorNo

Medical School CMSNew England College Of OptometryGraduated 2017

Enumeration DateAugust 14, 2017

Last NPPES UpdateFebruary 8, 20224 updates tracked since enumeration

NPPES CertifiedFebruary 8, 2022

✔ NPI 1245756014 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 MA · 5330

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.

27 MEMORIAL PKWY, Randolph, MA 02368

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Secondary Practice Location 1

Location 1119 Route 137E Harwich, MA 02645-2153 · Phone (508) 432-3444 · Fax (508) 432-3401

Other Identifiers 1

Medicaid110152965AMA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana 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 Philibin 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 ID547502254

PECOS Enrollment IDI20190430000331

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 4

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 services73 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.

20 services20 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.

12 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02368 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

$144.11 typical visit price

range $63.72 – $189.86

Typical copayment $36.02 (range $15.93 – $47.46)

Most-billed visit code 99204

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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 6

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

MYEYEDR OPTOMETRY OF MASSACHUSETTS P C

Optometrist