MATTHEW M KRUGER MD
NPI 1265603781
Ophthalmology in Denver, CO
About Matthew M Kruger Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MATTHEW M KRUGER MD (NPI 1265603781) is an individual ophthalmology provider in Denver, Colorado, licensed in Massachusetts (251299) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and is a graduate of Tufts University School Of Medicine (2007).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Matthew M Kruger 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.
Medicare Billing Reassignments
2Medicare enrollment records show Matthew Kruger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Denver, CO 80246
- Reassigned Medicare billing, Colorado enrollment
- 7 clinicians in this Medicare group
Highlands Ranch, CO 80129
- Reassigned Medicare billing, Colorado enrollment
- 58 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 14
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80246 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Kruger's NPI number?
The NPI number for Matthew Kruger is 1265603781. It was assigned to this individual provider in the NPPES registry on March 13, 2008.
Where is Matthew Kruger located?
Matthew Kruger practices at 4999 E Kentucky Ave Ste 102, Denver, CO 80246. The listed phone number is (781) 272-4944.
What is Matthew Kruger's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Matthew Kruger enrolled in Medicare?
Yes. Matthew Kruger 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.
Which organizations bill Medicare for Matthew Kruger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Kruger reassigns Medicare benefits to 2 organizations: Associates In Eye Care, PC (Denver, CO) and Trauma And Emergency Subspecialty Surgeons PLLC (Highlands Ranch, CO). 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 Kruger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Matthew Kruger accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Providence Health Plan and UnitedHealthcare list Matthew Kruger 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 Kruger was last updated on August 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Matthew M Kruger, MD · NPI 1265603781
Ophthalmology physician in Denver, Colorado. Individual provider, active in the CMS NPPES registry since March 13, 2008.
## Identity
- **NPI:** 1265603781 (Entity type: Individual)
- **Enumerated:** March 13, 2008
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** 251299 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 4999 E KENTUCKY AVE STE 102, Denver, CO 80246
- **Phone:** (781) 272-4944 · **Fax:** (781) 272-8756
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Associates In Eye Care, PC (NPI 1972789436, Denver, CO); Trauma And Emergency Subspecialty Surgeons PLLC (NPI 1740543933, Highlands Ranch, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Tufts University School Of Medicine, class of 2007
## Record status
- **NPPES last updated:** August 21, 2018
- **Other identifiers:** Other 52886 (CO)
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Source: [NPI Profile](https://npiprofile.com/npi/1265603781) · Data from the CMS NPPES public registry.