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MATTHIEW HOOGLAND
NPI 1275996795
Optometrist in Sheldon, IA

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment
928 3RD AVE, SHELDON, IA 51201(712) 324-2552(712) 324-2553 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 11, 2024, Jun 18, 2019, May 8, 2019 and 1 more (4 updates tracked since 2016).

About Matthiew Hoogland NPPES

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

MATTHIEW HOOGLAND (NPI 1275996795) is an individual optometrist in Sheldon, Iowa, licensed in Iowa (086461) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Winston Salem, and is a graduate of Pacific University - College Of Optometry (2017).

NPPES Registry Identity

NPI1275996795
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMATTHIEW HOOGLAND
Location Address928 3RD AVESheldon, IA 51201-1549
Mailing Address928 3rd AveSheldon, IA 51201-1549
Phone(712) 324-2552
Fax(712) 324-2553
Sole ProprietorNo
Medical School CMSPacific University - College Of OptometryGraduated 2017
Enumeration DateApril 1, 2016
Last NPPES UpdateDecember 11, 20244 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1275996795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in IA · 086461✔ Licensed in OK · 2936✔ Licensed in NC · 2727
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.
928 3RD AVE, Sheldon, IA 51201
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Secondary Practice Location 1

Location 1235 Harvey StWinston Salem, NC 27103-1741 · Phone (336) 842-0952

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Matthiew Hoogland 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 ID244501369
PECOS Enrollment IDI20231010002894
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.

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.
25 services25 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.
18 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
18 services18 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).
16 services15 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.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51201 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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 3

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

DR. MATTHEW LEE RADKE O.D.
Optometrist
928 3RD AVE
SHELDON, IA 51201
O'Brien County (712) 324-2552
SPRONK VANDER GRIEND & RADKE
Optometrist
928 3RD AVE
SHELDON, IA 51201
O'Brien County (712) 324-2552
DR. DELMAR E SPRONK O.D.
Optometrist
928 3RD AVE
SHELDON, IA 51201
O'Brien County (712) 324-2552

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 Matthiew Hoogland's NPI number?

The NPI number for Matthiew Hoogland is 1275996795. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Matthiew Hoogland located?

Matthiew Hoogland practices at 928 3rd Ave, Sheldon, IA 51201. The listed phone number is (712) 324-2552.

What is Matthiew Hoogland's specialty?

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

Is Matthiew Hoogland enrolled in Medicare?

Yes. Matthiew Hoogland 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 Matthiew Hoogland accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross Blue Shield of Wyoming and 8 other insurers list Matthiew Hoogland 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 Matthiew Hoogland was last updated on December 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.