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DR. MATTHEW LEE RADKE O.D.
NPI 1306819560
Optometrist in Sheldon, IA

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment
89.35/100
CMS Quality Rating
928 3RD AVE, SHELDON, IA 51201(712) 324-2552(712) 324-2553 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Matthew Lee Radke O.d. NPPES

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

DR. MATTHEW LEE RADKE O.D. (NPI 1306819560) is an individual optometrist in Sheldon, Iowa, licensed in Iowa (02078) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (1996).

NPPES Registry Identity

NPI1306819560
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MATTHEW LEE RADKECredential: O.D.
Location Address928 3RD AVESheldon, IA 51201-1549
Mailing Address928 3rd AveSheldon, IA 51201-1549 · (712) 324-2552 · Fax (712) 324-2553
Phone(712) 324-2552
Fax(712) 324-2553
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 1996
Enumeration DateFebruary 8, 2006
Last NPPES UpdateNovember 19, 2025
NPPES CertifiedNovember 19, 2025
✔ NPI 1306819560 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 IA · 02078
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
Open in Google Maps ↗

Other Identifiers 7

Other33330IA · Wellmark Group Sheldon
Medicaid0145177IA
Other0280586IA · Medicaid Group Sheldon
OtherI7584IA · Medicare Group Sheldon
Other56024IA · Wellmark Indv Sheldon
Other410031358IA · Rr Medicare Indv Sheldon
OtherCS7580IA · Rr Medicare-group Sheldon

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.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

Dr. Matthew Lee Radke 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 ID648264861
PECOS Enrollment IDI20100825000631
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.

Medicare Billing Reassignment

Medicare enrollment records show Matthew Radke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spronk Vander Griend & Radke
Same address
Optometrist
928 3RD AVE
Sheldon, IA 51201
  • Reassigned Medicare billing, Iowa enrollment
NPI 1346211257 (712) 324-2552

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 12

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.
846 services829 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.
242 services222 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.
201 services192 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).
153 services120 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
137 services123 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.
124 services112 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.

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.

89.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.71
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
25%101 patients2/55-star benchmark: 87%
Diabetes: Eye Exam
100%181 patients5/55-star benchmark: 100%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
71%83 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
82%1,493 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
100%115 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
0%1,044 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier35 claims35 services$50.61 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier40 claims79 services$40.16 avg. paid by Medicare
U-v lens, per lens V2755
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier34 claims67 services$11.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MATTHIEW HOOGLAND
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 Matthew Radke's NPI number?

The NPI number for Matthew Radke is 1306819560. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Matthew Radke located?

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

What is Matthew Radke's specialty?

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

Is Matthew Radke enrolled in Medicare?

Yes. Matthew Radke 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 organization bills Medicare for Matthew Radke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Radke reassigns Medicare benefits to Spronk Vander Griend & Radke (Sheldon, IA). The 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 Radke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Radke accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 12 other insurers list Matthew Radke 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 Radke was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.