DR. MATTHEW D PAUL M.D.
NPI 1417955865
Ophthalmology in Danbury, CT

Active since July 11, 2005PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
69 SAND PIT RD, SUITE101, DANBURY, CT 06810(203) 791-2020(203) 778-6238 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Matthew D Paul M.d. NPPES

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

DR. MATTHEW D PAUL M.D. (NPI 1417955865) is an individual ophthalmology provider in Danbury, Connecticut, licensed in Connecticut (025616) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Columbia University College Of Physicians And Surgeons (1980).

NPPES Registry Identity

NPI1417955865
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. MATTHEW D PAULCredential: M.D.
Location Address69 SAND PIT RD, SUITE101Danbury, CT 06810-4004
Mailing Address69 Sand Pit Rd, Suite101Danbury, CT 06810-4004 · (203) 791-2020 · Fax (203) 778-6238
Fax(203) 778-6238
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1980
Enumeration DateJuly 11, 2005
Last NPPES UpdateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
NPI 1417955865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CT · 025616
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

69 SAND PIT RD, Danbury, CT 06810

Other Identifiers 1

Medicaid001256163CT

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

Dr. Matthew D Paul M.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 ID7113050923
PECOS Enrollment IDI20100901000607
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 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.

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.
883 services519 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.
442 services439 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.
168 services144 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.
160 services151 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.
122 services108 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).
104 services87 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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
2 suppliers11 claims11 services$53.94 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 20

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

Occupational Therapist
69 SAND PIT RD
DANBURY, CT 06810
Hearing Instrument Specialist
69 SAND PIT RD
DANBURY, CT 06810
Psychiatry & Neurology (Neurology)
69 SAND PIT RD, SUITE 300
DANBURY, CT 06810
Nurse Practitioner (Gerontology)
69 SAND PIT RD
DANBURY, CT 06810
Clinical Neuropsychologist
69 SAND PIT RD, SUITE 300
DANBURY, CT 06810
Psychiatry & Neurology (Neurology)
69 SAND PIT RD
DANBURY, CT 06810
Hearing Instrument Specialist
69 SAND PIT RD
DANBURY, CT 06810
Physician Assistant
69 SAND PIT RD, SUITE 300
DANBURY, CT 06810

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 Paul's NPI number?

The NPI number for Matthew Paul is 1417955865. It was assigned to this individual provider in the NPPES registry on July 11, 2005.

Where is Matthew Paul located?

Matthew Paul practices at 69 Sand Pit Rd Suite101, Danbury, CT 06810. The listed phone number is (203) 791-2020.

What is Matthew Paul's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Matthew Paul enrolled in Medicare?

Yes. Matthew Paul 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.

When was this NPI record last updated?

The NPPES record for Matthew Paul was last updated on March 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.