MIGUEL ANGEL MATERIN M.D.
NPI 1528292679
Ophthalmology in Durham, NC

Active since May 05, 2009PECOS EnrolledAccepts Medicare Assignment
2351 ERWIN RD, DURHAM, NC 27705(919) 684-8464 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miguel Angel Materin M.d. NPPES

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

MIGUEL ANGEL MATERIN M.D. (NPI 1528292679) is an individual ophthalmology provider in Durham, North Carolina, licensed in Connecticut (52842) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1528292679
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMIGUEL ANGEL MATERINCredential: M.D.
Location Address2351 ERWIN RDDurham, NC 27705-4699
Mailing Address2351 Erwin RdDurham, NC 27705-4699 · (919) 684-8464
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateMay 5, 2009
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
NPI 1528292679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CT · 52842
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.
2351 ERWIN RD, Durham, NC 27705

Accepted 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

Miguel Angel Materin 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 ID6709936834
PECOS Enrollment IDI20161128001479, I20260414000965
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 13

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 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.
619 services438 patients
2d ultrasound scan of eye tissue and structures 76512
A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.
616 services400 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.
599 services421 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
169 services147 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
155 services115 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.
108 services81 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 20

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

Ophthalmology
2351 ERWIN RD
DURHAM, NC 27705
Nurse Practitioner
2351 ERWIN RD
DURHAM, NC 27705
Occupational Therapist (Low Vision)
2351 ERWIN RD
DURHAM, NC 27705
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
2351 ERWIN RD
DURHAM, NC 27705
Ophthalmology
2351 ERWIN RD
DURHAM, NC 27705
Ophthalmology (Cornea and External Diseases Specialist)
2351 ERWIN RD
DURHAM, NC 27705
Ophthalmology
2351 ERWIN RD
DURHAM, NC 27705
Ophthalmology
2351 ERWIN RD
DURHAM, NC 27705

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 Miguel Materin's NPI number?

The NPI number for Miguel Materin is 1528292679. It was assigned to this individual provider in the NPPES registry on May 5, 2009.

Where is Miguel Materin located?

Miguel Materin practices at 2351 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 684-8464.

What is Miguel Materin's specialty?

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

Is Miguel Materin enrolled in Medicare?

Yes. Miguel Materin 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 Miguel Materin accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of NC and 1 other insurer list Miguel Materin 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.

Is Miguel Materin affiliated with any hospitals?

According to CMS data, Miguel Materin is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Miguel Materin was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.