MARTIN M MATUS O.D.
NPI 1609872076
Optometrist in Arlington Hts, IL

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
1131 S ARLINGTON HEIGHTS RD, ARLINGTON HTS, IL 60005(847) 290-1131(847) 290-1146 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Martin M Matus O.d. NPPES

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

MARTIN M MATUS O.D. (NPI 1609872076) is an individual optometrist in Arlington Hts, Illinois and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1989).

NPPES Registry Identity

NPI1609872076
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARTIN M MATUSCredential: O.D.
Location Address1131 S ARLINGTON HEIGHTS RDArlington Hts, IL 60005-3140
Mailing Address1131 S Arlington Heights RdArlington Hts, IL 60005-3140 · (847) 290-1131 · Fax (847) 290-1146
Fax(847) 290-1146
Sole ProprietorYes
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1989
Enumeration DateJune 21, 2005
Last NPPES UpdateJuly 8, 2007
NPI 1609872076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.

1131 S ARLINGTON HEIGHTS RD, Arlington Hts, IL 60005

Other Identifiers 3

Other01636282IL · Blue Cross / Blue Shield
Medicare UPINT92544IL
Medicare ID-Type UnspecifiedK23112IL

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

Martin M Matus 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 ID4486675345
PECOS Enrollment IDI20051208000193
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 8

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.
104 services96 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.
65 services45 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.
52 services51 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.
50 services45 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).
23 services23 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.
22 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60005 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 2

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

Optometrist
1131 S ARLINGTON HEIGHTS RD
ARLINGTON HTS, IL 60005
Optometrist
1131 S ARLINGTON HEIGHTS RD
ARLINGTON HTS, IL 60005

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 Martin Matus's NPI number?

The NPI number for Martin Matus is 1609872076. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Martin Matus located?

Martin Matus practices at 1131 S Arlington Heights Rd, Arlington Hts, IL 60005. The listed phone number is (847) 290-1131.

What is Martin Matus's specialty?

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

Is Martin Matus enrolled in Medicare?

Yes. Martin Matus 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 Martin Matus accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Martin Matus 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 Martin Matus was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.