MATTHEW GREGORY GUESS M.D.
NPI 1629230339
Ophthalmology in Blue Ash, OH

Active since June 25, 2008PECOS EnrolledAccepts Medicare Assignment
96.75/100
CMS Quality Rating
1945 CEI DR, BLUE ASH, OH 45242(513) 984-5133(513) 569-3941 Get Directions Write a Review

NPPES record last updated: April 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Matthew Gregory Guess M.d. NPPES

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

MATTHEW GREGORY GUESS M.D. (NPI 1629230339) is an individual ophthalmology provider in Blue Ash, Ohio, licensed in Alaska (6611) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Ohio (2004).

NPPES Registry Identity

NPI1629230339
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMATTHEW GREGORY GUESSCredential: M.D.
Location Address1945 CEI DRBlue Ash, OH 45242-5664
Mailing Address1945 Cei DrBlue Ash, OH 45242-5664 · (513) 984-5133 · Fax (513) 569-3941
Fax(513) 569-3941
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 2004
Enumeration DateJune 25, 2008
Last NPPES UpdateApril 3, 2014
NPI 1629230339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in AK · 6611
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.
1945 CEI DR, Blue Ash, OH 45242

Other Identifiers 2

OtherK162377AK · Medicare Id-type Unspecified
MedicaidMD0785AK

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

Matthew Gregory Guess 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 ID547312100
PECOS Enrollment IDI20090714000225
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 27

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
64,388 services265 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.
3,173 services1,435 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,954 services584 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,044 services171 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.
979 services730 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.
379 services316 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45242 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

96.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost86.1

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
1945 CEI DR
BLUE ASH, OH 45242
Student in an Organized Health Care Education/Training Program
1945 CEI DR
BLUE ASH, OH 45242
Optometrist
1945 CEI DR
BLUE ASH, OH 45242
Optometrist
1945 CEI DR
BLUE ASH, OH 45242
Ophthalmology
1945 CEI DR
CINCINNATI, OH 45242
Ophthalmology
1945 CEI DR
BLUE ASH, OH 45242
Student in an Organized Health Care Education/Training Program
1945 CEI DR
BLUE ASH, OH 45242
Ophthalmology
1945 CEI DR
CINCINNATI, OH 45242

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 Guess's NPI number?

The NPI number for Matthew Guess is 1629230339. It was assigned to this individual provider in the NPPES registry on June 25, 2008.

Where is Matthew Guess located?

Matthew Guess practices at 1945 Cei Dr, Blue Ash, OH 45242. The listed phone number is (513) 984-5133.

What is Matthew Guess's specialty?

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

Is Matthew Guess enrolled in Medicare?

Yes. Matthew Guess 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 Matthew Guess accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Matthew Guess 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 Guess was last updated on April 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.