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DR. MATTHEW JOHN HAROLD SIPOLA O.D.
NPI 1669819439
Optometrist in Virginia, MN

Active since June 03, 2013PECOS EnrolledAccepts Medicare Assignment
807 N 6TH AVE, VIRGINIA, MN 55792(218) 741-5886(218) 741-5894 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Matthew John Harold Sipola O.d. NPPES

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

DR. MATTHEW JOHN HAROLD SIPOLA O.D. (NPI 1669819439) is an individual optometrist in Virginia, Minnesota, licensed in Minnesota (3339) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Illinois College Of Optometry At Chicago (2013).

NPPES Registry Identity

NPI1669819439
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MATTHEW JOHN HAROLD SIPOLACredential: O.D.
Location Address807 N 6TH AVEVirginia, MN 55792-2308
Mailing Address807 N 6th AveVirginia, MN 55792-2308 · (218) 741-5886 · Fax (218) 741-5894
Phone(218) 741-5886
Fax(218) 741-5894
Sole ProprietorNo
Medical School CMSIllinois College Of Optometry At ChicagoGraduated 2013
Enumeration DateJune 3, 2013
Last NPPES UpdateNovember 12, 2025
NPPES CertifiedNovember 12, 2025
✔ NPI 1669819439 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 MN · 3339
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.
807 N 6TH AVE, Virginia, MN 55792
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1405 N 57th Ave WDuluth, MN 55807-2510 · Phone (218) 624-1804 · Fax (218) 624-4548
Location 21311 E 34th StHibbing, MN 55746-3510 · Phone (218) 263-3633 · Fax (218) 263-3634

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Dr. Matthew John Harold Sipola 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 ID5496978215
PECOS Enrollment IDI20140523002028
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 7

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.
208 services208 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
37 services37 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).
35 services28 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.
32 services30 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
31 services28 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.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55792 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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

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

EYE CLINIC NORTH, PROFESSIONAL ASSOCIATION
Optometrist
807 N 6TH AVE
VIRGINIA, MN 55792
St. Louis County (218) 741-5886

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 Sipola's NPI number?

The NPI number for Matthew Sipola is 1669819439. It was assigned to this individual provider in the NPPES registry on June 3, 2013.

Where is Matthew Sipola located?

Matthew Sipola practices at 807 N 6th Ave, Virginia, MN 55792. The listed phone number is (218) 741-5886.

What is Matthew Sipola's specialty?

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

Is Matthew Sipola enrolled in Medicare?

Yes. Matthew Sipola 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 Sipola accept?

Health plans from Medica list Matthew Sipola 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 Sipola was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.