MATTHEW BENZ MD
NPI 1689771545
Ophthalmology in Bellaire, TX

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
96.4/100
CMS Quality Rating
4460 BISSONNET ST STE 200, BELLAIRE, TX 77401(713) 524-3434(713) 524-3220 Get Directions Write a Review

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

Record update history: May 14, 2026, Mar 29, 2017, Aug 11, 2016 (3 updates tracked since 2016).

About Matthew Benz Md NPPES

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

MATTHEW BENZ MD (NPI 1689771545) is an individual ophthalmology provider in Bellaire, Texas, licensed in Texas (L6290) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of University Of Michigan Medical School (1997).

NPPES Registry Identity

NPI1689771545
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMATTHEW BENZCredential: MD
Location Address4460 BISSONNET ST STE 200Bellaire, TX 77401-3234
Mailing Address1360 Post Oak Blvd Ste 800Houston, TX 77056-3312 · (713) 524-3434 · Fax (713) 524-3220
Fax(713) 524-3220
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1997
Enumeration DateSeptember 20, 2006
Last NPPES UpdateMay 14, 20263 updates tracked since enumeration
NPPES CertifiedMay 14, 2026
NPI 1689771545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · L6290
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.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License L6290 (TX)
4460 BISSONNET ST STE 200, Bellaire, TX 77401

Other Identifiers 6

Other10040592TX · Amerigroup
Other10040592TX · Amerivantage
Medicaid159634806TX
Other8A3191TX · Blue Shield
Medicaid159634805TX
Other7729492TX · Aetna

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 Benz Md 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 ID3274523014
PECOS Enrollment IDI20040514000222
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 16

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.
4,500 services18 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.
3,424 services313 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.
3,085 services1,057 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.
2,407 services581 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.
1,832 services949 patients
Injection, ranibizumab, 0.1 mg J2778
Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.
354 services20 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77401 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

96.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability88
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Ophthalmology
4460 BISSONNET ST STE 200
BELLAIRE, TX 77401
Ophthalmology
4460 BISSONNET ST STE 200
BELLAIRE, TX 77401
Ophthalmology
4460 BISSONNET ST STE 200
BELLAIRE, TX 77401
Ophthalmology
4460 BISSONNET ST STE 200
BELLAIRE, TX 77401
Ophthalmology (Retina Specialist)
4460 BISSONNET ST STE 200
BELLAIRE, TX 77401
Ophthalmology (Neuro-ophthalmology)
4460 BISSONNET ST STE 200
BELLAIRE, TX 77401
Ophthalmology
4460 BISSONNET ST STE 200
BELLAIRE, TX 77401
Ophthalmology
4460 BISSONNET ST STE 200
BELLAIRE, TX 77401

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 Benz's NPI number?

The NPI number for Matthew Benz is 1689771545. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Matthew Benz located?

Matthew Benz practices at 4460 Bissonnet St Ste 200, Bellaire, TX 77401. The listed phone number is (713) 524-3434.

What is Matthew Benz's specialty?

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

Is Matthew Benz enrolled in Medicare?

Yes. Matthew Benz 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 Benz accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan and 4 other insurers list Matthew Benz 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 Matthew Benz affiliated with any hospitals?

According to CMS data, Matthew Benz is affiliated with Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Matthew Benz was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.