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GRACE MATOS OD
NPI 1700088481
Optometrist in Middletown, NY

Active since June 04, 2007PECOS Enrolled
ONE NORTH GALLERIA DRIVE, MIDDLETOWN, NY 10941(845) 845-6920 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace Matos Od NPPES

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

GRACE MATOS OD (NPI 1700088481) is an individual optometrist in Middletown, New York, licensed in New York (T005638-1) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700088481
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameGRACE MATOSCredential: OD
Location AddressONE NORTH GALLERIA DRIVEMiddletown, NY 10941
Mailing Address38 Sesame StRock Tavern, NY 12575-5529 · (845) 496-1094
Phone(845) 845-6920
Sole ProprietorNo
Enumeration DateJune 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1700088481 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 NY · T005638-1
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.
ONE NORTH GALLERIA DRIVE, Middletown, NY 10941
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Matos Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Grace Matos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Luxottica Of America Inc
543 mi
Optometrist
4000 LUXOTTICA PL, ATTN MEDICARE DEPT
Mason, OH 45040
  • Reassigned Medicare billing, New York enrollment
  • 64 clinicians in this Medicare group
NPI 1689711046 (513) 765-3534

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10941 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

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 Grace Matos's NPI number?

The NPI number for Grace Matos is 1700088481. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Grace Matos located?

Grace Matos practices at One North Galleria Drive, Middletown, NY 10941. The listed phone number is (845) 845-6920.

What is Grace Matos's specialty?

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

Is Grace Matos enrolled in Medicare?

Yes. Grace Matos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Grace Matos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Matos reassigns Medicare benefits to Luxottica Of America Inc (Mason, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grace Matos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Matos accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Grace Matos 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 Grace Matos was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.