DR. MATTHEW GERARD VICINANZO M.D.
NPI 1740283266
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Birmingham, AL

Active since May 30, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1000 19TH ST S, BIRMINGHAM, AL 35205(205) 930-0700(205) 930-9127 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Matthew Gerard Vicinanzo M.d. NPPES

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

DR. MATTHEW GERARD VICINANZO M.D. (NPI 1740283266) is an individual ophthalmic plastic and reconstructive surgery provider in Birmingham, Alabama, licensed in Alabama (25771) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS and is a graduate of State University Of Ny Upstate Medical University (2000).

NPPES Registry Identity

NPI1740283266
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameDR. MATTHEW GERARD VICINANZOCredential: M.D.
Location Address1000 19TH ST SBirmingham, AL 35205-4804
Mailing Address1000 19th St SBirmingham, AL 35205-4804 · (205) 930-0700 · Fax (205) 930-9127
Fax(205) 930-9127
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2000
Enumeration DateMay 30, 2005
Last NPPES UpdateApril 4, 2016
NPI 1740283266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License Licensed in AL · 25771
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
1000 19TH ST S, Birmingham, AL 35205

Other Identifiers 3

Medicare ID-Type Unspecified051520716
Medicaid051520716AL
Medicare UPINI04336AL

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

Dr. Matthew Gerard Vicinanzo 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 ID1951383801
PECOS Enrollment IDI20040603001080
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 19

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
265 services265 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
215 services213 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.
108 services104 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
102 services102 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.
68 services64 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
64 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%23 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Polishing/resurfacing of ocular prosthesis V2624
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier21 claims21 services$38.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Ophthalmology
1000 19TH ST S
BIRMINGHAM, AL 35205
Clinic/Center (Ambulatory Surgical)
1000 19TH ST S
BIRMINGHAM, AL 35205
Ophthalmology
1000 19TH ST S
BIRMINGHAM, AL 35205
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
1000 19TH ST S
BIRMINGHAM, AL 35205
Ophthalmology
1000 19TH ST S
BIRMINGHAM, AL 35205
Ophthalmology
1000 19TH ST S
BIRMINGHAM, AL 35205
Ophthalmology
1000 19TH ST S
BIRMINGHAM, AL 35205
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
1000 19TH ST S
BIRMINGHAM, AL 35205

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 Vicinanzo's NPI number?

The NPI number for Matthew Vicinanzo is 1740283266. It was assigned to this individual provider in the NPPES registry on May 30, 2005.

Where is Matthew Vicinanzo located?

Matthew Vicinanzo practices at 1000 19th St S, Birmingham, AL 35205. The listed phone number is (205) 930-0700.

What is Matthew Vicinanzo's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is Matthew Vicinanzo enrolled in Medicare?

Yes. Matthew Vicinanzo 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 Vicinanzo accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Matthew Vicinanzo 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 Vicinanzo was last updated on April 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.