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DR. MATTHIAS HELFRICH JR. O.D.
NPI 1801025754
Optometrist in Elyria, OH

Active since July 13, 2009PECOS EnrolledAccepts Medicare Assignment
1027 E BROAD ST, ELYRIA, OH 44035(440) 366-6700(440) 365-3939 Get Directions Write a Review

NPPES record last updated: July 13, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Matthias Helfrich Jr. O.d. NPPES

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

DR. MATTHIAS HELFRICH JR. O.D. (NPI 1801025754) is an individual optometrist in Elyria, Ohio, licensed in Ohio (OH5866) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS and is a graduate of Ohio State University - College Of Optometry (2009).

NPPES Registry Identity

NPI1801025754
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MATTHIAS HELFRICH JR.Credential: O.D.
Location Address1027 E BROAD STElyria, OH 44035-6303
Mailing Address1027 E Broad StElyria, OH 44035-6303 · (440) 366-6700 · Fax (440) 365-3939
Phone(440) 366-6700
Fax(440) 365-3939
Sole ProprietorNo
Medical School CMSOhio State University - College Of OptometryGraduated 2009
Enumeration DateJuly 13, 2009
✔ NPI 1801025754 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 OH · OH5866
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.
1027 E BROAD ST, Elyria, OH 44035
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Dr. Matthias Helfrich Jr. 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 ID7113331042
PECOS Enrollment IDI20210204000102
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 Matthias Helfrich reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Matthias Helfrich O.D. Inc
Same address
Eyewear Supplier
1027 E BROAD ST
Elyria, OH 44035
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Matthias Helfrich Od Inc
  • 2 clinicians in this Medicare group
NPI 1013181940 (440) 366-6700

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

Areas of Expertise CMS Part B claims 9

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 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.
250 services220 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
192 services154 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.
151 services133 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.
71 services64 patients
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.
68 services68 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.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44035 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.

Other Providers at the Same Location NPPES 2

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

MATTHIAS HELFRICH O.D. INC
Eyewear Supplier
1027 E BROAD ST
ELYRIA, OH 44035
Lorain County (440) 366-6700
MATTHIAS HELFRICH O.D. , INC.
Optometrist
1027 E BROAD ST
ELYRIA, OH 44035
Lorain County (440) 366-6700

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 Matthias Helfrich's NPI number?

The NPI number for Matthias Helfrich is 1801025754. It was assigned to this individual provider in the NPPES registry on July 13, 2009.

Where is Matthias Helfrich located?

Matthias Helfrich practices at 1027 E Broad St, Elyria, OH 44035. The listed phone number is (440) 366-6700.

What is Matthias Helfrich's specialty?

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

Is Matthias Helfrich enrolled in Medicare?

Yes. Matthias Helfrich 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.

Which organization bills Medicare for Matthias Helfrich's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthias Helfrich reassigns Medicare benefits to Matthias Helfrich O.D. Inc (Elyria, 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 Matthias Helfrich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthias Helfrich accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 14 other insurers list Matthias Helfrich 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 Matthias Helfrich was last updated on July 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.