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DR. MASON MATTHEW WYBROW O.D.
NPI 1851466197
Optometrist in Centerville, UT

Active since November 22, 2006PECOS EnrolledAccepts Medicare Assignment
308 N MARKET PLACE DR, CENTERVILLE, UT 84014(801) 294-6111(801) 294-6222 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 13, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Mason Matthew Wybrow O.d. NPPES

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

DR. MASON MATTHEW WYBROW O.D. (NPI 1851466197) is an individual optometrist in Centerville, Utah, licensed in Utah (7730250-9934) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kingman, and is a graduate of University Of Houston - College Of Optometry (2005).

NPPES Registry Identity

NPI1851466197
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. MASON MATTHEW WYBROWCredential: O.D.
Location Address308 N MARKET PLACE DRCenterville, UT 84014-1702
Mailing Address308 N Market Place DrCenterville, UT 84014-1702 · (801) 294-6111 · Fax (801) 294-6222
Phone(801) 294-6111
Fax(801) 294-6222
Sole ProprietorYes
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2005
Enumeration DateNovember 22, 2006
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1851466197 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 UT · 7730250-9934
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.
308 N MARKET PLACE DR, Centerville, UT 84014
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Secondary Practice Location 1

Location 13396 Stockton Hill RdKingman, AZ 86409-3648 · Phone (928) 681-3533 · Fax (928) 681-3545

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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. Mason Matthew Wybrow 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 ID7214037019
PECOS Enrollment IDI20110519000231
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

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.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84014 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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 Mason Wybrow's NPI number?

The NPI number for Mason Wybrow is 1851466197. It was assigned to this individual provider in the NPPES registry on November 22, 2006.

Where is Mason Wybrow located?

Mason Wybrow practices at 308 N Market Place Dr, Centerville, UT 84014. The listed phone number is (801) 294-6111.

What is Mason Wybrow's specialty?

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

Is Mason Wybrow enrolled in Medicare?

Yes. Mason Wybrow 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 Mason Wybrow accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BridgeSpan Health Company and 2 other insurers list Mason Wybrow 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 Mason Wybrow was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.