DR. ALICE Y. MATOBA M.D.
NPI 1871582239
Ophthalmology in Houston, TX

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
6550 FANNIN ST, SUITE 1501, HOUSTON, TX 77030(713) 798-6100(713) 798-4231 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alice Y. Matoba M.d. NPPES

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

DR. ALICE Y. MATOBA M.D. (NPI 1871582239) is an individual ophthalmology provider in Houston, Texas, licensed in Texas (G4486) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of Yale University School Of Medicine (1977).

NPPES Registry Identity

NPI1871582239
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. ALICE Y. MATOBACredential: M.D.
Location Address6550 FANNIN ST, SUITE 1501Houston, TX 77030-2717
Mailing AddressPo Box 4771Houston, TX 77210-4771 · (713) 798-6100 · Fax (713) 798-4231
Fax(713) 798-4231
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1977
Enumeration DateOctober 18, 2005
Last NPPES UpdateNovember 20, 2020
NPPES CertifiedNovember 20, 2020
NPI 1871582239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · G4486
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.
6550 FANNIN ST, Houston, TX 77030

Other Identifiers 4

Other82W281TX · Bc/bs
Medicaid136037203TX
Medicaid136037202TX
Other2224669TX · Blue Link

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. Alice Y. Matoba 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 ID2769677186
PECOS Enrollment IDI20101111000452
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 5

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.
276 services106 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
28 services24 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.
18 services18 patients
Removal of growth of cornea 65400
The removal of a corneal growth is a procedure to eliminate abnormal tissue from the cornea, the clear front surface of the eye. This can help improve vision and alleviate discomfort. The process is typically performed by an ophthalmologist under local anesthesia.
17 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

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 77030 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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
6550 FANNIN ST
HOUSTON, TX 77030
Psychologist (Clinical)
6550 FANNIN ST
HOUSTON, TX 77030
Physician Assistant
6550 FANNIN ST, SMITH TOWER, SUITE 1901
HOUSTON, TX 77030
Obstetrics & Gynecology
6550 FANNIN ST
HOUSTON, TX 77030
Ophthalmology
6550 FANNIN ST, SUITE 1501
HOUSTON, TX 77030
Dentist (General Practice)
6550 FANNIN ST, STE 2103
HOUSTON, TX 77030
Internal Medicine
6550 FANNIN ST, SMITH 1101
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6550 FANNIN ST, SUITE 1801
HOUSTON, TX 77030

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 Alice Matoba's NPI number?

The NPI number for Alice Matoba is 1871582239. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Alice Matoba located?

Alice Matoba practices at 6550 Fannin St Suite 1501, Houston, TX 77030. The listed phone number is (713) 798-6100.

What is Alice Matoba's specialty?

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

Is Alice Matoba enrolled in Medicare?

Yes. Alice Matoba 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 Alice Matoba accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Alice Matoba 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 Alice Matoba affiliated with any hospitals?

According to CMS data, Alice Matoba is affiliated with Chi St Luke's Health Baylor College Of Medicine Me and Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Alice Matoba was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.