DR. MATTHEW L DUGGER O.D.
NPI 1932361367
Optometrist in Shelbyville, KY

Q: What is Matthew Dugger's NPI number?

The NPI number for Matthew Dugger is 1932361367. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Q: What is Matthew Dugger's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Dugger was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment

1627 MIDLAND TRL, SHELBYVILLE, KY 40065(502) 633-2985(502) 647-0327 Get Directions Write a Review

NPPES record last updated: June 15, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Matthew L Dugger O.d. NPPES

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

DR. MATTHEW L DUGGER O.D. (NPI 1932361367) is an individual optometrist in Shelbyville, Kentucky, licensed in Kentucky (1740DT) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Southern College Of Optometry (2008).

NPPES Registry Identity

NPI1932361367

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. MATTHEW L DUGGERCredential: O.D.

Location Address1627 MIDLAND TRLShelbyville, KY 40065

Mailing Address1627 Midland TrlShelbyville, KY 40065-1638 · (502) 633-2985 · Fax (502) 647-0327

Phone(502) 633-2985

Fax(502) 647-0327

Sole ProprietorNo

Medical School CMSSouthern College Of OptometryGraduated 2008

Enumeration DateJune 26, 2008

Last NPPES UpdateJune 15, 2018

✔ NPI 1932361367 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 KY · 1740DT

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.

1627 MIDLAND TRL, Shelbyville, KY 40065

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Secondary Practice Location 1

Location 12110 S Hurstbourne PkwyLouisville, KY 40220-1622 · Phone (502) 491-2232 · Fax (502) 499-2700

Other Identifiers 1

Other1740DTKY · Ky License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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. Matthew L Dugger 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 ID4789749763

PECOS Enrollment IDI20100628000080

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 Reassignments

Medicare enrollment records show Matthew Dugger reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ky Doctors Of Optometry, PLLC

24 mi

Optometrist

4655 OUTER LOOP
Louisville, KY 40219

Reassigned Medicare billing, Kentucky enrollment
74 clinicians in this Medicare group

NPI 1700890001 (502) 966-2020

Louisville Optometric Centers III, Psc

26 mi

Optometrist

4000 POPLAR LEVEL RD
Louisville, KY 40213

Reassigned Medicare billing, Kentucky enrollment
40 clinicians in this Medicare group

NPI 1134111271 (502) 451-0332

Mld Eyecare

37 mi

Optometrist

1028 N COLLEGE ST STE 8B
Harrodsburg, KY 40330

Reassigned Medicare billing, Kentucky enrollment

NPI 1427751155 (859) 605-2214

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 2

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 low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

40 services40 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.

21 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40065 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

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 3

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

DR. THOMAS J KEENAN IV OD

Optometrist

1627 MIDLAND TRL
SHELBYVILLE, KY 40065

Shelby County (502) 633-2985

DR. LUKE MOIX O.D.

Optometrist

1627 MIDLAND TRL
SHELBYVILLE, KY 40065

Shelby County (502) 633-2985

LOUISVILLE OPTOMETRIC CENTERS, III PSC

Eyewear Supplier

1627 MIDLAND TRL
SHELBYVILLE, KY 40065

Shelby County (502) 633-2985

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 Dugger's NPI number?

The NPI number for Matthew Dugger is 1932361367. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Matthew Dugger located?

Matthew Dugger practices at 1627 Midland Trl, Shelbyville, KY 40065. The listed phone number is (502) 633-2985.

What is Matthew Dugger's specialty?

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

Is Matthew Dugger enrolled in Medicare?

Yes. Matthew Dugger 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 organizations bill Medicare for Matthew Dugger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Dugger reassigns Medicare benefits to 3 organizations: Ky Doctors Of Optometry, PLLC (Louisville, KY), Louisville Optometric Centers III, Psc (Louisville, KY) and Mld Eyecare (Harrodsburg, KY). Each 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 Matthew Dugger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Dugger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 7 other insurers list Matthew Dugger 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 Dugger was last updated on June 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.