MATTHEW THEODORE HIRABAYASHI MD
NPI 1962020644
Ophthalmology in San Antonio, TX

Active since July 09, 2020PECOS EnrolledAccepts Medicare Assignment
9725 DATAPOINT DR STE 106, SAN ANTONIO, TX 78229(210) 615-9358(210) 455-1596 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2024, Jul 11, 2024, Jul 9, 2020 (3 updates tracked since 2020).

About Matthew Theodore Hirabayashi Md NPPES

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

MATTHEW THEODORE HIRABAYASHI MD (NPI 1962020644) is an individual ophthalmology provider in San Antonio, Texas, licensed in Texas (U8999) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in New Braunfels, and is a graduate of University Of Missouri, Columbia School Of Medicine (2020).

NPPES Registry Identity

NPI1962020644
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMATTHEW THEODORE HIRABAYASHICredential: MD
Location Address9725 DATAPOINT DR STE 106San Antonio, TX 78229-2385
Mailing Address9725 Datapoint Dr Ste 106San Antonio, TX 78229-2385 · (210) 615-9358 · Fax (210) 455-1596
Fax(210) 455-1596
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2020
Enumeration DateJuly 9, 2020
Last NPPES UpdateJuly 17, 20243 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
NPI 1962020644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in TX · U8999 Licensed in MO · 2020014715
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.
9725 DATAPOINT DR STE 106, San Antonio, TX 78229

Secondary Practice Location 1

Location 1266 Landa St Ste 105New Braunfels, TX 78130-8061 · Phone (210) 585-2020 · Fax (210) 249-0209

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

Matthew Theodore Hirabayashi Md 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 ID6305260241
PECOS Enrollment IDI20240521000461
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 6

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.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
258 services178 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
73 services59 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
62 services31 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.
39 services39 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.
29 services29 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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 11

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

Optometrist
9725 DATAPOINT DR STE 106
SAN ANTONIO, TX 78229
Ophthalmology
9725 DATAPOINT DR STE 106
SAN ANTONIO, TX 78229
Optometrist
9725 DATAPOINT DR STE 106
SAN ANTONIO, TX 78229
Anesthesiology
9725 DATAPOINT DR STE 106
SAN ANTONIO, TX 78229
Optometrist
9725 DATAPOINT DR STE 106
SAN ANTONIO, TX 78229
Optometrist
9725 DATAPOINT DR STE 106
SAN ANTONIO, TX 78229
Ophthalmology
9725 DATAPOINT DR STE 106
SAN ANTONIO, TX 78229
Optometrist
9725 DATAPOINT DR STE 106
SAN ANTONIO, TX 78229

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 Hirabayashi's NPI number?

The NPI number for Matthew Hirabayashi is 1962020644. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Matthew Hirabayashi located?

Matthew Hirabayashi practices at 9725 Datapoint Dr Ste 106, San Antonio, TX 78229. The listed phone number is (210) 615-9358.

What is Matthew Hirabayashi's specialty?

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

Is Matthew Hirabayashi enrolled in Medicare?

Yes. Matthew Hirabayashi 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 Hirabayashi accept?

Health plans from Blue Cross and Blue Shield of Texas list Matthew Hirabayashi 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 Hirabayashi was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.