MATTHEW W MARGOLIS D.O.
NPI 1972569036
Ophthalmology in Jonesboro, AR

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
75.61/100
CMS Quality Rating
601 E MATTHEWS AVE, JONESBORO, AR 72401(870) 935-6396(870) 932-6541 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Matthew W Margolis D.o. NPPES

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

MATTHEW W MARGOLIS D.O. (NPI 1972569036) is an individual ophthalmology provider in Jonesboro, Arkansas, licensed in Arkansas (E-3398) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2001).

NPPES Registry Identity

NPI1972569036
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMATTHEW W MARGOLISCredential: D.O.
Location Address601 E MATTHEWS AVEJonesboro, AR 72401-3145
Mailing Address601 E Matthews AveJonesboro, AR 72401-3145 · (870) 935-6396 · Fax (870) 932-6541
Fax(870) 932-6541
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2001
Enumeration DateApril 25, 2006
Last NPPES UpdateOctober 6, 2021
NPPES CertifiedOctober 6, 2021
NPI 1972569036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in AR · E-3398
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.
601 E MATTHEWS AVE, Jonesboro, AR 72401

Other Identifiers 1

Medicaid157449003AR

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 W Margolis D.o. 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 ID8820039480
PECOS Enrollment IDI20050513000651
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 14

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.

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.
758 services453 patients
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.
669 services373 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.
477 services438 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.
402 services402 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.
375 services316 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.
145 services99 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72401 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
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

75.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost18.7

Other Providers at the Same Location NPPES 7

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

Nurse Anesthetist, Certified Registered
601 E MATTHEWS AVE
JONESBORO, AR 72401
Optometrist
601 E MATTHEWS AVE
JONESBORO, AR 72401
Ophthalmology
601 E MATTHEWS AVE
JONESBORO, AR 72401
Ophthalmology
601 E MATTHEWS AVE
JONESBORO, AR 72401
Clinic/Center (Ambulatory Surgical)
601 E MATTHEWS AVE
JONESBORO, AR 72401
Nurse Anesthetist, Certified Registered
601 E MATTHEWS AVE
JONESBORO, AR 72401
Ophthalmology
601 E MATTHEWS AVE
JONESBORO, AR 72401

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 Margolis's NPI number?

The NPI number for Matthew Margolis is 1972569036. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Matthew Margolis located?

Matthew Margolis practices at 601 E Matthews Ave, Jonesboro, AR 72401. The listed phone number is (870) 935-6396.

What is Matthew Margolis's specialty?

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

Is Matthew Margolis enrolled in Medicare?

Yes. Matthew Margolis 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 Margolis accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Matthew Margolis 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 Margolis was last updated on October 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.