MATTHEW BOLTON M.D.
NPI 1992199129
Ophthalmology in New Orleans, LA

Active since March 25, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1430 TULANE AVE, SL-50, NEW ORLEANS, LA 70112(504) 988-7809(504) 988-3971 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Matthew Bolton M.d. NPPES

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

MATTHEW BOLTON M.D. (NPI 1992199129) is an individual ophthalmology provider in New Orleans, Louisiana, licensed in Louisiana (311900) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Touro Infirmary, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2015).

NPPES Registry Identity

NPI1992199129
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMATTHEW BOLTONCredential: M.D.
Location Address1430 TULANE AVE, SL-50New Orleans, LA 70112-2632
Mailing Address1453 Athis StNew Orleans, LA 70122-2027 · (504) 495-5631
Fax(504) 988-3971
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2015
Enumeration DateMarch 25, 2015
Last NPPES UpdateJuly 29, 2019
NPI 1992199129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in LA · 311900
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.
1430 TULANE AVE, New Orleans, LA 70112

Other Identifiers 1

Medicaid2391755LA

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 Bolton 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 ID6204114630
PECOS Enrollment IDI20190620002997
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 15

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.
244 services222 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.
121 services96 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
90 services90 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
82 services80 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.
76 services56 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.
63 services59 patients

Hospital Affiliations CMS Care Compare

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

Touro Infirmary

Acute Care Hospitals · New Orleans, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190046
Location1401 Foucher StreetNew Orleans, LA 70115 · Orleans County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70112 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Urology
1430 TULANE AVE
NEW ORLEANS, LA 70112
Pathology (Anatomic Pathology)
1430 TULANE AVE
NEW ORLEANS, LA 70112
Internal Medicine
1430 TULANE AVE, SL-16
NEW ORLEANS, LA 70112
Medical Genetics, Ph.D. Medical Genetics
1430 TULANE AVE, SL31
NEW ORLEANS, LA 70112
Internal Medicine
1430 TULANE AVE, SL-16
NEW ORLEANS, LA 70112
Specialist
1430 TULANE AVE
NEW ORLEANS, LA 70112
Internal Medicine
1430 TULANE AVE
NEW ORLEANS, LA 70112
Ophthalmology
1430 TULANE AVE
NEW ORLEANS, LA 70112

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 Bolton's NPI number?

The NPI number for Matthew Bolton is 1992199129. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Where is Matthew Bolton located?

Matthew Bolton practices at 1430 Tulane Ave Sl-50, New Orleans, LA 70112. The listed phone number is (504) 988-7809.

What is Matthew Bolton's specialty?

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

Is Matthew Bolton enrolled in Medicare?

Yes. Matthew Bolton 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 Bolton accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross Blue Shield of Wyoming and 5 other insurers list Matthew Bolton 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 Matthew Bolton affiliated with any hospitals?

According to CMS data, Matthew Bolton is affiliated with Touro Infirmary.

When was this NPI record last updated?

The NPPES record for Matthew Bolton was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.