MATTHEW JAY HEPWORTH
NPI 1992442438
Optometrist in Prescott, AZ

Active since May 17, 2022PECOS EnrolledAccepts Medicare Assignment
87.65/100
CMS Quality Rating
3192 WILLOW CREEK RD, PRESCOTT, AZ 86301(928) 445-1234 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 12, 2022, May 17, 2022 (2 updates tracked since 2022).

About Matthew Jay Hepworth NPPES

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

MATTHEW JAY HEPWORTH (NPI 1992442438) is an individual optometrist in Prescott, Arizona, licensed in Arizona (OPT-002603) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992442438
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMATTHEW JAY HEPWORTH
Location Address3192 WILLOW CREEK RDPrescott, AZ 86301-6610
Mailing Address19841 N 68th DrGlendale, AZ 85308-5593 · (801) 808-4832
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMay 17, 2022
Last NPPES UpdateJuly 12, 20222 updates tracked since enumeration
NPPES CertifiedJuly 12, 2022
NPI 1992442438 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 AZ · OPT-002603
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.

3192 WILLOW CREEK RD, Prescott, AZ 86301

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 Jay Hepworth 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 ID8820470610
PECOS Enrollment IDI20220726002015
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 10

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 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.
658 services468 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.
126 services119 patients
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.
107 services107 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).
88 services88 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.
66 services63 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
59 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

87.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost58.84

Other Providers at the Same Location NPPES 12

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

Ophthalmology
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Ophthalmology
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Clinic/Center (Ophthalmologic Surgery)
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Neurological Surgery
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Optometrist
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301
Ophthalmology
3192 WILLOW CREEK RD
PRESCOTT, AZ 86301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992442438, enumerated as an "individual" on May 17, 2022.

The provider is located at 3192 WILLOW CREEK RD PRESCOTT, AZ 86301 and the phone number is (928) 445-1234.

Optometrist with taxonomy code 152W00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to verify.