Individual provider Active NPI

Matthew Gillings, MD

  • Ophthalmology Physician
  • Waco, TX
National Provider Identifier
1093342107
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
U8723 Issued in TX
Practice address
2400 Ambassador Dr
Waco, TX 76712-9702
Phone
(254) 756-4457
Fax
(254) 756-1718
NPI assigned
Mar 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X BP10074518 TX
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X U8723 TX Primary

Addresses

Primary practice location

2400 Ambassador Dr
Waco, TX 76712-9702

Mailing address

2400 Ambassador Dr
Waco, TX 76712-9702
Phone (254) 756-4457

Other practice location 1

5323 Harry Hines Blvd
Dallas, TX 75390-9057
Phone (214) 648-0418

Other practice location 2

677 Church St NE
Marietta, GA 30060-1101
Phone (770) 793-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240612003032 TX Practitioner - Ophthalmology 9436571114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Waco Eye Associates, PAGroup PAC ID 5193637577, 7 clinicians

Practice addresses (Care Compare)

2400 Ambassador Dr
Waco, TX 76712-9702
Phone (254) 756-4457

Merit-based Incentive Payment System (MIPS)

Final score
90.62 of 100Reported as group
Quality
97.29
Improvement activities
40
Cost
72.35

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10074518TXMDOphthalmology Physician
U8723TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Eye Associates, PA CurrentSince Aug 1, 2024 Accepting new patients

Locations

2400 Ambassador Dr
Waco, TX 76712
Phone (254) 756-4457

Interoperability endpoints

  • Direct secure messaging: mgillings@wacoeye.intellechartdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1093342107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 AMBASSADOR DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767129702",
            "telephone_number": "254-756-4457",
            "fax_number": "254-756-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 AMBASSADOR DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767129702",
            "telephone_number": "254-756-4457",
            "fax_number": "254-756-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753909057",
            "country_code": "US",
            "telephone_number": "214-648-0418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "677 Church St NE",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300601101",
            "country_code": "US",
            "telephone_number": "770-793-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILLINGS",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-26",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "BP10074518",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "U8723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.