Matthew Kurt Mosteller, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2556 Issued in TN

Practice address

768 S Jefferson Ave
Cookeville, TN 38501-4070

Phone

(931) 646-5900

Fax

(931) 646-5901

NPI assigned

Oct 17, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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

• The Eye Clinic Group L.L.C.

  • Optometrist
  • Hendersonville, TN
  • NPI 1811137045
  Medicare reassignment NPD
• Paris Eye Care, LLC

  • Optometrist
  • Paris, TN
  • NPI 1780626168
  NPD (past)
• West Tennessee Senior Eyecare PLLC

  • Optometrist
  • Huntingdon, TN
  • NPI 1316272040
  NPD (past)
• Calvert Opthalmology PSC

  dba Calvert Ophthalmology Center

  • Ophthalmology Physician
  • Hopkinsville, KY
  • NPI 1508036831
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1255320859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "768 S JEFFERSON AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014070",
            "telephone_number": "931-646-5900",
            "fax_number": "931-646-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 S JEFFERSON AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385014070",
            "telephone_number": "931-646-5900",
            "fax_number": "931-646-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTELLER",
        "first_name": "MATTHEW",
        "middle_name": "KURT",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140852100A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Morgan
• Suzanna Morgan
• Morningside of Cookeville, LLC (Morningside of Cookeville)
• Sarah Ashley Morrissette, BEHAVIOR TECHNICIAN
• Rachel Anne Mortensen, CNM
• Mother's Love & Hope, PLLC
• Cecile Anne Marie Muller, APN
• Mullins Vision Associates,PLLC
• Christin Mullins
• Ralph H Mullins, OD

• Optometrist in Cookeville, TN
• Providers in Cookeville, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.