Matthew D Krein, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1880DT Issued in KY

Practice address

103 Diecks Dr
Elizabethtown, KY 42701-2444

Phone

(270) 769-1397

Fax

(270) 765-4899

NPI assigned

Jul 19, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, TX2 enrollments

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 2

Specialty

Optometry

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cherokee NationGroup PAC ID 5799698742, 446 clinicians

Northeastern State University College of OptometryGroup PAC ID 0941112528, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cherokee Nation W W Hastings Indian Hospital Hospital, Tahlequah, OK, CCN 370171
• Northeastern Health System Hospital, Tahlequah, OK, CCN 370089

Merit-based Incentive Payment System (MIPS)

Final score

85.4 of 100Reported as group

Quality

72.78

Promoting interoperability

98

Improvement activities

40

Cost

76.77

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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.

• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Sallisaw, OK
  • NPI 1780692723

  TX

  Medicare reassignment Care Compare group NPD
• Northeastern State University College of Optometry

  • Optometrist
  • Tahlequah, OK
  • NPI 1437106333
  Medicare reassignment Care Compare group NPD
• E Town Eyecare PSC

  • Optometrist
  • Elizabethtown, KY
  • NPI 1386909018
  NPD Authorized official
• Cherokee Nation

  • Public Health or Welfare Agency
  • Tahlequah, OK
  • NPI 1013884154
  NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Muskogee, OK
  • NPI 1841207156
  NPD
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Stilwell, OK
  • NPI 1992711345
  NPD
• Cherokee Nation

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1275799645
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Cherokee Nation

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1275799645
  Care Compare affiliation
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Claremore, OK
  • NPI 1497568968

  Hospital

  Care Compare affiliation
• Northeastern Health System

  • General Acute Care Hospital
  • Tahlequah, OK
  • NPI 1003865999
  Care Compare affiliation
• Northeastern Health System

  • Rural Health Clinic/Center
  • Fort Gibson, OK
  • NPI 1013458652

  Hospital

  Care Compare affiliation
• Northeastern Health System

  • Rural Health Clinic/Center
  • Tahlequah, OK
  • NPI 1306387949

  Hospital

  Care Compare affiliation
• Northeastern Health System

  • Addiction (Substance Use Disorder) Counselor
  • Tahlequah, OK
  • NPI 1689338519

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1316250459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 DIECKS DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012444",
            "telephone_number": "270-769-1397",
            "fax_number": "270-765-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 DIECKS DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012444",
            "telephone_number": "270-769-1397",
            "fax_number": "270-765-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIN",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2659",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1880DT",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2665",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "4T086B199",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Stephen Kociolek, DC, MS, ATC
• Suresh Babu Kodali, M.D.
• Kelly Kohler, LMT
• Kool Smiles PSC
• Chloe Kramer, MA
• Sarah Gallagher Krein, O.D.
• Victor Kremser
• Kristy Stith Therapy
• Kroger Limited Partnership I
• Kroger Limited Partnership I

• Optometrist in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Optometrist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.