Individual provider Active NPI

Matthew Zealear, M.D.

  • Ophthalmology Physician
  • Grass Valley, CA
National Provider Identifier
1366516981
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G53657 Issued in CA
Practice address
400 Sierra College Dr
Suite a
Grass Valley, CA 95945-5089
Phone
(530) 272-3411
Fax
(530) 272-3474
NPI assigned
Nov 17, 2006
Last updated
Jan 10, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G53657 CA Primary

Addresses

Primary practice location

400 Sierra College Dr
Suite a
Grass Valley, CA 95945-5089

Mailing address

400 Sierra College Dr
Suite a
Grass Valley, CA 95945-5089
Phone (530) 272-3411

Other identifiers 2

IdentifierTypeStateIssuer
G536570MedicaidCA
GR0004680MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20070926001088 CA Practitioner - Ophthalmology 1254343825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of California, San Francisco School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra View Medical Eye IncGroup PAC ID 7113941808, 6 clinicians
Western Sierra Medical Clinic IncGroup PAC ID 3971571217, shared by 4 NPIs, 35 clinicians

Practice addresses (Care Compare)

400 Sierra College Dr
Suite a
Grass Valley, CA 95945-5093
Phone (530) 272-3411

PO Box
Suite 286
Downieville, CA 95936-0286

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G53657CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra View Medical Eye., Inc Ophthalmology CurrentSince Oct 1, 2006 Accepting new patients
Gregory J Porter MD Inc PastSince Oct 1, 2006 Accepting new patients

Locations

400 Sierra College Dr
Ste A
Grass Valley, CA 95945
Phone (530) 272-3411

400 Sierra College Dr
Ste B
Grass Valley, CA 95945
Phone (530) 272-3411

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1366516981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SIERRA COLLEGE DR",
            "address_2": "SUITE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455089",
            "telephone_number": "530-272-3411",
            "fax_number": "530-272-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SIERRA COLLEGE DR",
            "address_2": "SUITE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455089",
            "telephone_number": "530-272-3411",
            "fax_number": "530-272-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEALEAR",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G53657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G536570",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0004680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

Verify at the official NPI Registry.