Individual provider Active NPI

Matthew Brian Donovan, MD

  • Ophthalmology Physician
  • Clearwater, FL
National Provider Identifier
1366804858
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME145329 Issued in FL
Practice address
3280 N McMullen Booth Rd Ste 120
Clearwater, FL 33761-2046
Phone
(727) 862-3090
Fax
(727) 862-3023
NPI assigned
Mar 23, 2016
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME145329 FL Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X ME145329 FL

Addresses

Primary practice location

3280 N McMullen Booth Rd Ste 120
Clearwater, FL 33761-2046

Mailing address

6333 N Federal Hwy Ste 300
Fort Lauderdale, FL 33308-1909
Phone (954) 776-6880

Other practice location 1

2055 Little Rd
Trinity, FL 34655-4421
Phone (727) 862-3090

Other practice location 2

212 S Apopka Ave
Inverness, FL 34452-4803
Phone (352) 597-2604

Other practice location 3

11373 Cortez Blvd Ste 400
Brooksville, FL 34613-5406
Phone (352) 597-2604

Other practice location 4

3001 Eastland Blvd Ste 1
Clearwater, FL 33761-4104
Phone (813) 908-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200902000133 FL Practitioner - Ophthalmology 1951648914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Retina Vitreous ConsultantsGroup PAC ID 4082610019, 43 clinicians

Practice addresses (Care Compare)

3001 Eastland Blvd
Suite 1
Clearwater, FL 33761-4104
Phone (727) 862-3090

Merit-based Incentive Payment System (MIPS)

Final score
92.55 of 100Reported as group
Quality
99.98
Improvement activities
40
Cost
75.2

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME145329FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitreo Retinal Surgeons LLC Ophthalmology CurrentSince May 1, 2025 Accepting new patients
Newsom Eye & Laser Center, Inc. Ophthalmology CurrentSince Jul 12, 2021 Accepting new patients
Newsom Eye & Laser Center Inc Ophthalmology CurrentSince Jul 12, 2021 Accepting new patients
Retina Vitreous Consultants Ophthalmology CurrentSince May 1, 2025 Accepting new patients

Locations

11373 Cortez Blvd
Ste 400
Brooksville, FL 34613
Phone (352) 597-2604

3001 Eastland Blvd
Ste 1
Clearwater, FL 33761
Phone (727) 300-0299

3280 N McMullen Booth Rd
Ste 120
Clearwater, FL 33761
Phone (727) 789-8770

6333 N Federal Hwy
Ste 300
Ft Lauderdale, FL 33308
Phone (954) 776-6880

212 S Apopka Ave
Inverness, FL 34452
Phone (352) 419-8928

4211 US 27 N
Sebring, FL 33870
Phone (863) 385-1544

113 S Armenia Ave
Tampa, FL 33609
Phone (813) 908-2020

13904 N Dale Mabry Hwy
Ste 200
Tampa, FL 33618
Phone (813) 908-2020

2055 Little Rd
Trinity, FL 34655
Phone (727) 376-7820

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: mdonovan@rgfla.intellechartdirect.net

Organizations & group practices 4

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1366804858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6333 N FEDERAL HWY STE 300",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081909",
            "telephone_number": "954-776-6880",
            "fax_number": "954-229-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 N MCMULLEN BOOTH RD STE 120",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337612046",
            "telephone_number": "727-862-3090",
            "fax_number": "727-862-3023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Little Rd",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346554421",
            "country_code": "US",
            "telephone_number": "727-862-3090",
            "fax_number": "727-862-3023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 S Apopka Ave",
            "address_purpose": "LOCATION",
            "city": "Inverness",
            "state": "FL",
            "postal_code": "344524803",
            "country_code": "US",
            "telephone_number": "352-597-2604",
            "fax_number": "352-596-0520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11373 Cortez Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Brooksville",
            "state": "FL",
            "postal_code": "346135406",
            "country_code": "US",
            "telephone_number": "352-597-2604",
            "fax_number": "352-596-0520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 Eastland Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337614104",
            "country_code": "US",
            "telephone_number": "813-908-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "MATTHEW",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME145329",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME145329",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.