Individual provider Active NPI

Matthew H Wood, M.D.

  • Ophthalmology Physician
  • Lincoln, NE
National Provider Identifier
1457359085
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
22765 Issued in NE
Practice address
1710 S 70TH St
Lincoln, NE 68506-1676
Phone
(402) 484-9000
Fax
(402) 483-4223
NPI assigned
Jul 8, 2005
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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 22765 NE Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 22765 NE

Addresses

Primary practice location

1710 S 70TH St
Lincoln, NE 68506-1676

Mailing address

PO Box 6068
Lincoln, NE 68506-0068
Phone (402) 484-9000

Other identifiers 4

IdentifierTypeStateIssuer
10025619700MedicaidNE
04-35326OtherKSMEDICAL LICENSE
P00128441OtherNERAILROAD MEDICARE
200381260AMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwood@esane.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20040603000225 NE Practitioner - Ophthalmology 4486636537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Nebraska College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgical Associates LLCGroup PAC ID 4082695721, 11 clinicians

Practice addresses (Care Compare)

1710 S 70TH St
Lincoln, NE 68506-1676
Phone (440) 248-4900

2300 S 16TH St
Lincoln, NE 68502-3704
Phone (402) 484-9000

555 S 70TH St
Lincoln, NE 68510-2462
Phone (402) 484-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22765NEMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutton Skin and Eye Clinic PC PastSince Jul 24, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mwood@esane.intellechartdirect.net

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 4

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1457359085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6068",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685060068",
            "telephone_number": "402-484-9000",
            "fax_number": "402-483-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061676",
            "telephone_number": "402-484-9000",
            "fax_number": "402-483-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "MATTHEW",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "22765",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NE",
            "license": "22765",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025619700",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "04-35326",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00128441",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200381260A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwood@esane.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "1710 S 70th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685061676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.