Individual provider Active NPI

Matthew Todd Clary, M.D.

  • Ophthalmology Physician
  • Columbia, SC
National Provider Identifier
1538345004
Registry record updated Aug 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
26942 Issued in SC
Practice address
1655 Bernardin Ave
Suite 100
Columbia, SC 29204-2039
Phone
(803) 256-0641
Fax
(803) 779-3649
NPI assigned
Jan 15, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2008

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 26942 SC Primary

Addresses

Primary practice location

1655 Bernardin Ave
Suite 100
Columbia, SC 29204-2039

Mailing address

1655 Bernardin Ave
Suite 100
Columbia, SC 29204-2039
Phone (803) 256-0641

Other identifiers 1

IdentifierTypeStateIssuer
PA2755MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20080426000000 SC Practitioner - Ophthalmology 8628156957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Carolina School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Center PAGroup PAC ID 4284728726, 6 clinicians

Practice addresses (Care Compare)

1655 Bernardin Ave
Columbia, SC 29204-2039
Phone (803) 256-0641

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
95.37
Improvement activities
40
Cost
79.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery719

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26942SCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Eye Center PA Ophthalmology CurrentSince May 15, 2008 Accepting new patients

Locations

1655 Brabham Ave
Columbia, SC 29204
Phone (803) 254-5038

1655 Brabham Ave
Ste 100
Columbia, SC 29204
Phone (803) 256-0641

Interoperability endpoints

  • Direct secure messaging: mclary@theeyecenterpa.intellechartdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219363200000",
    "number": "1538345004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 BERNARDIN AVE",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042039",
            "telephone_number": "803-256-0641",
            "fax_number": "803-779-3649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 BERNARDIN AVE",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042039",
            "telephone_number": "803-256-0641",
            "fax_number": "803-779-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARY",
        "first_name": "MATTHEW",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "SC",
            "license": "26942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PA2755",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.