Individual provider Active NPI

Matthew Thomas Young, MD

  • Ophthalmology Physician
  • Henrico, VA
National Provider Identifier
1609212844
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
77997 Issued in GA
Practice address
3855 Gaskins Rd
Henrico, VA 23233-1441
Phone
(804) 217-6363
Fax
(804) 217-6400
NPI assigned
May 15, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X 0101264079 VA
Ophthalmology Physician 207W00000X 77997 GA Primary

Addresses

Primary practice location

3855 Gaskins Rd
Henrico, VA 23233-1441

Mailing address

3855 Gaskins Rd
Henrico, VA 23233-1441
Phone (804) 290-4278

Other identifiers 1

IdentifierTypeStateIssuer
1609212844MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20180925000009 VA Practitioner - Ophthalmology 9931341815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Virginia Commonwealth University, School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virginia Eye Consultants IncGroup PAC ID 6608860978, 57 clinicians

Practice addresses (Care Compare)

3855 Gaskins Rd
Henrico, VA 23233-1441
Phone (804) 217-6363

Merit-based Incentive Payment System (MIPS)

Final score
81.39 of 100Reported as group
Quality
77.12
Promoting interoperability
100
Improvement activities
40
Cost
60.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
77997GAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Eye Care Associates PC Ophthalmology CurrentSince Sep 1, 2018 Accepting new patients
Virginia Eye Consultants Inc Ophthalmology CurrentSince Feb 1, 2023 Accepting new patients
Richmond Physical Therapy Corp Current Accepting new patients

Locations

648 Southpark Blvd
Ste B
Colonial Heights, VA 23834

280 Charles H Dimmock Pkwy
Ste 2
Colonial Hgts, VA 23834
Phone (804) 526-3886

241 Corporate Blvd
Ste 210
Norfolk, VA 23502
Phone (757) 742-3902

3855 Gaskins Rd
Richmond, VA 23233
Phone (804) 290-4278

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dryoung@direct.ceca.nextgenshare.com
  • Direct secure messaging: matthew.youngmd.p1@direct.vec.nextgenshare.com

Organizations & group practices 3

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": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1609212844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 GASKINS RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331441",
            "telephone_number": "804-290-4278",
            "fax_number": "804-217-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 GASKINS RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232331441",
            "telephone_number": "804-217-6363",
            "fax_number": "804-217-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MATTHEW",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "VA",
            "license": "0101264079",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "77997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609212844",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.