Individual provider Active NPI

Matthew Gray McMenemy, MD

  • Ophthalmology Physician
  • Sugar Land, TX
National Provider Identifier
1700842267
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G3604 Issued in TX
Practice address
3515 Town Center Blvd S
Sugar Land, TX 77479-1285
Phone
(281) 277-8400
Fax
(281) 277-8408
NPI assigned
Apr 25, 2006
Last updated
Oct 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 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 G3604 TX Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X G3604 TX

Addresses

Primary practice location

3515 Town Center Blvd S
Sugar Land, TX 77479-1285

Mailing address

3515 Town Center Blvd S
Sugar Land, TX 77479-1285
Phone (281) 277-8400

Other identifiers 1

IdentifierTypeStateIssuer
136886210MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050310000250 TX Practitioner - Ophthalmology 3274587563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at Houston, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lone Star Eye Care PAGroup PAC ID 1951355247, 2 clinicians

Practice addresses (Care Compare)

3515 Town Ctr Blvd S
Sugar Land, TX 77479-1285
Phone (281) 277-8400

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 surgery249
Melanoma (skin cancer) excision1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Eye Care, PA Ophthalmology CurrentSince Jan 2, 2005 Accepting new patients

Locations

16659 Southwest Fwy
Ste 201
Sugar Land, TX 77479
Phone (281) 277-8400

3515 Town Center Blvd S
Sugar Land, TX 77479
Phone (281) 277-8400

3515 Town Center Blvd S
#201
Sugar Land, TX 77479
Phone (281) 277-8400

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, 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": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1700842267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 TOWN CENTER BLVD S",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791285",
            "telephone_number": "281-277-8400",
            "fax_number": "281-277-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 TOWN CENTER BLVD S",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791285",
            "telephone_number": "281-277-8400",
            "fax_number": "281-277-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMENEMY",
        "first_name": "MATTHEW",
        "middle_name": "GRAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "G3604",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "TX",
            "license": "G3604",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136886210",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.