Individual provider Active NPI

Matej Polomsky, M.D.

  • Ophthalmology Physician
  • Wilmington, NC
National Provider Identifier
1760643597
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
2013-00131 Issued in NC
Practice address
1729 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone
(910) 763-3601
NPI assigned
Jun 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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 2013-00131 NC Primary

Addresses

Primary practice location

1729 New Hanover Medical Park Dr
Wilmington, NC 28403-5345

Mailing address

1729 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone (910) 763-3601

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address matej.polomsky@direct.wilmeye.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20130226000544 NC Practitioner - Ophthalmology 2769637685 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Eye, P.a.Group PAC ID 8921034323, 29 clinicians

Practice addresses (Care Compare)

1729 New Hanover Medical Park Dr
Wilmington, NC 28403-5345
Phone (910) 763-3601

Merit-based Incentive Payment System (MIPS)

Final score
89.61 of 100Reported as group
Quality
91.39
Promoting interoperability
100
Improvement activities
40
Cost
73.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery698

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013-00131NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Eye, P.a. CurrentSince Feb 1, 2013 Accepting new patients
Wilmington Eye, P.a. Ophthalmology CurrentSince Feb 1, 2013 Accepting new patients

Locations

5211 Eason St
#1
Southport, NC 28461
Phone (910) 454-0563

1729 New Hanover Medical Park Dr
Wilmington, NC 28403
Phone (910) 772-8261

1729 Medical Park
#P
Wilmington, NC 28403

9020 Senca Dr
Wilmington, NC 28411
Phone (901) 264-9317

Interoperability endpoints

  • Direct secure messaging: mpolomsky1250563@direct.novanthealth.org
  • Direct secure messaging: mpolomsky@wileye.intellechartdirect.net
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1760643597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1729 NEW HANOVER MEDICAL PARK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035345",
            "telephone_number": "910-763-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1729 NEW HANOVER MEDICAL PARK DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284035345",
            "telephone_number": "910-763-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOMSKY",
        "first_name": "MATEJ",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2013-00131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "matej.polomsky@direct.wilmeye.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1729 New Hanover Medical Park Dr",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284035345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.