Individual provider Active NPI

Ruth M Mattern, MD

  • Ophthalmology Physician
  • Buffalo, NY
National Provider Identifier
1790719227
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
182871 Issued in NY
Practice address
1176 Main St
Ross Eye Institute
Buffalo, NY 14209-2102
Phone
(716) 881-7900
Fax
(716) 881-4349
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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 182871 NY Primary
Ophthalmology Physician 207W00000X 32988 AZ

Addresses

Primary practice location

1176 Main St
Ross Eye Institute
Buffalo, NY 14209-2102

Mailing address

1176 Main St
Ross Eye Institute
Buffalo, NY 14209-2102
Phone (716) 881-7900

Other identifiers 1

IdentifierTypeStateIssuer
418378MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20120509000259 NY Practitioner - Ophthalmology 0042336026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Harvard Medical School, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Ophthalmology Services IncGroup PAC ID 6103888441, 17 clinicians

Practice addresses (Care Compare)

1176 Main St
Buffalo, NY 14209-2102
Phone (716) 881-7900

Hospital & facility affiliations

  • Erie County Medical Center Hospital, Buffalo, NY, CCN 330219

Merit-based Incentive Payment System (MIPS)

Final score
94.41 of 100Reported as group
Quality
85.08
Promoting interoperability
95
Improvement activities
40
Cost
78.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182871NYMDOphthalmology Physician
32988AZMDPhysical Therapist

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.

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1790719227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1176 MAIN ST",
            "address_2": "ROSS EYE INSTITUTE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092102",
            "telephone_number": "716-881-7900",
            "fax_number": "716-881-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1176 MAIN ST",
            "address_2": "ROSS EYE INSTITUTE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092102",
            "telephone_number": "716-881-7900",
            "fax_number": "716-881-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTERN",
        "first_name": "RUTH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "182871",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "32988",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418378",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.