NPIMap

Individual provider Active NPI

Matthew Nicholas Pieters, MD

  • Ophthalmology Physician
  • Lincoln Park, MI
National Provider Identifier
1871090795
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
4301507167 Issued in MI
Practice address
3677 Fort St
Lincoln Park, MI 48146-4116
Phone
(313) 524-0053
Fax
(313) 524-0057
NPI assigned
Apr 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X 4301507167 MI Primary

Addresses

Primary practice location

3677 Fort St
Lincoln Park, MI 48146-4116

Mailing address

725 N Monroe St
Monroe, MI 48162-2936
Phone (734) 242-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220727002807 MI Practitioner - Ophthalmology 9739414566 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Emory University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Eye Care Provider PLLCGroup PAC ID 1254611809, 21 clinicians

Practice addresses (Care Compare)

1000 Pine Grove Ave
Port Huron, MI 48060-3733
Phone (810) 982-3200

Hospital & facility affiliations

  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089
  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

Merit-based Incentive Payment System (MIPS)

Final score
92.14 of 100Reported as group
Quality
97.39
Improvement activities
40
Cost
77.28

Merit-based Incentive Payment System (MIPS)

Final score
92.97 of 100Reported as group
Quality
97.77
Improvement activities
40
Cost
79.56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery172

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
M. Hanif Peracha , M.D. , P.C. Ophthalmology CurrentSince Aug 1, 2022 Accepting new patients
Michigan Eye Care Provider PLLC Ophthalmology CurrentSince Jan 31, 2024 Accepting new patients
Eye Care Providers of Michigan PC Ophthalmology Past Accepting new patients

Locations

8538 N Canton Center Rd
Canton, MI 48187
Phone (734) 459-1111

33080 Utica Rd
Fraser, MI 48026
Phone (586) 218-5890

33080 Utica Rd
Ste B
Fraser, MI 48026
Phone (586) 296-7250

3677 Fort St
Lincoln Park, MI 48146
Phone (313) 383-1300

725 N Monroe St
Monroe, MI 48162
Phone (313) 242-2727

1000 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 982-3200

1701 South Blvd E
Ste 180
Rochester Hills, MI 48307
Phone (248) 293-5161

621 W 11 Mile Rd
Royal Oak, MI 48067
Phone (248) 541-4200

11441 E 12 Mile Rd
Warren, MI 48093
Phone (586) 296-7250

Interoperability endpoints

  • Direct secure messaging: mpieters1144611@direct.hfhs.org
  • Direct secure messaging: mpieters@frasereye.direct.eyemdemr.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.

Hospital & facility affiliations 6

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": "1523145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1871090795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N MONROE ST",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481622936",
            "telephone_number": "734-242-2727",
            "fax_number": "734-242-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3677 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481464116",
            "telephone_number": "313-524-0053",
            "fax_number": "313-524-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETERS",
        "first_name": "MATTHEW",
        "middle_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-08",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301507167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln Park, MI

Sources for this page

Verify at the official NPI Registry.