Matthew Charles Johnson, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036132348 Issued in IL

Practice address

2240 Gateway Dr
Sycamore, IL 60178-3103

Phone

(815) 756-7136

NPI assigned

Jun 9, 2009

Last updated

Sep 17, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Ophthalmology

Education

Southern Illinois University School of Medicine, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dekalb Eye Consultants LLCGroup PAC ID 9830339308, 9 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.36 of 100Reported as group

Quality

99.97

Improvement activities

40

Cost

44.57

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: matthew.johnson.p1@direct.hauserross.nextgenshare.com

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.

• Dekalb Eye Consultants, LLC

  dba Arlington Eye Physicians

  • Ophthalmology Physician
  • Sycamore, IL
  • NPI 1326380510
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442448000000",
    "number": "1912133638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 GATEWAY DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783103",
            "telephone_number": "815-756-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 GATEWAY DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783103",
            "telephone_number": "815-756-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MATTHEW",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-09",
        "last_updated": "2015-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036132348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaylene M Jennings, PA-C
• Sarina G Jeswani, M.D.
• Jill M Early LLC
• Bernard Johnson, M.D.
• Carol L Johnson
• Rachel Michelle Johnson, APRN, CNP
• Katherine Ellen Jones, OT
• Jessica Louise Joy, LCSW
• Tiffany Koerner Jozwiak, DDS
• Sarah Ashley Julian, MAFT

• Ophthalmology Physician in Sycamore, IL
• Providers in Sycamore, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.