Individual provider Active NPI

Dennis C. Matzkin, M.D.

  • Ophthalmology Physician
  • Chattanooga, TN
National Provider Identifier
1912968371
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
49461 Issued in TN
Practice address
7405 Shallowford Road
Suite 400
Chattanooga, TN 37421
Phone
(423) 855-8522
Fax
(423) 855-8533
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

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 039169 GA
Ophthalmology Physician 207W00000X 49461 TN Primary

Addresses

Primary practice location

7405 Shallowford Road
Suite 400
Chattanooga, TN 37421

Mailing address

7405 Shallowford Road
Suite 400
Chattanooga, TN 37421
Phone (423) 855-8522

Other identifiers 2

IdentifierTypeStateIssuer
000639933IMedicaidGA
1530465MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20121226000098 TN Practitioner - Ophthalmology 3375597180 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albert Einstein College of Medicine of Yeshiva University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dennis C Matzkin MD PCGroup PAC ID 8527360817, 2 clinicians

Practice addresses (Care Compare)

7405 Shallowford Rd
Suite 420
Chattanooga, TN 37421-2662
Phone (423) 855-8522

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery343

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
039169GAMDOphthalmology Physician
49461TNMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis C Matzkin MD PC Ophthalmology CurrentSince Jan 1, 2016 Accepting new patients
Allied Eye Associates, P.L.L.C. Past Accepting new patients

Locations

7405 Shallowford Rd
Chattanooga, TN 37421
Phone (423) 605-9545

7405 Shallowford Rd
Ste 420
Chattanooga, TN 37421
Phone (423) 855-8522

7305 Jarnigan Rd
Ste 200
Chattanooga, TN 37421
Phone (423) 855-6861

7405 Shallowford Rd
Ste 400
Chattanooga, TN 37421
Phone (423) 855-7376

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1912968371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7405 SHALLOWFORD ROAD",
            "address_2": "SUITE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-855-8522",
            "fax_number": "423-855-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 SHALLOWFORD ROAD",
            "address_2": "SUITE 400",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-855-8522",
            "fax_number": "423-855-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATZKIN",
        "first_name": "DENNIS",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "039169",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TN",
            "license": "49461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000639933I",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1530465",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.