Individual provider Active NPI

Matthew Hildebrand, OD

  • Optometrist
  • Arlington, TX
National Provider Identifier
1932677101
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9615T Issued in TX
Practice address
350 E Interstate 20
Arlington, TX 76018-1119
Phone
(817) 784-0222
Fax
(817) 417-0981
NPI assigned
Nov 6, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9615T TX Primary

Addresses

Primary practice location

350 E Interstate 20
Arlington, TX 76018-1119

Mailing address

350 E Interstate 20
Arlington, TX 76018-1119
Phone (817) 784-0222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181211001346 TX Practitioner - Optometry 6204170798 Reassigns benefits to 1 organization
I20240325003646 KS Practitioner - Optometry 6204170798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Hawks, Besler and Rogers Optometrists PAGroup PAC ID 8921073792, 4 clinicians

Practice addresses (Care Compare)

5703 W 95TH St
DRS. Hawks Besler Rogers and Stoppel
Overland Park, KS 66207-2919
Phone (913) 341-4508

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2210KSMDRegistered Dietitian
9615TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Hawks Besler & Rogers Optometrists PA Optometrist CurrentSince Apr 1, 2024 Accepting new patients
DRS Hawks, Besler and Rogers Optometrist PastSince Apr 1, 2024 Accepting new patients
Staten Island Physician Practice PC Past Accepting new patients

Locations

315 E Main St
Gardner, KS 66030
Phone (913) 856-6360

5703 W 95th St
Shawnee Msn, KS 66207
Phone (913) 341-4508

Organizations & group practices 4

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": "1541462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1932677101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E INTERSTATE 20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181119",
            "telephone_number": "817-784-0222",
            "fax_number": "817-417-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E INTERSTATE 20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181119",
            "telephone_number": "817-784-0222",
            "fax_number": "817-417-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRAND",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-06",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9615T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.