DR. KIRK MATOBA (OD) – Optometrist, NPI 1073015160

DR. KIRK MATOBA (OD) is a healthcare provider. based in Lakewood, Colorado. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. OPT.0003370 (CO). The NPI Number for DR. KIRK MATOBA (OD) is 1073015160

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. KIRK MATOBA (OD)
NPI
1073015160
Phone
(303) 988-2777
Address
200 UNION BLVD STE 415
Enumeration Date
5 March 2018
Last Update Date
5 March 2018

Doctor Profile

Medical School Name
PENNSYLVANIA COLLEGE OF OPTOMETRY
Secondary Phone
3039882777
Graduation Year
2017 (9 years ago)
PAC ID
1153683867
Group Practice PAC ID
6507148517
Professional Enrollment ID
I20180615000175
Address ID
CO802281832LA200XXBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

851 OPTOMETRY in CO

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Provider Addresses for DR. KIRK MATOBA (OD)

  • 415, Union Boulevard, Lakewood, Jefferson County, Colorado, 80228, United States

    LAKEWOOD, CO 802281832

    Phone: (303) 988-2777

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $484.

Total Amount is formed as General ($484) + Research ($0) + Ownership ($0) = $484.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Thea Pharma Inc. ($164).

Total Amount

$484

General + Research + Ownership

Payments

27

Total payment records

General Amount

$484

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-06-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180615000175IOptometryCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
65778Placement of amniotic membrane on eye surface for wound healing8239$0
92014Established patient complete exam of visual system4725$0
92250Photography of the retina1413$0
View full utilization report →

Insurance plans in this area (ZIP 80228)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507148517View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO
O P T O M E T R YCO

Reviews

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Frequently asked questions

Where can patients find DR. KIRK MATOBA (OD)'s NPI?
You can confirm DR. KIRK MATOBA (OD) with NPI 1073015160; it appears in the national provider directory.
Does this profile mean DR. KIRK MATOBA (OD) is currently active?
Yes — DR. KIRK MATOBA (OD) appears active in the national provider directory.
What does DR. KIRK MATOBA (OD) treat or focus on?
Patients typically see DR. KIRK MATOBA (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
What location shows for DR. KIRK MATOBA (OD)?
We surface Lakewood, Colorado for DR. KIRK MATOBA (OD) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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