DR. MATTHEW J. WOODYARD (O.D.) – Optometrist, NPI 1366411969

DR. MATTHEW J. WOODYARD (O.D.) is a healthcare provider. based in Alton, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 2003017104 (MO). The NPI Number for DR. MATTHEW J. WOODYARD (O.D.) is 1366411969

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW J. WOODYARD (O.D.)
NPI
1366411969
Phone
(314) 567-3884
Address
211 E BROADWAY
Enumeration Date
16 March 2006
Last Update Date
19 December 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Secondary Phone
6363911309
Graduation Year
2003 (23 years ago)
PAC ID
2567487333
Group Practice PAC ID
1456256346
Professional Enrollment ID
I20051011000373
Address ID
MO630113943BA427XXCTRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

863 OPTOMETRY in MO

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Provider Addresses for DR. MATTHEW J. WOODYARD (O.D.)

  • 211, East Broadway, Alton, Madison County, Illinois, 62002, United States

    ALTON, IL 620026220

    Phone: (314) 567-3884

    Fax: (800) 432-6004

    Type: Mailing

  • Jamba, 11477, Olive Boulevard, Creve Coeur, Saint Louis County, Missouri, 63141, United States

    CREVE COEUR, MO 631417108

    Phone: (314) 567-3884

    Fax: (800) 432-6004

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $270.

Total Amount is formed as General ($270) + Research ($0) + Ownership ($0) = $270.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: CooperVision Inc. ($237).

Total Amount

$270

General + Research + Ownership

Payments

8

Total payment records

General Amount

$270

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2005-10-11

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
I20051011000373IOptometryMOTBD

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
92014Established patient complete exam of visual system3232$0
99213Established patient office or other outpatient visit, 20-29 minutes1712$0
92004New patient complete exam of visual system1111$0
View full utilization report →

Insurance plans in this area (ZIP 62002)

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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: 1456256346View full group profile
NameSpecialtyState
O P T O M E T R YMO
O P T O M E T R YIL
O P T O M E T R YMO
-IL
O P T O M E T R YMO
O P T O M E T R YNH
O P T O M E T R YIL
-MO
O P T O M E T R YMO
O P T O M E T R YMO

Reviews

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Frequently asked questions

What is the registry number for DR. MATTHEW J. WOODYARD (O.D.)?
The registry entry for DR. MATTHEW J. WOODYARD (O.D.) shows NPI 1366411969.
Is DR. MATTHEW J. WOODYARD (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. MATTHEW J. WOODYARD (O.D.) as active.
What type of care does DR. MATTHEW J. WOODYARD (O.D.) provide?
DR. MATTHEW J. WOODYARD (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
What city is tied to DR. MATTHEW J. WOODYARD (O.D.)?
The directory associates DR. MATTHEW J. WOODYARD (O.D.) with Alton, Illinois. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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