DR. MATTHEW LUKE WILLIS (O.D.) – Optometrist, NPI 1013204890
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
503 OPTOMETRY in IA
Provider Addresses for DR. MATTHEW LUKE WILLIS (O.D.)
2514 W Broadway
Council Bluffs, IA 515013509
Phone: (712) 322-3097
Type: Location
3606 N 156th St Ste 105
Omaha, NE 681162163
Phone: (402) 205-0754
Type: Location
4353 DODGE ST
OMAHA, NE 681312709
Phone: (402) 552-2020
Fax: (402) 552-2367
Type: Location
2514 W BROADWAY
COUNCIL BLUFFS, IA 515013509
Phone: (402) 552-2020
Fax: (402) 552-2367
Type: Mailing
120 OLSON DR
PAPILLION, NE 680462960
Phone: (402) 504-4257
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-08-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120920000232 | I | Optometry | NE | TBD |
| I20240826001994 | I | Optometry | IA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 123 | 123 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 108 | 94 | $0 |
| 92004 | New patient complete exam of visual system | 56 | 56 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 45 | 45 | $0 |
| 92083 | Exam of visual field with extended testing | 28 | 23 | $0 |
Insurance plans in this area (ZIP 51501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | NE | |
| O P T O M E T R Y | NE | |
| O P H T H A L M O L O G Y | MO | |
| O P H T H A L M O L O G Y | MO | |
| O P H T H A L M O L O G Y | NE | |
| O P H T H A L M O L O G Y | NE | |
| O P H T H A L M O L O G Y | NE | |
| O P H T H A L M O L O G Y | NE | |
| O P H T H A L M O L O G Y | NE | |
| O P H T H A L M O L O G Y | NE |
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