DR. MATTHEW J. MODDERNO (O.D.) – Optometrist, NPI 1649330390

DR. MATTHEW J. MODDERNO (O.D.) is a healthcare provider. based in Norwood, Massachusetts. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 4353 (MA). The NPI Number for DR. MATTHEW J. MODDERNO (O.D.) is 1649330390

Main info

Male
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. MATTHEW J. MODDERNO (O.D.)
NPI
1649330390
Phone
(781) 255-1505
Address
138 NAHATAN ST.
Enumeration Date
11 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
7812551505
Graduation Year
2003 (23 years ago)
PAC ID
9830167238
Professional Enrollment ID
I20040923000287
Address ID
MA020624252NO138XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,116 OPTOMETRY in MA

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

  • 130;136;138;140;142;146, Nahatan Street, Norwood, Norfolk County, Massachusetts, 02062, United States

    NORWOOD, MA 02062

    Phone: (781) 255-1505

    Fax: (781) 255-1507

    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 1 Open Payments records for all available years, with a total value of $109.

Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: CooperVision Inc. ($109).

Total Amount

$109

General + Research + Ownership

Payments

1

Total payment records

General Amount

$109

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CooperVision Inc.$109
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: 2004-09-23

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
I20040923000287IOptometryMATBD

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 system7979$0
View full utilization report →

Insurance plans in this area (ZIP 02062)

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Reviews

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Frequently asked questions

Is there an official ID for DR. MATTHEW J. MODDERNO (O.D.) in U.S. healthcare records?
The official identifier for DR. MATTHEW J. MODDERNO (O.D.) is NPI 1649330390.
Is there an active status for DR. MATTHEW J. MODDERNO (O.D.)?
For scheduling context, DR. MATTHEW J. MODDERNO (O.D.) is shown as active in the registry.
How would a patient describe DR. MATTHEW J. MODDERNO (O.D.)'s focus?
For DR. MATTHEW J. MODDERNO (O.D.), the primary taxonomy reads as Optometrist. Clinical services aligned with this taxonomy classification.
Is DR. MATTHEW J. MODDERNO (O.D.) located near Norwood?
DR. MATTHEW J. MODDERNO (O.D.) currently maps to Norwood, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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