MATTHEW THEIRL (OD) – Optometrist, NPI 1194565408

MATTHEW THEIRL (OD) is a healthcare provider. based in Luck, Wisconsin. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3997-35 (WI). The NPI Number for MATTHEW THEIRL (OD) is 1194565408

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW THEIRL (OD)
NPI
1194565408
Phone
(715) 472-2121
Address
304 S 1st St
Enumeration Date
27 May 2024
Last Update Date
27 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7153777970
Graduation Year
2024 (2 years ago)
PAC ID
4284131947
Group Practice PAC ID
7517921372
Professional Enrollment ID
I20260416003460
Address ID
WI540167716HU113XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

798 OPTOMETRY in WI

Provider Addresses for MATTHEW THEIRL (OD)

  • 304 S 1st St

    Luck, WI 548538017

    Phone: (715) 472-2121

    Type: Location

  • 120 KELLER AVE N # 1034

    AMERY, WI 540011034

    Phone: (715) 268-9010

    Type: Mailing

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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: Alcon Vision LLC ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

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

CompanyAmount
Alcon Vision LLC$13
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: 2025-10-08

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
I20251008002241IOptometryMNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54853)

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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: 7517921372View full group profile

Reviews

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Frequently asked questions

What NPI should I save for MATTHEW THEIRL (OD)?
Save NPI 1194565408 if you need a stable reference for MATTHEW THEIRL (OD).
Is MATTHEW THEIRL (OD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MATTHEW THEIRL (OD) treat or focus on?
Patients typically see MATTHEW THEIRL (OD) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for MATTHEW THEIRL (OD)?
The page summarizes Luck, Wisconsin for MATTHEW THEIRL (OD); expand the address list for detail.
What if Luck, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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