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Active NPI 1992713309 Individual Practitioner Male Practitioner

Dr. Matthew Clark Nicholson , OD

Optometrist • Bourbonnais, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Nicholson, OD is a certified Optometrist practicing in Bourbonnais, IL. With approximately 32 years of clinical experience since completing medical education in 1994, Dr. Nicholson delivers high-quality medical care to the local community at 352 BROWN BLVD.

Dr. Nicholson is affiliated with Fisher-Swale-Nicholson Eye Center Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, imaging of optic nerve. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

352 Brown Blvd

Bourbonnais, IL 609142458

Telephone 8159322020
Fax 8159370060
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Bourbonnais, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
32 Yrs +15.7 yrs vs City Avg
City Avg: 16.3 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
16 Specialists

Practicing in Bourbonnais, IL (2783 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Nicholson (32 Years) 32 Yrs
Bourbonnais Specialty Average (16.3 Years) 16.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
1,862 1,813 $234.41 $116.88
99213 Established patient office or other outpatient visit, typically 15 minutes
515 359 $174.79 $86.04
92133 Imaging of optic nerve
378 375 $280.00 $33.74
92083 Exam of visual field with extended testing
348 330 $119.17 $57.89
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
347 257 $32.26 $15.82
92012 Established patient problem focused exam of visual system
201 163 $161.00 $82.41
92134 Imaging of retina
126 119 $280.00 $37.60
92004 New patient complete exam of visual system
68 68 $275.78 $139.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
18 17 $107.39 $53.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
12 11 $248.70 $122.68

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046008729

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
046008729 (IL)
Commercial Insurance / Payer ID Controlled Substance
346001680 (IL)

Hospital & Practice Group Affiliations

Fisher-Swale-Nicholson Eye Center Sc

352 Brown Blvd, Bourbonnais, IL 609142458

Phone: 8159322020

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1487389649

Doctor of Optometry

NPI 1669480844

Doctor of Medicine (M.D.)

NPI 1710371901

Doctor of Medicine (M.D.)

NPI 1780692905

Doctor of Medicine (M.D.)

NPI 1902288566

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 12, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2008

Registered at 352 BROWN BLVD, BOURBONNAIS, IL 609142458 (Tel: 8159322020)

📍
Updated Business Mailing Address August 12, 2008

Registered at 352 BROWN BLVD, BOURBONNAIS, IL 609142458 (Tel: 8159322020)

👤
Provider Name / Credentials Updated August 12, 2008

Recorded as MATTHEW NICHOLSON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2008

Optometrist (License #046008729 in IL)

🟢
Initial NPI Registration & Enumeration August 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1992713309
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

352 Brown Blvd

Bourbonnais, IL 609142458

Phone: 8159322020

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.