Active NPI 1578727368 Individual Practitioner Male Practitioner

Dr. Matthew Robert Jones , OD

Optometrist • Effingham, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Jones, OD is a certified Optometrist practicing in Effingham, IL. With approximately 18 years of clinical experience since graduating from Illinois College Of Optometry At Chicago in 2008, Dr. Jones delivers high-quality medical care to the local community at 118 W WASHINGTON AVE.

Dr. Jones maintains professional affiliations with Christian County Visionary, Drs Sehy And Jones Optometrists Pc and accepts Medicare assignment.

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

Practice Location & Contact Primary Location

Practice Address

118 W Washington Ave

Effingham, IL 624012354

Telephone 2173422672

Fax 2173422681

Associated Practice Facility / Clinic

🏢 Drs. Sehy And Jones Optometrists, P.c. Facility NPI 1003026204

Medicare Profile & Education

Medical School

Illinois College Of Optometry At Chicago

Graduation Year

2008

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Effingham, IL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

18 Yrs -4.1 yrs vs City Avg

City Avg: 22.1 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

12 Specialists

Practicing in Effingham, IL (2783 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

24.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jones (18 Years) 18 Yrs

Effingham Specialty Average (22.1 Years) 22.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes	467	235	$93.04	$91.70
92014 Established patient complete exam of visual system	353	350	$127.00	$123.57
92250 Photography of the retina	299	269	$87.00	$36.57
92134 Imaging of retina	131	110	$61.00	$38.56
83861 Microfluid analysis of tears	105	36	$35.00	$22.03
92083 Exam of visual field with extended testing	85	83	$90.00	$59.32
92133 Imaging of optic nerve	54	47	$61.00	$35.78
92284 Evaluation of eye adaptation to light and dark with interpretation and report	46	45	$70.00	$35.25
92273 Full field recording of retinal electrical responses to external stimuli with interpretation and report	41	39	$140.00	$122.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	20	$130.00	$128.53
76514 Ultrasound scan of cornea to determine thickness	20	16	$58.00	$11.16
92004 New patient complete exam of visual system	19	19	$161.00	$146.66
92020 Examination of cornea and iris using lens device and slit lamp	17	17	$43.00	$26.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	422	226	$93.00	$86.78
92014 Established patient complete exam of visual system	336	332	$127.00	$119.21
92250 Photography of the retina	287	264	$87.00	$35.28
83861 Microfluid analysis of tears	170	52	$35.00	$22.03
92134 Imaging of retina	112	100	$61.00	$36.92
92083 Exam of visual field with extended testing	88	85	$90.00	$57.59
92133 Imaging of optic nerve	52	46	$61.00	$34.73
92284 Evaluation of eye adaptation to light and dark with interpretation and report	46	44	$70.00	$42.27
76514 Ultrasound scan of cornea to determine thickness	20	15	$58.00	$10.72
92020 Examination of cornea and iris using lens device and slit lamp	19	19	$43.00	$26.14
92004 New patient complete exam of visual system	13	13	$161.00	$141.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$130.00	$122.72
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	11	11	$177.00	$70.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	483	228	$93.00	$88.00
92014 Established patient complete exam of visual system	311	306	$127.00	$120.71
83861 Microfluid analysis of tears	270	74	$35.00	$22.21
92250 Photography of the retina	254	225	$87.00	$35.36
92134 Imaging of retina	109	99	$61.00	$37.36
92083 Exam of visual field with extended testing	91	84	$90.00	$57.46
92284 Evaluation of eye adaptation to light and dark with interpretation and report	54	53	$70.00	$54.16
92133 Imaging of optic nerve	48	45	$61.00	$35.19
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	25	24	$177.00	$70.30
92004 New patient complete exam of visual system	16	16	$161.00	$143.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,782	25	$1.78	$1.17
92014 Established patient complete exam of visual system	336	331	$127.00	$121.94
92250 Photography of the retina	263	243	$87.00	$37.68
99213 Established patient office or other outpatient visit, typically 15 minutes	262	166	$92.71	$89.24
92083 Exam of visual field with extended testing	86	79	$90.00	$58.08
83861 Microfluid analysis of tears	69	29	$35.00	$22.48
92134 Imaging of retina	68	63	$61.00	$37.36
92284 Evaluation of eye adaptation to light and dark with interpretation and report	54	51	$70.00	$55.75
92012 Established patient problem focused exam of visual system	49	47	$91.71	$86.26
92133 Imaging of optic nerve	41	40	$61.00	$35.78
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	27	26	$177.00	$73.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$126.43	$124.64
92004 New patient complete exam of visual system	16	16	$161.00	$145.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$54.73	$54.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	306	177	$89.00	$73.97
92014 Established patient complete exam of visual system	277	274	$127.00	$123.02
92250 Photography of the retina	224	199	$87.00	$43.68
83861 Microfluid analysis of tears	104	39	$35.00	$22.34
92083 Exam of visual field with extended testing	91	80	$90.00	$58.54
92284 Evaluation of eye adaptation to light and dark with interpretation and report	78	64	$70.00	$56.77
92134 Imaging of retina	72	65	$61.00	$37.59
92012 Established patient problem focused exam of visual system	64	63	$93.00	$86.01
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	31	29	$177.00	$73.72
92133 Imaging of optic nerve	30	30	$61.00	$36.29
92004 New patient complete exam of visual system	12	12	$161.00	$147.21
92285 Photography of content of eyes	11	11	$68.00	$20.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,882	29	$1.89	$1.47
92014 Established patient complete exam of visual system	321	318	$127.00	$122.50
99213 Established patient office or other outpatient visit, typically 15 minutes	320	178	$89.00	$72.47
92250 Photography of the retina	257	224	$87.00	$48.50
92083 Exam of visual field with extended testing	151	122	$90.00	$59.94
83861 Microfluid analysis of tears	146	54	$35.00	$22.03
92134 Imaging of retina	83	73	$61.00	$37.50
92012 Established patient problem focused exam of visual system	76	71	$93.00	$85.23
92133 Imaging of optic nerve	47	46	$61.00	$35.87
0509T Pattern recording of retinal electrical responses to external stimuli with interpretation and report	32	32	$177.00	$75.21
92285 Photography of content of eyes	29	28	$68.00	$20.48
92284 Evaluation of eye adaptation to light and dark with interpretation and report	24	21	$70.00	$57.48
92004 New patient complete exam of visual system	21	21	$161.00	$146.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$51.00	$43.66
92020 Examination of cornea and iris using lens device and slit lamp	12	12	$43.00	$26.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	2,423	15	$1.79	$1.39
99213 Established patient office or other outpatient visit, typically 15 minutes	323	195	$89.00	$70.75
92014 Established patient complete exam of visual system	278	274	$127.00	$121.25
83861 Microfluid analysis of tears	263	85	$35.00	$22.03
92250 Photography of the retina	213	192	$87.00	$54.17
92083 Exam of visual field with extended testing	78	72	$90.00	$60.44
92134 Imaging of retina	76	71	$61.00	$38.77
92012 Established patient problem focused exam of visual system	67	65	$93.00	$83.95
92082 Exam of visual field with intermediate testing	45	40	$80.00	$45.91
92285 Photography of content of eyes	43	42	$68.00	$19.67
92133 Imaging of optic nerve	43	43	$61.00	$36.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	33	$51.00	$42.25
92004 New patient complete exam of visual system	32	32	$161.00	$145.37
92020 Examination of cornea and iris using lens device and slit lamp	29	26	$43.00	$26.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83861 Microfluid analysis of tears	256	94	$35.00	$22.21
92014 Established patient complete exam of visual system	182	177	$127.00	$114.02
99213 Established patient office or other outpatient visit, typically 15 minutes	179	119	$89.00	$67.84
92250 Photography of the retina	131	123	$87.00	$59.54
92012 Established patient problem focused exam of visual system	83	66	$93.00	$78.68
92082 Exam of visual field with intermediate testing	54	39	$80.00	$43.39
92083 Exam of visual field with extended testing	48	47	$90.00	$57.49
92133 Imaging of optic nerve	38	38	$61.00	$34.41
92134 Imaging of retina	32	31	$61.00	$36.33
92020 Examination of cornea and iris using lens device and slit lamp	27	27	$43.00	$24.96
92285 Photography of content of eyes	26	26	$69.15	$18.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	15	$51.00	$40.45
92275 Recording of retinal electrical responses to external stimuli	17	17	$177.00	$135.54
92004 New patient complete exam of visual system	14	14	$161.00	$137.99

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License IL 046010064

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.

Hospital & Practice Group Affiliations

Drs Sehy And Jones Optometrists Pc

303 N Keller Dr, Effingham, IL 624011859

Phone: 2173422672

Christian County Visionary

904 W Springfield Rd, Taylorville, IL 625681213

Phone: 2172872020

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Michael Sehy , OD

Optometrist

NPI 1205990736

Doctor of Optometry

Dr. Craig Woods , OD

Optometrist

NPI 1275095119

Doctor of Optometry

Dr. Rachel Mckay , OD

Optometrist

NPI 1306418686

Doctor of Optometry

Dr. Robert Jones , OD

Optometrist

NPI 1588728257

Doctor of Optometry

Dr. Michael Sehy , OD

Optometrist

NPI 1831253582

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 July 14, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location July 14, 2008

Registered at 118 W WASHINGTON AVE, EFFINGHAM, IL 624012354 (Tel: 2173422672)

📍

Updated Business Mailing Address July 14, 2008

Registered at 118 W WASHINGTON AVE, EFFINGHAM, IL 624012354 (Tel: 2173422672)

👤

Provider Name / Credentials Updated July 14, 2008

Recorded as MATTHEW JONES, OD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 14, 2008

Optometrist (License #046010064 in IL)

🟢

Initial NPI Registration & Enumeration July 11, 2008

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: 1578727368

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 11, 2008

Last Update: July 14, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

118 W Washington Ave

Effingham, IL 624012354

Phone: 2173422672

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.