Active NPI 1881676807 Individual Practitioner Male Practitioner

Dr. Matthew Michael Fornefeld , MD

Ophthalmology • Bloomington, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Fornefeld, MD is a certified Ophthalmology practicing in Bloomington, IN. With approximately 41 years of clinical experience since graduating from Indiana University School Of Medicine in 1985, Dr. Fornefeld delivers high-quality medical care to the local community at 481 S LANDMARK AVE.

Dr. Fornefeld is affiliated with Mission Cataract And Lasik and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, ultrasound of eye for determination of lens power, removal of cataract with insertion of lens. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

481 S Landmark Ave

Bloomington, IN 474035005

Telephone 8123318181

Fax 8123318180

Associated Practice Facility / Clinic

🏢 Clariti Inc. Facility NPI 1073708483

Medicare Profile & Education

Medical School

Indiana University School Of Medicine

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Bloomington, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +15.2 yrs vs City Avg

City Avg: 25.8 Yrs

State Avg: 27.7 Yrs

Regional Practice Density

6 Specialists

Practicing in Bloomington, IN (339 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fornefeld (41 Years) 41 Yrs

Bloomington Specialty Average (25.8 Years) 25.8 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	366	339	$126.00	$84.74
76519 Ultrasound of eye for determination of lens power	159	89	$180.00	$47.07
66984 Removal of cataract with insertion of lens	140	84	$3100.00	$473.66
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	105	$81.00	$52.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	94	$195.00	$119.58
92134 Imaging of retina	67	58	$125.00	$37.31
66821 Removal of recurring cataract in lens capsule using a laser	64	62	$1300.00	$354.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$309.00	$150.82
92250 Photography of the retina	39	39	$112.00	$34.45
92133 Imaging of optic nerve	31	31	$125.00	$33.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$186.00	$103.32
92083 Exam of visual field with extended testing	22	22	$120.00	$58.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	508	466	$126.00	$84.67
76519 Ultrasound of eye for determination of lens power	282	151	$180.00	$48.26
66984 Removal of cataract with insertion of lens	240	141	$3100.00	$487.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	209	150	$81.00	$52.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	155	$195.00	$120.17
66821 Removal of recurring cataract in lens capsule using a laser	98	97	$1300.00	$336.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	94	94	$309.00	$154.85
92134 Imaging of retina	83	75	$125.00	$37.83
92133 Imaging of optic nerve	67	63	$125.00	$34.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$186.00	$104.74
92083 Exam of visual field with extended testing	31	29	$120.00	$58.38
92250 Photography of the retina	15	15	$112.00	$35.01
92081 Exam of visual field with limited testing	13	13	$100.00	$30.78
76514 Ultrasound scan of cornea to determine thickness	11	11	$30.00	$9.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	511	464	$126.00	$85.51
76519 Ultrasound of eye for determination of lens power	261	142	$180.00	$47.80
66984 Removal of cataract with insertion of lens	243	137	$3100.00	$480.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	164	136	$81.00	$52.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	142	140	$195.00	$121.20
92134 Imaging of retina	99	81	$125.00	$38.05
66821 Removal of recurring cataract in lens capsule using a laser	98	95	$1300.00	$329.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	93	93	$307.77	$157.49
92133 Imaging of optic nerve	75	72	$125.00	$34.22
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$186.00	$105.03
92083 Exam of visual field with extended testing	37	35	$120.00	$55.60
92250 Photography of the retina	19	19	$112.00	$35.06
76514 Ultrasound scan of cornea to determine thickness	11	11	$30.00	$10.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	486	433	$126.00	$87.06
66984 Removal of cataract with insertion of lens	285	165	$3100.00	$496.62
76519 Ultrasound of eye for determination of lens power	283	159	$180.00	$49.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	193	138	$81.00	$53.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	146	$195.00	$123.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$309.00	$160.32
66821 Removal of recurring cataract in lens capsule using a laser	108	105	$1324.07	$334.49
92134 Imaging of retina	106	91	$125.00	$39.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$186.00	$106.06
92133 Imaging of optic nerve	61	58	$125.00	$35.01
92083 Exam of visual field with extended testing	31	26	$120.00	$59.71
76514 Ultrasound scan of cornea to determine thickness	14	14	$30.00	$10.37
92250 Photography of the retina	12	12	$112.00	$37.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	505	419	$126.25	$71.16
76519 Ultrasound of eye for determination of lens power	248	138	$180.00	$48.91
66984 Removal of cataract with insertion of lens	224	131	$3100.00	$492.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	212	151	$81.00	$43.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	135	131	$195.00	$104.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	116	116	$309.00	$157.19
92134 Imaging of retina	115	88	$125.00	$39.03
66821 Removal of recurring cataract in lens capsule using a laser	112	107	$1671.43	$351.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$186.00	$102.57
92133 Imaging of optic nerve	77	71	$125.00	$34.35
92083 Exam of visual field with extended testing	41	39	$120.00	$59.04
67028 Injection of drug into eye	29	12	$500.00	$95.76
76514 Ultrasound scan of cornea to determine thickness	21	21	$30.00	$10.70
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$126.00	$72.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	739	640	$119.72	$70.45
76519 Ultrasound of eye for determination of lens power	350	196	$179.48	$48.30
66984 Removal of cataract with insertion of lens	341	192	$3100.00	$560.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	258	192	$74.59	$42.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	169	$182.57	$103.42
92134 Imaging of retina	134	109	$119.51	$39.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$285.56	$155.79
66821 Removal of recurring cataract in lens capsule using a laser	109	104	$1586.24	$333.44
92133 Imaging of optic nerve	87	80	$119.21	$35.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	85	85	$174.59	$102.10
67028 Injection of drug into eye	35	12	$448.57	$97.38
92083 Exam of visual field with extended testing	23	23	$120.00	$60.77
92081 Exam of visual field with limited testing	14	13	$100.00	$32.16
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$120.15	$72.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	723	645	$104.00	$68.70
76519 Ultrasound of eye for determination of lens power	313	170	$180.00	$55.58
66984 Removal of cataract with insertion of lens	313	175	$3100.00	$561.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	278	193	$62.00	$41.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	184	178	$155.00	$101.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$237.00	$154.46
92134 Imaging of retina	123	103	$104.00	$39.38
66821 Removal of recurring cataract in lens capsule using a laser	107	106	$1603.74	$331.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	106	106	$153.00	$100.78
92133 Imaging of optic nerve	68	64	$104.00	$35.67
67028 Injection of drug into eye	34	11	$300.00	$96.34
92083 Exam of visual field with extended testing	21	20	$120.00	$60.36
92250 Photography of the retina	20	20	$112.00	$53.75
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$107.00	$70.46
76514 Ultrasound scan of cornea to determine thickness	16	16	$30.00	$14.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	626	527	$103.93	$66.57
66984 Removal of cataract with insertion of lens	335	197	$3100.00	$542.81
76519 Ultrasound of eye for determination of lens power	294	190	$196.53	$73.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	236	232	$154.57	$98.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	229	192	$62.00	$39.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	147	147	$237.00	$149.67
92134 Imaging of retina	126	106	$104.00	$37.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$153.00	$98.01
92133 Imaging of optic nerve	78	75	$104.00	$34.01
66821 Removal of recurring cataract in lens capsule using a laser	76	73	$1522.37	$306.15
67028 Injection of drug into eye	42	17	$342.86	$100.71
J3590 Unclassified biologics	42	15	$45.00	$44.28
92250 Photography of the retina	32	32	$112.00	$59.16
92083 Exam of visual field with extended testing	30	30	$120.00	$58.13
76514 Ultrasound scan of cornea to determine thickness	24	24	$30.00	$13.12
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$107.00	$68.05
92081 Exam of visual field with limited testing	14	14	$100.00	$30.60

Medical Specialties & State Licenses

CMS Verified: 2022-12-19

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License IN IN01034586

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Hospital & Practice Group Affiliations

Mission Cataract And Lasik

708 Hill Country Dr, Kerrville, TX 780286071

Phone: 8308302020

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Tracy Crane , OD

Optometrist

NPI 1134298516

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 30, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location August 30, 2007

Registered at 481 S LANDMARK AVE, BLOOMINGTON, IN 474035005 (Tel: 8123318181)

📍

Updated Business Mailing Address August 30, 2007

Registered at 481 S LANDMARK AVE, BLOOMINGTON, IN 474035005 (Tel: 8123318181)

👤

Provider Name / Credentials Updated August 30, 2007

Recorded as MATTHEW FORNEFELD, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2007

Ophthalmology (License #IN01034586 in IN)

🟢

Initial NPI Registration & Enumeration November 16, 2005

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: 1881676807

Entity Type:

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

Enumeration Date: November 16, 2005

Last Update: December 19, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

481 S Landmark Ave

Bloomington, IN 474035005

Phone: 8123318181

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.