Active NPI 1043289119 Individual Practitioner Male Practitioner

Dr. Thomas G Prater , MD

Ophthalmology • Springfield, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Prater, MD is a certified Ophthalmology practicing in Springfield, MO. With approximately 43 years of clinical experience since graduating from Washington University School Of Medicine in 1983, Dr. Prater delivers high-quality medical care to the local community at 1265 E PRIMROSE ST.

Dr. Prater is affiliated with Mattax Neu Prater Eye Center Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, removal of cataract with insertion of lens, measurement of corneal curvature and depth of eye. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1265 E Primrose St

Springfield, MO 658044278

Telephone 4178863937

Fax 4178861285

Associated Practice Facility / Clinic

🏢 Mattax Neu Prater Eye Center, Inc. Facility NPI 1790745313

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Springfield, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +16.1 yrs vs City Avg

City Avg: 26.9 Yrs

State Avg: 30.4 Yrs

Regional Practice Density

32 Specialists

Practicing in Springfield, MO (374 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prater (43 Years) 43 Yrs

Springfield Specialty Average (26.9 Years) 26.9 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	540	537	$158.00	$113.56
66984 Removal of cataract with insertion of lens	269	156	$1900.00	$452.97
92136 Measurement of corneal curvature and depth of eye	264	169	$115.00	$36.70
99213 Established patient office or other outpatient visit, typically 15 minutes	144	118	$125.00	$83.72
92004 New patient complete exam of visual system	79	79	$190.00	$135.21
92133 Imaging of optic nerve	73	69	$100.00	$32.62
66821 Removal of recurring cataract in lens capsule using a laser	66	65	$493.94	$292.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$195.00	$155.20
92134 Imaging of retina	49	49	$100.00	$36.01
92083 Exam of visual field with extended testing	25	25	$115.00	$56.17
68841 Insertion of drug delivery implant into tear duct of eye	20	19	$341.00	$14.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	592	577	$158.00	$115.91
66984 Removal of cataract with insertion of lens	246	144	$1877.44	$448.01
92136 Measurement of corneal curvature and depth of eye	231	156	$115.00	$37.61
99213 Established patient office or other outpatient visit, typically 15 minutes	104	88	$125.00	$84.35
92004 New patient complete exam of visual system	77	77	$190.00	$137.90
92133 Imaging of optic nerve	70	67	$100.00	$33.50
66821 Removal of recurring cataract in lens capsule using a laser	64	63	$499.38	$304.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	61	61	$195.00	$156.58
92134 Imaging of retina	41	41	$100.00	$36.95
68841 Insertion of drug delivery implant into tear duct of eye	35	30	$341.00	$15.17
92083 Exam of visual field with extended testing	28	28	$115.00	$56.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	673	654	$158.00	$116.82
66984 Removal of cataract with insertion of lens	329	179	$1793.16	$436.88
92136 Measurement of corneal curvature and depth of eye	305	186	$115.00	$38.83
92004 New patient complete exam of visual system	123	123	$190.00	$138.91
99213 Established patient office or other outpatient visit, typically 15 minutes	111	90	$125.00	$85.15
92133 Imaging of optic nerve	95	94	$100.00	$33.60
66821 Removal of recurring cataract in lens capsule using a laser	80	79	$489.75	$290.91
92012 Established patient problem focused exam of visual system	70	62	$110.00	$82.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	67	67	$195.00	$156.23
92134 Imaging of retina	43	40	$100.00	$37.28
92083 Exam of visual field with extended testing	28	26	$115.00	$57.02
92082 Exam of visual field with intermediate testing	13	12	$90.00	$42.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	699	678	$158.05	$117.49
66984 Removal of cataract with insertion of lens	355	198	$1837.46	$457.01
92136 Measurement of corneal curvature and depth of eye	333	211	$115.00	$42.22
92004 New patient complete exam of visual system	135	135	$190.00	$140.14
92012 Established patient problem focused exam of visual system	92	76	$110.00	$82.40
66821 Removal of recurring cataract in lens capsule using a laser	86	84	$489.30	$301.58
92133 Imaging of optic nerve	85	82	$100.00	$34.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$195.00	$159.25
92134 Imaging of retina	33	33	$100.00	$37.48
92083 Exam of visual field with extended testing	28	27	$115.00	$57.64
99213 Established patient office or other outpatient visit, typically 15 minutes	20	19	$125.00	$86.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	714	707	$158.04	$118.04
66984 Removal of cataract with insertion of lens	276	156	$1873.19	$466.66
92136 Measurement of corneal curvature and depth of eye	263	165	$115.00	$47.04
92004 New patient complete exam of visual system	157	157	$189.80	$141.32
92012 Established patient problem focused exam of visual system	104	91	$110.00	$82.07
92133 Imaging of optic nerve	76	75	$100.00	$34.70
66821 Removal of recurring cataract in lens capsule using a laser	73	73	$490.68	$302.60
92083 Exam of visual field with extended testing	28	25	$115.00	$58.27
92134 Imaging of retina	28	27	$100.00	$38.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	907	887	$158.00	$117.99
66984 Removal of cataract with insertion of lens	413	245	$1895.52	$550.25
92136 Measurement of corneal curvature and depth of eye	411	253	$115.00	$50.22
92004 New patient complete exam of visual system	246	246	$190.00	$141.61
92012 Established patient problem focused exam of visual system	130	113	$110.00	$82.05
66821 Removal of recurring cataract in lens capsule using a laser	110	108	$490.55	$294.96
92133 Imaging of optic nerve	92	88	$100.00	$34.59
92134 Imaging of retina	34	33	$100.00	$38.01
92083 Exam of visual field with extended testing	30	28	$115.00	$58.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$58.08	$41.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	958	946	$158.07	$116.60
66984 Removal of cataract with insertion of lens	497	290	$1900.00	$531.17
92136 Measurement of corneal curvature and depth of eye	477	289	$115.00	$53.24
92004 New patient complete exam of visual system	303	303	$190.00	$139.82
92012 Established patient problem focused exam of visual system	143	129	$110.00	$80.47
92133 Imaging of optic nerve	99	92	$98.59	$34.69
66821 Removal of recurring cataract in lens capsule using a laser	99	97	$491.52	$305.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	50	38	$56.00	$40.55
92134 Imaging of retina	39	37	$98.97	$38.15
92083 Exam of visual field with extended testing	35	34	$115.00	$58.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	932	923	$158.00	$113.30
66984 Removal of cataract with insertion of lens	551	289	$1718.69	$482.07
92136 Measurement of corneal curvature and depth of eye	370	296	$115.00	$68.78
92004 New patient complete exam of visual system	295	295	$190.00	$136.58
92012 Established patient problem focused exam of visual system	196	181	$110.41	$77.70
66821 Removal of recurring cataract in lens capsule using a laser	117	116	$508.89	$277.31
92133 Imaging of optic nerve	96	96	$80.00	$34.03
92083 Exam of visual field with extended testing	51	46	$115.00	$57.53
92134 Imaging of retina	43	42	$80.00	$37.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	29	$56.00	$39.90
92082 Exam of visual field with intermediate testing	14	14	$90.00	$43.36
92025 Ct scan of cornea	11	11	$130.00	$31.49

Medical Specialties & State Licenses

CMS Verified: 2020-06-23

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MO R7E40

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

202367827 (MO)

Hospital & Practice Group Affiliations

Mattax Neu Prater Eye Center Inc

1265 E Primrose St, Springfield, MO 658044278

Phone: 41788639371166

Mattax Neu Prater Eye Center Inc

168 S Payne Stewart Dr, Branson, MO 656162717

Phone: 4173481111

Practice Associates & Co-Workers

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

11 Associated Practitioners

David Meinhardt , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013978212

Certified Registered Nurse Anesthetist

Dr. Marla Smith , OD

Optometrist

NPI 1093776098

Doctor of Optometry

Dr. James Mattax , MD

Ophthalmology

NPI 1346244779

Doctor of Medicine (M.D.)

Dr. Drew Young , MD

Ophthalmology

NPI 1407411093

Doctor of Medicine (M.D.)

Dr. Kenneth Neu , MD

Ophthalmology

NPI 1427026715

Doctor of Medicine (M.D.)

Dr. Jacob Thomas , MD

Ophthalmology

NPI 1538328489

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 24, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 24, 2008

Registered at 1265 E PRIMROSE ST, SPRINGFIELD, MO 658044278 (Tel: 4178863937)

📍

Updated Business Mailing Address March 24, 2008

Registered at 1265 E PRIMROSE ST, SPRINGFIELD, MO 658044278 (Tel: 4178863937)

👤

Provider Name / Credentials Updated March 24, 2008

Recorded as THOMAS PRATER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2008

Ophthalmology (License #R7E40 in MO)

🟢

Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1043289119

Entity Type:

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

Enumeration Date: March 14, 2006

Last Update: June 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1265 E Primrose St

Springfield, MO 658044278

Phone: 4178863937

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.