Active NPI 1346244779 Individual Practitioner Male Practitioner

Dr. James B Mattax , MD

Ophthalmology • Springfield, MO

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Mattax, MD is a certified Ophthalmology practicing in Springfield, MO. With approximately 43 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1983, Dr. Mattax delivers high-quality medical care to the local community at 1265 E PRIMROSE ST.

Dr. Mattax 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, measurement of corneal curvature and depth of eye, 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

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

University Of Texas Southwestern Medical School At Dallas

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

59.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mattax (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	629	622	$158.00	$113.50
92136 Measurement of corneal curvature and depth of eye	225	141	$115.00	$36.04
66984 Removal of cataract with insertion of lens	207	116	$1900.00	$482.10
99213 Established patient office or other outpatient visit, typically 15 minutes	154	127	$125.00	$83.68
92134 Imaging of retina	96	90	$100.00	$36.04
66821 Removal of recurring cataract in lens capsule using a laser	74	73	$495.95	$311.24
92133 Imaging of optic nerve	73	68	$100.00	$32.46
92004 New patient complete exam of visual system	67	67	$190.00	$134.91
92083 Exam of visual field with extended testing	22	22	$115.00	$56.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$150.00	$118.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	645	635	$158.00	$115.91
92136 Measurement of corneal curvature and depth of eye	195	119	$115.00	$36.65
66984 Removal of cataract with insertion of lens	191	110	$1890.31	$487.79
99213 Established patient office or other outpatient visit, typically 15 minutes	159	122	$125.00	$84.36
92134 Imaging of retina	96	92	$100.00	$36.82
66821 Removal of recurring cataract in lens capsule using a laser	86	85	$492.56	$311.46
92133 Imaging of optic nerve	78	75	$100.00	$33.23
92004 New patient complete exam of visual system	77	77	$190.00	$136.85
92083 Exam of visual field with extended testing	25	23	$115.00	$56.50
92025 Ct scan of cornea	14	14	$130.00	$32.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	666	658	$158.00	$116.76
66984 Removal of cataract with insertion of lens	264	139	$1801.89	$461.31
92136 Measurement of corneal curvature and depth of eye	264	154	$115.00	$38.24
99213 Established patient office or other outpatient visit, typically 15 minutes	161	120	$125.00	$85.25
92004 New patient complete exam of visual system	111	111	$190.00	$138.03
66821 Removal of recurring cataract in lens capsule using a laser	99	95	$492.53	$310.40
92134 Imaging of retina	89	88	$100.00	$37.24
92133 Imaging of optic nerve	83	82	$100.00	$33.33
92012 Established patient problem focused exam of visual system	35	34	$110.00	$82.23
92083 Exam of visual field with extended testing	30	26	$115.00	$57.00
92025 Ct scan of cornea	16	16	$130.00	$31.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	756	738	$158.00	$117.39
92136 Measurement of corneal curvature and depth of eye	286	166	$115.00	$41.52
66984 Removal of cataract with insertion of lens	260	143	$1885.77	$493.84
92004 New patient complete exam of visual system	105	105	$190.00	$140.27
92133 Imaging of optic nerve	99	95	$100.00	$34.11
92134 Imaging of retina	99	93	$100.00	$37.76
99213 Established patient office or other outpatient visit, typically 15 minutes	91	57	$124.04	$86.12
66821 Removal of recurring cataract in lens capsule using a laser	85	82	$481.41	$305.46
92012 Established patient problem focused exam of visual system	59	59	$110.00	$82.84
92083 Exam of visual field with extended testing	21	20	$115.00	$57.77
92025 Ct scan of cornea	18	18	$130.00	$31.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	788	764	$158.00	$118.15
92136 Measurement of corneal curvature and depth of eye	220	128	$115.00	$46.14
66984 Removal of cataract with insertion of lens	213	117	$1882.63	$502.09
92133 Imaging of optic nerve	99	89	$100.00	$34.50
66821 Removal of recurring cataract in lens capsule using a laser	97	96	$490.31	$318.38
92004 New patient complete exam of visual system	91	91	$190.00	$141.35
92134 Imaging of retina	83	81	$100.00	$38.19
92012 Established patient problem focused exam of visual system	69	65	$110.00	$82.53
99213 Established patient office or other outpatient visit, typically 15 minutes	64	55	$95.00	$70.17
92083 Exam of visual field with extended testing	18	18	$115.00	$58.16
92025 Ct scan of cornea	13	13	$130.00	$32.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	928	897	$158.00	$117.69
66984 Removal of cataract with insertion of lens	333	180	$1866.67	$569.53
92136 Measurement of corneal curvature and depth of eye	322	184	$115.00	$47.70
92004 New patient complete exam of visual system	134	134	$190.00	$140.09
92133 Imaging of optic nerve	128	121	$100.00	$34.49
66821 Removal of recurring cataract in lens capsule using a laser	114	102	$469.82	$299.01
92134 Imaging of retina	100	93	$100.00	$38.12
92012 Established patient problem focused exam of visual system	83	75	$110.00	$82.05
99213 Established patient office or other outpatient visit, typically 15 minutes	65	52	$95.00	$70.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$56.00	$42.01
92025 Ct scan of cornea	22	22	$130.00	$33.49
92083 Exam of visual field with extended testing	18	16	$115.00	$57.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	904	883	$158.00	$116.56
92136 Measurement of corneal curvature and depth of eye	317	185	$115.00	$49.69
66984 Removal of cataract with insertion of lens	310	168	$1888.06	$582.12
92012 Established patient problem focused exam of visual system	164	151	$110.00	$80.09
92133 Imaging of optic nerve	158	135	$98.86	$34.50
92004 New patient complete exam of visual system	149	149	$190.00	$140.04
66821 Removal of recurring cataract in lens capsule using a laser	133	111	$465.26	$291.63
92134 Imaging of retina	78	72	$97.69	$38.38
99213 Established patient office or other outpatient visit, typically 15 minutes	52	43	$95.00	$68.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	36	$56.00	$40.50
92083 Exam of visual field with extended testing	27	23	$115.00	$58.01
92025 Ct scan of cornea	12	12	$130.00	$32.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	974	943	$158.00	$112.96
66984 Removal of cataract with insertion of lens	353	191	$1784.70	$540.83
92136 Measurement of corneal curvature and depth of eye	308	206	$115.00	$61.38
92004 New patient complete exam of visual system	188	188	$190.00	$136.45
92133 Imaging of optic nerve	161	141	$80.00	$34.12
92012 Established patient problem focused exam of visual system	156	141	$110.00	$77.84
66821 Removal of recurring cataract in lens capsule using a laser	125	107	$469.60	$287.39
99213 Established patient office or other outpatient visit, typically 15 minutes	96	59	$95.00	$67.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	51	$56.00	$39.84
92134 Imaging of retina	74	70	$80.00	$37.34
92083 Exam of visual field with extended testing	22	22	$115.00	$57.24
92025 Ct scan of cornea	11	11	$130.00	$32.60
11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less	11	11	$160.00	$121.13

Medical Specialties & State Licenses

CMS Verified: 2020-07-01

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License MO R9H41

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

202545034 (MO)

Medicaid State Provider ID

202545026 (MO)

Commercial Insurance / Payer ID United Hc Of Midwest

0840001 (MO)

Commercial Insurance / Payer ID Opticare

32245 (MO)

Commercial Insurance / Payer ID Blue Cross/shield St.lou

118132 (MO)

Commercial Insurance / Payer ID Healthcare Preferred

822629 (MO)

Commercial Insurance / Payer ID Cox Health Ins

1402 (MO)

Hospital & Practice Group Affiliations

Mattax Neu Prater Eye Center Inc

430 N Jefferson Ave, Lebanon, MO 655362742

Phone: 4175882400

Mattax Neu Prater Eye Center Inc

1265 E Primrose St, Springfield, MO 658044278

Phone: 41788639371166

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. Thomas Prater , MD

Ophthalmology

NPI 1043289119

Doctor of Medicine (M.D.)

Dr. Marla Smith , OD

Optometrist

NPI 1093776098

Doctor of Optometry

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

7 Historical Events

📍

Updated Business Mailing Address July 01, 2020

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

✅

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 3870 E FORREST RIDGE LN, ROGERSVILLE, MO 657428201 (Tel: 4175560514)

👤

Provider Name / Credentials Updated March 24, 2008

Recorded as JAMES MATTAX, M.D.

🎓

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

Ophthalmology (License #R9H41 in MO)

🟢

Initial NPI Registration & Enumeration June 13, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1346244779

Entity Type:

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

Enumeration Date: June 13, 2005

Last Update: July 01, 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.