Active NPI 1356480503 Individual Practitioner Male Practitioner

Dr. Thomas W Materna , MD

Ophthalmology • Newark, NJ

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Materna, MD is a registered healthcare professional specializing in Ophthalmology in Newark, NJ. Practice services are available at 20 FERRY ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, 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

20 Ferry St

Newark, NJ 071051420

Telephone 9735890104

Fax 9735895084

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Newark, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 32.3 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

15 Specialists

Practicing in Newark, NJ (700 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

41.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	96	59	$150.00	$101.61
92014 Established patient complete exam of visual system	68	62	$180.00	$142.16
92250 Photography of the retina	63	62	$150.00	$41.56
92004 New patient complete exam of visual system	37	37	$250.00	$167.92
92083 Exam of visual field with extended testing	28	28	$150.00	$71.42
92133 Imaging of optic nerve	19	19	$80.00	$39.80
92134 Imaging of retina	16	16	$80.00	$44.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	193	110	$152.02	$102.67
92250 Photography of the retina	128	123	$147.81	$42.41
92004 New patient complete exam of visual system	62	62	$250.00	$171.21
92014 Established patient complete exam of visual system	55	53	$181.45	$144.70
92083 Exam of visual field with extended testing	33	33	$146.36	$72.95
92133 Imaging of optic nerve	30	30	$79.33	$40.58
92134 Imaging of retina	21	20	$80.00	$45.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	289	172	$165.57	$103.22
92250 Photography of the retina	230	218	$150.00	$45.36
92004 New patient complete exam of visual system	122	122	$250.00	$174.32
92014 Established patient complete exam of visual system	80	77	$200.00	$147.25
92083 Exam of visual field with extended testing	68	65	$110.59	$74.86
92134 Imaging of retina	44	43	$80.00	$47.33
92133 Imaging of optic nerve	38	36	$70.00	$40.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	196	114	$150.51	$101.19
92014 Established patient complete exam of visual system	109	96	$200.73	$143.16
92083 Exam of visual field with extended testing	49	49	$110.00	$72.31
92134 Imaging of retina	45	44	$83.11	$46.66
92004 New patient complete exam of visual system	43	43	$250.00	$171.45
92250 Photography of the retina	42	41	$150.00	$52.09
92133 Imaging of optic nerve	38	38	$70.53	$39.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	248	156	$148.41	$99.17
92014 Established patient complete exam of visual system	126	114	$200.00	$142.09
92004 New patient complete exam of visual system	56	56	$237.50	$169.12
92083 Exam of visual field with extended testing	35	35	$103.71	$72.30
99213 Established patient office or other outpatient visit, typically 15 minutes	32	32	$100.00	$82.25
92020 Examination of cornea and iris using lens device and slit lamp	28	25	$50.00	$30.73
99231 Follow-up hospital inpatient care per day, typically 15 minutes	24	15	$54.35	$41.87
92250 Photography of the retina	20	20	$150.00	$57.35
92133 Imaging of optic nerve	18	18	$70.00	$40.63
76519 Ultrasound of eye for determination of lens power	17	14	$177.65	$75.41
66821 Removal of recurring cataract in lens capsule using a laser	14	11	$850.00	$375.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	182	124	$96.65	$77.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	42	19	$43.72	$39.53
92014 Established patient complete exam of visual system	42	41	$200.00	$135.86
92081 Exam of visual field with limited testing	35	35	$81.57	$37.41
92226 Examination of eye by ophthalmoscope with retinal drawing	28	14	$150.00	$26.63
92020 Examination of cornea and iris using lens device and slit lamp	17	16	$80.00	$28.64
99221 Initial hospital inpatient care per day, typically 30 minutes	16	16	$120.06	$102.25
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$200.00	$114.83
76519 Ultrasound of eye for determination of lens power	15	12	$360.00	$81.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	842	333	$95.00	$75.45
92081 Exam of visual field with limited testing	142	140	$85.00	$35.84
92014 Established patient complete exam of visual system	90	90	$200.00	$130.13
92020 Examination of cornea and iris using lens device and slit lamp	71	71	$135.00	$27.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$200.00	$112.26
76519 Ultrasound of eye for determination of lens power	59	49	$360.00	$91.16
66984 Removal of cataract with insertion of lens	56	45	$3500.00	$665.27
99231 Follow-up hospital inpatient care per day, typically 15 minutes	45	20	$43.64	$38.92
67041 Removal of membrane from the retina	27	27	$300.00	$187.22
66821 Removal of recurring cataract in lens capsule using a laser	24	22	$1500.00	$326.76
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	23	11	$95.00	$45.43
65855 Laser repair to improve eye fluid flow	18	13	$2500.00	$215.48
76512 Ultrasound of eye disease, growth, or structure	16	16	$490.00	$98.91
67108 Repair of detached retina and drainage of eye fluid between lens and retina	15	15	$500.00	$185.59
67040 Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser	14	14	$400.00	$148.33
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$115.81	$101.28
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	13	13	$120.00	$93.63
67113 Complex repair of detached retina and drainage of eye fluid between lens and retina	12	11	$400.00	$221.99
67036 Removal of eye fluid (vitreous) between the lens and retina	12	12	$300.00	$124.74

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NJ 25MA03400000

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

1465201 (NJ)

Commercial Insurance / Payer ID Tax Id

061280694 (NJ)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Julio Hubert

Internal Medicine

NPI 1386770493

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 13, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 13, 2014

Registered at 20 FERRY ST, NEWARK, NJ 071051420 (Tel: 9735890104)

📍

Updated Business Mailing Address January 13, 2014

Registered at 87 LORRAINE AVE, UPPER MONTCLAIR, NJ 070432304 (Tel: 9737444265)

👤

Provider Name / Credentials Updated January 13, 2014

Recorded as THOMAS MATERNA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2014

Ophthalmology (License #25MA03400000 in NJ)

🟢

Initial NPI Registration & Enumeration February 05, 2007

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: 1356480503

Entity Type:

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

Enumeration Date: February 05, 2007

Last Update: January 13, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

87 Lorraine Ave

Upper Montclair, NJ 070432304

Phone: 9737444265

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.