Active NPI 1013953116 Individual Practitioner Male Practitioner

Dr. Brian M Mathie , OD

Optometrist • Canton, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Mathie, OD is a certified Optometrist practicing in Canton, OH. With approximately 36 years of clinical experience since graduating from Ohio State University - College Of Optometry in 1990, Dr. Mathie delivers high-quality medical care to the local community at 5890 MAYFAIR RD.

Dr. Mathie is affiliated with Roholt Vision Institute Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, established patient outpatient office visit, 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

5890 Mayfair Rd

Canton, OH 447201547

Telephone 3303052200

Fax 3303052210

Associated Practice Facility / Clinic

🏢 Roholt Vision Institute Inc Facility NPI 1609818244

Medicare Profile & Education

Medical School

Ohio State University - College Of Optometry

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Canton, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +6.9 yrs vs City Avg

City Avg: 29.1 Yrs

State Avg: 23.4 Yrs

Regional Practice Density

33 Specialists

Practicing in Canton, OH (2535 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

20.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathie (36 Years) 36 Yrs

Canton Specialty Average (29.1 Years) 29.1 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
92014 Established patient complete exam of visual system	506	479	$125.00	$115.64
99213 Established patient office or other outpatient visit, typically 15 minutes	318	230	$105.00	$85.37
92250 Photography of the retina	153	153	$55.00	$33.55
92133 Imaging of optic nerve	119	116	$55.00	$33.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	104	$65.00	$52.90
92083 Exam of visual field with extended testing	70	69	$80.00	$58.01
92134 Imaging of retina	61	60	$55.00	$37.39
83861 Microfluid analysis of tears	60	29	$25.00	$22.03
83516 Analysis of substance using immunoassay technique	46	22	$20.00	$11.30
92004 New patient complete exam of visual system	41	41	$147.00	$138.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$130.00	$104.87
76514 Ultrasound scan of cornea to determine thickness	17	17	$25.00	$10.20
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$85.00	$67.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	519	491	$125.00	$119.63
99213 Established patient office or other outpatient visit, typically 15 minutes	338	238	$105.00	$86.82
92250 Photography of the retina	162	157	$55.00	$34.91
92133 Imaging of optic nerve	115	110	$55.00	$34.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	98	90	$65.00	$54.32
92083 Exam of visual field with extended testing	64	62	$80.00	$59.08
92134 Imaging of retina	35	32	$55.00	$38.53
92004 New patient complete exam of visual system	31	31	$147.00	$142.85
76514 Ultrasound scan of cornea to determine thickness	16	16	$25.00	$10.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$130.00	$108.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	512	488	$125.00	$120.90
99213 Established patient office or other outpatient visit, typically 15 minutes	372	250	$105.00	$88.22
92133 Imaging of optic nerve	148	104	$40.51	$25.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	101	$65.00	$54.95
92250 Photography of the retina	107	106	$55.00	$35.19
92134 Imaging of retina	86	64	$44.13	$31.18
92083 Exam of visual field with extended testing	75	74	$80.00	$59.74
92004 New patient complete exam of visual system	53	53	$147.00	$144.65
83861 Microfluid analysis of tears	40	20	$25.00	$22.23
83516 Analysis of substance using immunoassay technique	38	18	$20.00	$11.40
76514 Ultrasound scan of cornea to determine thickness	28	21	$18.75	$8.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$130.00	$110.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	472	446	$125.00	$122.48
99213 Established patient office or other outpatient visit, typically 15 minutes	454	306	$103.55	$89.42
92133 Imaging of optic nerve	137	125	$53.39	$34.39
92250 Photography of the retina	115	115	$55.91	$37.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	84	78	$64.82	$54.69
92083 Exam of visual field with extended testing	68	68	$80.00	$60.71
83861 Microfluid analysis of tears	56	26	$25.00	$22.48
83516 Analysis of substance using immunoassay technique	52	25	$20.00	$11.53
92004 New patient complete exam of visual system	39	39	$147.00	$145.85
76514 Ultrasound scan of cornea to determine thickness	38	38	$25.00	$11.06
92134 Imaging of retina	34	32	$53.38	$38.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	29	$145.00	$127.37
68761 Closure of tear duct opening using plug	23	12	$160.00	$110.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$130.00	$110.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	466	445	$125.00	$122.39
99213 Established patient office or other outpatient visit, typically 15 minutes	310	243	$85.00	$73.69
92250 Photography of the retina	109	107	$90.00	$43.01
92133 Imaging of optic nerve	102	98	$55.00	$35.89
92012 Established patient problem focused exam of visual system	95	81	$95.00	$85.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	92	66	$50.00	$44.33
92004 New patient complete exam of visual system	46	46	$147.00	$146.91
92083 Exam of visual field with extended testing	44	43	$80.00	$60.99
83516 Analysis of substance using immunoassay technique	44	22	$20.00	$11.49
83861 Microfluid analysis of tears	42	21	$25.00	$22.39
76514 Ultrasound scan of cornea to determine thickness	40	40	$25.00	$11.41
92134 Imaging of retina	39	39	$55.00	$39.89
68761 Closure of tear duct opening using plug	28	14	$160.00	$108.44
92002 New patient problem focused exam of visual system	24	24	$95.00	$81.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	518	481	$125.00	$120.43
99213 Established patient office or other outpatient visit, typically 15 minutes	348	276	$85.00	$71.04
92250 Photography of the retina	123	118	$90.00	$46.62
92012 Established patient problem focused exam of visual system	111	94	$95.00	$83.97
92133 Imaging of optic nerve	102	102	$55.00	$35.34
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	102	70	$50.00	$42.39
83861 Microfluid analysis of tears	62	31	$25.00	$22.03
92004 New patient complete exam of visual system	56	56	$147.00	$144.57
83516 Analysis of substance using immunoassay technique	53	27	$20.00	$12.55
92134 Imaging of retina	45	44	$55.00	$39.18
76514 Ultrasound scan of cornea to determine thickness	44	44	$25.00	$11.52
92083 Exam of visual field with extended testing	34	32	$80.00	$60.53
92002 New patient problem focused exam of visual system	26	26	$95.00	$80.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	635	567	$124.27	$114.03
99213 Established patient office or other outpatient visit, typically 15 minutes	323	242	$85.00	$66.59
92133 Imaging of optic nerve	106	102	$55.00	$34.05
92250 Photography of the retina	102	98	$90.00	$50.48
92012 Established patient problem focused exam of visual system	94	86	$95.00	$79.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	64	$50.00	$39.78
83861 Microfluid analysis of tears	70	33	$25.00	$22.03
92134 Imaging of retina	59	58	$55.00	$37.81
83516 Analysis of substance using immunoassay technique	52	22	$20.00	$13.96
92083 Exam of visual field with extended testing	50	47	$80.00	$57.82
92004 New patient complete exam of visual system	50	50	$146.72	$133.04
68761 Closure of tear duct opening using plug	35	16	$161.49	$102.16
76514 Ultrasound scan of cornea to determine thickness	14	14	$25.00	$13.56
92002 New patient problem focused exam of visual system	12	12	$95.00	$75.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	546	490	$120.00	$113.36
99213 Established patient office or other outpatient visit, typically 15 minutes	366	274	$85.00	$67.48
83861 Microfluid analysis of tears	136	63	$25.00	$22.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	131	71	$50.00	$40.18
92133 Imaging of optic nerve	106	104	$54.72	$33.79
83516 Analysis of substance using immunoassay technique	96	44	$20.00	$15.50
92012 Established patient problem focused exam of visual system	86	76	$95.00	$77.41
92250 Photography of the retina	76	75	$90.00	$59.72
92083 Exam of visual field with extended testing	62	60	$80.00	$57.55
92004 New patient complete exam of visual system	56	56	$145.00	$138.00
92134 Imaging of retina	44	43	$55.00	$36.67
68761 Closure of tear duct opening using plug	31	15	$160.00	$102.83
76514 Ultrasound scan of cornea to determine thickness	17	17	$25.00	$13.33
92285 Photography of content of eyes	13	13	$35.00	$18.80
92002 New patient problem focused exam of visual system	12	12	$95.00	$69.58

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License OH 4213

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0844779 (OH)

Commercial Insurance / Payer ID Keystone Health/highmark

001301628

Commercial Insurance / Payer ID Anthem

000000203490

Commercial Insurance / Payer ID United Health Care

1404675

Commercial Insurance / Payer ID Aetna

4384872 (OH)

Hospital & Practice Group Affiliations

Roholt Vision Institute Inc

1207 W State St, Alliance, OH 446014686

Phone: 3308292311

Roholt Vision Institute Inc

25 Manor Hill Dr, Canfield, OH 444061596

Phone: 3307028755

Roholt Vision Institute Inc

5890 Mayfair Rd, North Canton, OH 447201547

Phone: 3303052200

Practice Associates & Co-Workers

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

7 Associated Practitioners

Matthew Cefalu

Ophthalmology

NPI 1306596010

Dr. Meagan Celmer , MD

Ophthalmology

NPI 1417103862

Doctor of Medicine (M.D.)

Dr. Thomas Wohl , MD

Ophthalmology

NPI 1538361159

Doctor of Medicine (M.D.)

Dr. Pankaj Gupta , MD

Ophthalmology

NPI 1609929371

Doctor of Medicine (M.D.)

Dr. Jason Young , MD

Ophthalmology

NPI 1679004121

Doctor of Medicine (M.D.)

Dr. Philip Roholt , MD

Ophthalmology

NPI 1679515282

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 5890 MAYFAIR RD, CANTON, OH 447201547 (Tel: 3303052200)

📍

Updated Business Mailing Address July 08, 2007

Registered at 5890 MAYFAIR RD, CANTON, OH 447201547 (Tel: 3303052200)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as BRIAN MATHIE, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Optometrist (License #4213 in OH)

🟢

Initial NPI Registration & Enumeration June 20, 2006

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: 1013953116

Entity Type:

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

Enumeration Date: June 20, 2006

Last Update: July 08, 2007

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5890 Mayfair Rd

Canton, OH 447201547

Phone: 3303052200

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.