Active NPI 1104973205 Individual Practitioner Male Practitioner

Dr. James W Mattern , OD

Optometrist • Fairfax, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Mattern, OD is a certified Optometrist practicing in Fairfax, VA. With approximately 27 years of clinical experience since graduating from Pennsylvania College Of Optometry in 1999, Dr. Mattern delivers high-quality medical care to the local community at 3025 HAMAKER CT STE 101.

Dr. Mattern is affiliated with James W Mattern Od, Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging of optic nerve, established patient problem focused exam of visual system, exam of visual field with extended testing. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3025 Hamaker Ct Ste 101

Fairfax, VA 220312229

Telephone 7038769630

Fax 7038760163

Associated Practice Facility / Clinic

🏢 Capital Eye Consultants, P.c. Facility NPI 1316094337

Medicare Profile & Education

Medical School

Pennsylvania College Of Optometry

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Fairfax, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +4.7 yrs vs City Avg

City Avg: 22.3 Yrs

State Avg: 20.6 Yrs

Regional Practice Density

46 Specialists

Practicing in Fairfax, VA (1522 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mattern (27 Years) 27 Yrs

Fairfax Specialty Average (22.3 Years) 22.3 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
92133 Imaging of optic nerve	296	289	$164.00	$31.83
92012 Established patient problem focused exam of visual system	295	197	$172.80	$94.39
92083 Exam of visual field with extended testing	230	222	$192.00	$58.60
92014 Established patient complete exam of visual system	205	195	$180.00	$132.29
92136 Measurement of corneal curvature and depth of eye	190	189	$149.21	$48.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	153	153	$220.00	$171.93
92250 Photography of the retina	114	112	$130.00	$35.14
66984 Removal of cataract with insertion of lens	109	73	$186.63	$32.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	54	$164.15	$133.12
92134 Imaging of retina	55	54	$164.00	$39.59
92285 Photography of content of eyes	35	35	$80.00	$25.28
92145 Measurement of corneal pressure	24	24	$25.00	$12.06
76514 Ultrasound scan of cornea to determine thickness	22	22	$35.00	$10.96
92004 New patient complete exam of visual system	14	14	$256.00	$155.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92133 Imaging of optic nerve	308	299	$164.00	$34.99
92136 Measurement of corneal curvature and depth of eye	301	295	$150.00	$52.89
66984 Removal of cataract with insertion of lens	289	182	$166.49	$29.04
92012 Established patient problem focused exam of visual system	289	197	$172.80	$103.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	251	251	$220.00	$184.77
92083 Exam of visual field with extended testing	222	214	$192.00	$61.25
92014 Established patient complete exam of visual system	211	200	$180.00	$143.86
92250 Photography of the retina	105	101	$130.00	$39.32
92134 Imaging of retina	74	74	$164.00	$41.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	48	$164.15	$140.95
92145 Measurement of corneal pressure	23	23	$25.00	$13.51
92004 New patient complete exam of visual system	20	20	$256.00	$170.58
76514 Ultrasound scan of cornea to determine thickness	20	20	$35.00	$12.29
66982 Complex removal of cataract with insertion of prosthetic lens	12	11	$250.09	$42.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
66984 Removal of cataract with insertion of lens	308	203	$161.10	$86.94
92133 Imaging of optic nerve	299	289	$164.00	$37.03
92012 Established patient problem focused exam of visual system	297	195	$172.80	$104.94
92136 Measurement of corneal curvature and depth of eye	288	277	$150.00	$57.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	229	229	$220.00	$191.04
92014 Established patient complete exam of visual system	198	190	$180.00	$147.98
92083 Exam of visual field with extended testing	197	189	$192.00	$63.24
92134 Imaging of retina	70	69	$164.00	$41.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	57	57	$164.15	$140.22
92004 New patient complete exam of visual system	49	49	$256.00	$175.21
92250 Photography of the retina	44	42	$130.00	$40.23
92145 Measurement of corneal pressure	42	42	$25.00	$13.66
76514 Ultrasound scan of cornea to determine thickness	40	40	$35.00	$12.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92133 Imaging of optic nerve	281	271	$164.00	$39.29
92136 Measurement of corneal curvature and depth of eye	259	250	$150.00	$64.51
92012 Established patient problem focused exam of visual system	244	176	$172.80	$107.29
66984 Removal of cataract with insertion of lens	237	161	$159.79	$31.19
92014 Established patient complete exam of visual system	200	192	$180.00	$149.13
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	187	187	$220.00	$194.16
92083 Exam of visual field with extended testing	143	140	$192.00	$65.87
92004 New patient complete exam of visual system	71	71	$256.00	$177.68
92145 Measurement of corneal pressure	67	65	$25.00	$14.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	47	$162.24	$147.99
92134 Imaging of retina	46	44	$164.00	$43.49
76514 Ultrasound scan of cornea to determine thickness	36	36	$35.00	$13.02
92250 Photography of the retina	17	17	$130.00	$42.32
66982 Complex removal of cataract with insertion of prosthetic lens	13	11	$224.40	$49.95
92020 Examination of cornea and iris using lens device and slit lamp	13	11	$55.00	$32.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92145 Measurement of corneal pressure	246	191	$25.00	$16.80
92012 Established patient problem focused exam of visual system	220	167	$172.80	$104.91
92136 Measurement of corneal curvature and depth of eye	216	208	$150.00	$74.65
66984 Removal of cataract with insertion of lens	215	154	$118.45	$34.20
92004 New patient complete exam of visual system	204	204	$256.00	$175.66
92014 Established patient complete exam of visual system	179	173	$180.00	$148.60
92133 Imaging of optic nerve	173	172	$164.00	$41.02
92083 Exam of visual field with extended testing	110	106	$192.00	$69.59
92134 Imaging of retina	41	39	$164.00	$42.64
66982 Complex removal of cataract with insertion of prosthetic lens	36	30	$88.84	$40.02
76514 Ultrasound scan of cornea to determine thickness	36	36	$35.00	$12.75
92250 Photography of the retina	20	19	$130.00	$48.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92145 Measurement of corneal pressure	427	269	$25.00	$18.80
92136 Measurement of corneal curvature and depth of eye	364	360	$150.00	$80.76
92004 New patient complete exam of visual system	335	335	$256.00	$168.61
92012 Established patient problem focused exam of visual system	321	228	$172.80	$100.51
66984 Removal of cataract with insertion of lens	276	209	$122.51	$38.00
92133 Imaging of optic nerve	273	264	$164.00	$37.03
92014 Established patient complete exam of visual system	240	229	$180.00	$143.91
92083 Exam of visual field with extended testing	201	197	$192.00	$63.97
92134 Imaging of retina	74	74	$164.00	$42.49
76514 Ultrasound scan of cornea to determine thickness	53	53	$35.00	$13.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$220.00	$185.25
66982 Complex removal of cataract with insertion of prosthetic lens	22	18	$79.04	$37.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$145.00	$122.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	340	333	$150.00	$91.48
92012 Established patient problem focused exam of visual system	302	224	$172.80	$100.54
92004 New patient complete exam of visual system	294	294	$256.00	$171.56
66984 Removal of cataract with insertion of lens	255	194	$112.02	$34.48
92014 Established patient complete exam of visual system	232	230	$180.00	$144.33
92133 Imaging of optic nerve	214	211	$164.00	$40.28
92083 Exam of visual field with extended testing	174	169	$192.00	$70.45
92145 Measurement of corneal pressure	145	121	$24.24	$19.01
92134 Imaging of retina	37	36	$164.00	$45.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$220.00	$185.68
76514 Ultrasound scan of cornea to determine thickness	33	33	$35.00	$16.68
66982 Complex removal of cataract with insertion of prosthetic lens	30	26	$102.58	$49.52
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	21	19	$40.00	$25.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$145.00	$115.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92136 Measurement of corneal curvature and depth of eye	322	315	$372.67	$101.23
92004 New patient complete exam of visual system	321	321	$256.00	$163.38
92012 Established patient problem focused exam of visual system	286	199	$172.80	$94.55
92014 Established patient complete exam of visual system	267	261	$180.00	$136.27
92133 Imaging of optic nerve	232	231	$244.23	$37.86
66984 Removal of cataract with insertion of lens	226	179	$122.21	$36.42
92083 Exam of visual field with extended testing	154	152	$192.00	$64.80
92134 Imaging of retina	46	44	$222.83	$42.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$220.00	$178.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	27	$65.00	$48.28
76514 Ultrasound scan of cornea to determine thickness	28	28	$35.00	$15.79
66982 Complex removal of cataract with insertion of prosthetic lens	27	24	$111.65	$45.40
92002 New patient problem focused exam of visual system	19	19	$135.00	$90.92

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License VA 0618000912

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

009237071 (VA)

Hospital & Practice Group Affiliations

James W Mattern Od, Pllc

3025 Hamaker Ct, Fairfax, VA 220312229

Phone: 7038769630

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. John Baldinger , MD

Ophthalmology

NPI 1083761183

Doctor of Medicine (M.D.)

Dr. James Powers , OD

Optometrist

NPI 1548317555

Doctor of Optometry

Dr. Randall Wong , MD

Ophthalmology

NPI 1851397988

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 April 03, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2012

Registered at 3025 HAMAKER CT STE 101, FAIRFAX, VA 220312229 (Tel: 7038769630)

📍

Updated Business Mailing Address April 03, 2012

Registered at 3025 HAMAKER CT, SUITE # 101, FAIRFAX, VA 220312237 (Tel: 7038769630)

👤

Provider Name / Credentials Updated April 03, 2012

Recorded as JAMES MATTERN, O.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2012

Optometrist (License #0618000912 in VA)

🟢

Initial NPI Registration & Enumeration January 04, 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: 1104973205

Entity Type:

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

Enumeration Date: January 04, 2007

Last Update: April 03, 2012

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3025 Hamaker Ct, Suite # 101

Fairfax, VA 220312237

Phone: 7038769630

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.