Active NPI 1275928624 Individual Practitioner Male Practitioner

Dr. Nathan R Mathews , MD

Ophthalmology • Burlington, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nathan Mathews, MD is a certified Ophthalmology practicing in Burlington, WI. With approximately 11 years of clinical experience since graduating from Medical College Of Wisconsin in 2015, Dr. Mathews delivers high-quality medical care to the local community at 675 W STATE ST.

Dr. Mathews is affiliated with Eye Physicians And Surgeons Sc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, injection of drug into eye, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

675 W State St

Burlington, WI 531051739

Telephone 2627637613

Fax 2629474996

Associated Practice Facility / Clinic

🏢 Eye Physicians & Surgeons Sc Facility NPI 1669093308

Medicare Profile & Education

Medical School

Medical College Of Wisconsin

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Burlington, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs Matches City Avg

City Avg: 11.0 Yrs

State Avg: 25.3 Yrs

Regional Practice Density

2 Specialists

Practicing in Burlington, WI (464 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mathews (11 Years) 11 Yrs

Burlington Specialty Average (11.0 Years) 11.0 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	521	408	$165.00	$117.76
67028 Injection of drug into eye	303	56	$571.67	$112.87
92134 Imaging of retina	302	166	$179.70	$37.59
J9035 Injection, bevacizumab, 10 mg	280	49	$160.00	$72.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	201	$200.00	$119.39
99213 Established patient office or other outpatient visit, typically 15 minutes	198	154	$150.00	$84.35
92136 Measurement of corneal curvature and depth of eye	159	106	$255.47	$37.15
66984 Removal of cataract with insertion of lens	140	88	$3600.00	$467.62
92133 Imaging of optic nerve	125	123	$180.00	$33.64
92004 New patient complete exam of visual system	102	102	$200.00	$138.95
92083 Exam of visual field with extended testing	88	83	$200.00	$59.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	41	$100.00	$52.57
92201 Extended exam of the back part of the eye with retinal drawing	43	27	$130.00	$23.08
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$290.00	$154.87
65855 Laser repair to improve eye fluid flow	37	21	$2315.00	$225.84
92012 Established patient problem focused exam of visual system	37	35	$140.00	$83.52
66821 Removal of recurring cataract in lens capsule using a laser	37	28	$1300.00	$308.02
92020 Examination of cornea and iris using lens device and slit lamp	35	29	$90.00	$25.70
76514 Ultrasound scan of cornea to determine thickness	24	24	$80.00	$9.77
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	19	19	$35.00	$15.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	561	437	$165.00	$121.77
92134 Imaging of retina	276	155	$179.67	$38.58
99213 Established patient office or other outpatient visit, typically 15 minutes	242	182	$150.00	$86.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	172	$200.00	$121.86
67028 Injection of drug into eye	203	47	$535.86	$112.95
J9035 Injection, bevacizumab, 10 mg	187	42	$160.00	$71.49
92136 Measurement of corneal curvature and depth of eye	136	95	$257.79	$38.63
92133 Imaging of optic nerve	115	112	$180.00	$34.49
92083 Exam of visual field with extended testing	113	97	$200.00	$59.75
66984 Removal of cataract with insertion of lens	111	68	$3600.00	$474.26
92004 New patient complete exam of visual system	99	99	$200.00	$145.14
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	57	57	$290.00	$158.45
92012 Established patient problem focused exam of visual system	45	44	$140.00	$86.63
92201 Extended exam of the back part of the eye with retinal drawing	44	26	$130.00	$23.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	42	38	$100.00	$53.97
66821 Removal of recurring cataract in lens capsule using a laser	40	33	$1300.00	$318.72
92020 Examination of cornea and iris using lens device and slit lamp	27	26	$90.00	$26.80
92285 Photography of content of eyes	21	21	$140.00	$21.68
65855 Laser repair to improve eye fluid flow	19	12	$2315.00	$233.79
76514 Ultrasound scan of cornea to determine thickness	18	18	$80.00	$10.31
92002 New patient problem focused exam of visual system	12	12	$170.00	$82.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	605	450	$164.24	$122.50
92134 Imaging of retina	311	157	$179.53	$39.16
99213 Established patient office or other outpatient visit, typically 15 minutes	231	169	$148.97	$86.89
67028 Injection of drug into eye	178	46	$503.31	$109.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	117	$198.69	$123.43
92004 New patient complete exam of visual system	147	147	$198.69	$144.78
92083 Exam of visual field with extended testing	142	127	$198.99	$60.50
92133 Imaging of optic nerve	134	134	$179.43	$34.85
J9035 Injection, bevacizumab, 10 mg	131	37	$159.36	$68.39
92136 Measurement of corneal curvature and depth of eye	119	79	$277.51	$41.44
J0178 Injection, aflibercept, 1 mg	106	12	$1167.45	$899.77
66984 Removal of cataract with insertion of lens	89	54	$3590.25	$471.22
92012 Established patient problem focused exam of visual system	63	60	$139.43	$86.38
92020 Examination of cornea and iris using lens device and slit lamp	50	47	$89.52	$27.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$289.25	$159.49
76514 Ultrasound scan of cornea to determine thickness	36	36	$79.17	$10.39
92201 Extended exam of the back part of the eye with retinal drawing	33	27	$128.79	$23.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$99.59	$53.80
65855 Laser repair to improve eye fluid flow	18	11	$2315.00	$235.60
66821 Removal of recurring cataract in lens capsule using a laser	17	15	$1300.00	$320.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$209.06	$106.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	572	429	$154.67	$122.31
92134 Imaging of retina	301	151	$172.40	$39.35
92004 New patient complete exam of visual system	188	188	$183.79	$146.20
99213 Established patient office or other outpatient visit, typically 15 minutes	186	124	$135.79	$87.48
67028 Injection of drug into eye	169	50	$477.77	$111.16
92012 Established patient problem focused exam of visual system	152	133	$133.64	$86.75
92133 Imaging of optic nerve	132	128	$172.73	$35.07
92083 Exam of visual field with extended testing	130	121	$187.78	$61.04
J9035 Injection, bevacizumab, 10 mg	126	44	$152.71	$72.04
92136 Measurement of corneal curvature and depth of eye	88	57	$241.75	$42.66
66984 Removal of cataract with insertion of lens	84	53	$3496.67	$494.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	78	55	$187.64	$124.32
92020 Examination of cornea and iris using lens device and slit lamp	76	75	$85.89	$27.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	46	40	$87.91	$53.35
76514 Ultrasound scan of cornea to determine thickness	44	44	$73.77	$10.49
92201 Extended exam of the back part of the eye with retinal drawing	32	25	$119.91	$23.27
66821 Removal of recurring cataract in lens capsule using a laser	30	28	$1300.00	$321.10
65855 Laser repair to improve eye fluid flow	18	13	$2302.22	$237.11
92002 New patient problem focused exam of visual system	14	14	$163.00	$83.38
67820 Removal of eyelashes using forceps	11	11	$99.64	$20.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92014 Established patient complete exam of visual system	330	299	$151.09	$122.29
99213 Established patient office or other outpatient visit, typically 15 minutes	329	213	$133.00	$71.96
92134 Imaging of retina	230	139	$169.00	$39.50
92004 New patient complete exam of visual system	196	196	$179.85	$146.78
67028 Injection of drug into eye	159	40	$479.21	$100.20
J9035 Injection, bevacizumab, 10 mg	151	39	$150.99	$78.22
92133 Imaging of optic nerve	117	112	$169.00	$35.68
92083 Exam of visual field with extended testing	113	101	$184.00	$61.34
92012 Established patient problem focused exam of visual system	96	81	$131.00	$86.29
76514 Ultrasound scan of cornea to determine thickness	75	74	$72.00	$10.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	71	$184.00	$104.84
92136 Measurement of corneal curvature and depth of eye	63	44	$259.94	$50.31
66984 Removal of cataract with insertion of lens	53	33	$3562.19	$517.60
66821 Removal of recurring cataract in lens capsule using a laser	36	28	$1300.00	$321.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	31	$86.00	$43.54
92020 Examination of cornea and iris using lens device and slit lamp	17	17	$84.00	$27.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	205	161	$130.01	$70.93
92004 New patient complete exam of visual system	188	188	$176.00	$146.02
92014 Established patient complete exam of visual system	105	105	$148.53	$122.09
92134 Imaging of retina	86	67	$165.00	$39.51
67028 Injection of drug into eye	54	25	$466.67	$99.71
92083 Exam of visual field with extended testing	53	52	$180.00	$61.76
J9035 Injection, bevacizumab, 10 mg	52	23	$155.77	$79.91
92133 Imaging of optic nerve	40	40	$165.00	$35.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	28	$84.00	$41.71
66984 Removal of cataract with insertion of lens	24	16	$3600.00	$616.32
76514 Ultrasound scan of cornea to determine thickness	24	24	$70.00	$11.41
92136 Measurement of corneal curvature and depth of eye	20	20	$360.00	$67.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$186.00	$102.75

Medical Specialties & State Licenses

CMS Verified: 2023-08-18

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License WI 68043-20

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

100057672 (WI)

Hospital & Practice Group Affiliations

Eye Physicians And Surgeons Sc

1311 S Lincoln St, Elkhorn, WI 531214375

Phone: 2627234600

Secondary Practice Locations

1311 S Lincoln St

Elkhorn, WI 531214375

Phone: 2627234600

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Mark Brower , DO

Ophthalmology

NPI 1376530568

Doctor of Osteopathic Medicine (D.O.)

Dr. Paul Wagner , MD

Ophthalmology

NPI 1518069491

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location March 09, 2021

Registered at 675 W STATE ST, BURLINGTON, WI 531051739 (Tel: 2627637613)

📍

Updated Business Mailing Address March 09, 2021

Registered at 675 W STATE ST, BURLINGTON, WI 531051739 (Tel: 2627637772)

📍

Updated Practice Location August 15, 2019

Registered at 308 MCHENRY ST, BURLINGTON, WI 531052152 (Tel: 2627637613)

📍

Updated Business Mailing Address August 15, 2019

Registered at 308 MCHENRY ST, BURLINGTON, WI 531052152 (Tel: 2627637613)

👤

Provider Name / Credentials Updated August 15, 2019

Recorded as NATHAN MATHEWS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2019

Ophthalmology (License #68043-20 in WI)

📍

Updated Business Mailing Address June 26, 2019

Registered at 222 ADAMS ST, BURLINGTON, WI 531051466 (Tel: 6082636400)

✅

NPI Profile Active December 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 30, 2016

Registered at UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE., MADISON, WI 537920001 (Tel: 6082636400)

📍

Updated Business Mailing Address December 30, 2016

Registered at UW HOSPITALS AND CLINICS, 600 HIGHLAND AVE., MADISON, WI 537920001 (Tel: 6082636400)

👤

Provider Name / Credentials Updated December 30, 2016

Recorded as NATHAN MATHEWS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2016

Ophthalmology (License #5809-851 in WI)

🟢

Initial NPI Registration & Enumeration April 02, 2015

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: 1275928624

Entity Type:

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

Enumeration Date: April 02, 2015

Last Update: August 18, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

675 W State St

Burlington, WI 531051739

Phone: 2627637772

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.