DR. RYAN ROBERT PINE M.D.
NPI 1255599452
Ophthalmology in Mattoon, IL

Active since May 26, 2008PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
200 DETTRO DR, MATTOON, IL 61938(217) 348-0221(217) 345-1380 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 6, 2024, Mar 10, 2023 (2 updates tracked since 2023).

About Dr. Ryan Robert Pine M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN ROBERT PINE M.D. (NPI 1255599452) is an individual ophthalmology provider in Mattoon, Illinois, licensed in Illinois (036-131048) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Sarah Bush Lincoln Health Center, and maintains a secondary practice location in Charleston.

NPPES Registry Identity

NPI1255599452
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RYAN ROBERT PINECredential: M.D.
Location Address200 DETTRO DRMattoon, IL 61938-9003
Mailing AddressPo Box 372Mattoon, IL 61938-0372
Fax(217) 345-1380
Sole ProprietorYes
Medical School CMSKansas City University Of Physicians And SurgeonsGraduated 2012
Enumeration DateMay 26, 2008
Last NPPES UpdateDecember 6, 20242 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
NPI 1255599452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IL · 036-131048
Definition
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.
200 DETTRO DR, Mattoon, IL 61938

Secondary Practice Location 1

Location 11605 Reynolds DrCharleston, IL 61920-3152 · Phone (217) 348-0221 · Fax (217) 345-1380

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ryan Robert Pine M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133371453
PECOS Enrollment IDI20121213000450
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
1,235 services1,124 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
775 services681 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
692 services346 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
511 services284 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
388 services388 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
171 services169 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140189
Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost43

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
100%126 patients5/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
58%72 patients3/55-star benchmark: 87%
Complications After Cataract Surgery
Lower rates are better for this measure.
0%1,072 patients
Diabetes: Eye Exam
100%353 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,576 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
93%1,780 patients4/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
94%79 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
92%83 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,827 patients
Patients totalRate: 0% · 1,827 patients
0%1,827 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
5 suppliers22 claims22 services$50.97 avg. paid by Medicare
Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens V2201
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims22 services$35.56 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
200 DETTRO DR
MATTOON, IL 61938

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Pine's NPI number?

The NPI number for Ryan Pine is 1255599452. It was assigned to this individual provider in the NPPES registry on May 26, 2008.

Where is Ryan Pine located?

Ryan Pine practices at 200 Dettro Dr, Mattoon, IL 61938. The listed phone number is (217) 348-0221.

What is Ryan Pine's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Ryan Pine enrolled in Medicare?

Yes. Ryan Pine is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Ryan Pine affiliated with any hospitals?

According to CMS data, Ryan Pine is affiliated with Sarah Bush Lincoln Health Center.

When was this NPI record last updated?

The NPPES record for Ryan Pine was last updated on December 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.