DR. JAMES B MATTAX JR. M.D.
NPI 1346244779
Ophthalmology in Springfield, MO

Q: What is James Mattax's NPI number?

The NPI number for James Mattax is 1346244779. It was assigned to this individual provider in the NPPES registry on June 13, 2005.

Q: What is James Mattax's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Mattax was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1265 E PRIMROSE ST, SPRINGFIELD, MO 65804(417) 886-3937(417) 886-1285 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 1, 2020, Jun 23, 2020 (2 updates tracked since 2020).

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About Dr. James B Mattax Jr. M.d. NPPES

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

DR. JAMES B MATTAX JR. M.D. (NPI 1346244779) is an individual ophthalmology provider in Springfield, Missouri, licensed in Missouri (R9H41) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (1983).

NPPES Registry Identity

NPI1346244779

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. JAMES B MATTAX JR.Credential: M.D.

Location Address1265 E PRIMROSE STSpringfield, MO 65804-4278

Mailing Address1265 E Primrose StSpringfield, MO 65804-4278 · (417) 886-3937 · Fax (417) 886-1825

Phone(417) 886-3937

Fax(417) 886-1285

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1983

Enumeration DateJune 13, 2005

Last NPPES UpdateJuly 1, 20202 updates tracked since enumeration

NPPES CertifiedJuly 1, 2020

✔ NPI 1346244779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MO · R9H41

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.

1265 E PRIMROSE ST, Springfield, MO 65804

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Other Identifiers 7

Medicaid202545034MO

Other118132MO · Blue Cross/shield St.lou

Other32245MO · Opticare

Other822629MO · Healthcare Preferred

Medicaid202545026MO

Other0840001MO · United Hc Of Midwest

Other1402MO · Cox Health Ins

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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. James B Mattax Jr. 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 ID5597652370

PECOS Enrollment IDI20100512000973

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 10

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.

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.

629 services622 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.

225 services141 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.

207 services116 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

154 services127 patients

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.

96 services90 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.

74 services73 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65804 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

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 suppliers21 claims21 services$54.43 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 14

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

MR. DAVID E MEINHARDT C.R.N.A.

Nurse Anesthetist, Certified Registered