Individual provider Active NPI

James B Mattax Jr., M.D.

  • Ophthalmology Physician
  • Springfield, MO
National Provider Identifier
1346244779
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R9H41 Issued in MO
Practice address
1265 E Primrose St
Springfield, MO 65804-4278
Phone
(417) 886-3937
Fax
(417) 886-1285
NPI assigned
Jun 13, 2005
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X R9H41 MO Primary

Addresses

Primary practice location

1265 E Primrose St
Springfield, MO 65804-4278

Mailing address

1265 E Primrose St
Springfield, MO 65804-4278
Phone (417) 886-3937

Other identifiers 7

IdentifierTypeStateIssuer
202545026MedicaidMO
1402OtherMOCOX HEALTH INS
822629OtherMOHEALTHCARE PREFERRED
202545034MedicaidMO
118132OtherMOBLUE CROSS/SHIELD ST.LOU
0840001OtherMOUNITED HC OF MIDWEST
32245OtherMOOPTICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbm@mnp1999.integrityemrdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100512000973 MO Practitioner - Ophthalmology 5597652370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mattax Neu Prater Eye Center IncGroup PAC ID 6103713979, shared by 4 NPIs, 13 clinicians

Practice addresses (Care Compare)

1265 E Primrose St
Springfield, MO 65804-4278
Phone 41788639371166

430 N Jefferson Ave
Lebanon, MO 65536-2742
Phone (417) 588-2400

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
95
Improvement activities
40
Cost
77.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mattax Neu Prater Eye Center, Inc. Ophthalmology CurrentSince Apr 16, 1999 Accepting new patients
Mattax Neu Prater Eye Center, Inc. Ophthalmology CurrentSince Apr 17, 1999 Accepting new patients
Mattax Neu Prater Eye Center Inc CurrentSince Apr 16, 1999 Accepting new patients

Locations

168 S Payne Stewart Dr
Branson, MO 65616
Phone (417) 336-3646

430 N Jefferson Ave
Lebanon, MO 65536
Phone (417) 588-2400

2170 E Cleveland St
Monett, MO 65708
Phone (417) 235-0853

1265 E Primrose St
Springfield, MO 65804
Phone (417) 886-3937

Interoperability endpoints

  • Direct secure messaging: james.mattax@cernerdirect.coxhealth.com
  • Direct secure messaging: jbm@mnp1999.integrityemrdirect.com
  • Direct secure messaging: jmattax@mnpeyecenter.direct.eyemdemr.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1346244779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044278",
            "telephone_number": "417-886-3937",
            "fax_number": "417-886-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 E PRIMROSE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044278",
            "telephone_number": "417-886-3937",
            "fax_number": "417-886-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTAX",
        "first_name": "JAMES",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MO",
            "license": "R9H41",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202545026",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COX HEALTH INS",
            "identifier": "1402",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHCARE PREFERRED",
            "identifier": "822629",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202545034",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD ST.LOU",
            "identifier": "118132",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HC OF MIDWEST",
            "identifier": "0840001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "32245",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbm@mnp1999.integrityemrdirect.com",
            "affiliation": "N",
            "address_1": "1265 E Primrose St",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658044278",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.