BENJAMIN MATHEW (MD) – Ophthalmology Physician, NPI 1477781466
Ophthalmology Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
958 OPHTHALMOLOGY in IL
Provider Addresses for BENJAMIN MATHEW (MD)
29624 NETWORK PL
CHICAGO, IL 606731296
Phone: (815) 337-7100
Fax: (815) 337-4793
Type: Mailing
1221 N HIGHLAND AVE
AURORA, IL 605061404
Phone: (630) 859-8700
Type: Location
901 Grant St
Harvard, IL 600331821
Phone: (815) 943-5431
Fax: (815) 943-0659
Type: Location
2000 Lake Ave
Woodstock, IL 600987401
Phone: (815) 337-7100
Fax: (815) 337-4793
Type: Location
875 S Route 31
Crystal Lake, IL 600148190
Phone: (779) 220-5500
Fax: (779) 220-5184
Type: Location
8201 E Riverside Blvd
Rockford, IL 611142300
Phone: (815) 971-7000
Fax: (815) 968-4795
Type: Location
Mercyhealth Hospital–Rockton Avenue, 2400, North Rockton Avenue, Rockford, Winnebago County, Illinois, 61103, United States
ATT. CHRIS LABONTE, RMH - MED STAFF
ROCKFORD, IL 611033655
Phone: (815) 971-2248
Fax: (815) 968-9340
Type: Mailing
2300, North Rockton Avenue, Rockford, Winnebago County, Illinois, 61103, United States
OPHTHALMOLOGY DEPT.
ROCKFORD, IL 611033619
Phone: (815) 971-2000
Fax: (815) 971-9922
Type: Location
28594 NETWORK PL
CHICAGO, IL 606731285
Phone: (630) 859-6800
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $253.
Total Amount is formed as General ($253) + Research ($0) + Ownership ($0) = $253.
Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Alcon Vision LLC ($139).
Total Amount
$253
General + Research + Ownership
Payments
3
Total payment records
General Amount
$253
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alcon Vision LLC | $139 |
| Ocular Therapeutix, Inc. | $114 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-04-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (952 days ago).
Enrollment records
2
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141015001346 | I | Ophthalmology | IL | 2023-10-31 |
| I20240423003262 | I | Ophthalmology | OH | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 450 | 401 | $0 |
| 92012 | Established patient problem focused exam of visual system | 181 | 148 | $0 |
| 92133 | Imaging of optic nerve | 134 | 130 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 129 | 103 | $0 |
| 92136 | Measurement of corneal curvature and depth of eye | 116 | 73 | $0 |
Insurance plans in this area (ZIP 60673)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | IL | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 102 | 75 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | OH | |
| Critical Care (Intensivists) | KY | |
| - | OH | |
| Family Practice | OH | |
| Family Practice | OH | |
| Cardiovascular Disease (Cardiology) | OH | |
| N E P H R O L O G Y | OH | |
| Nurse Practitioner | OH | |
| General Surgery | IL |
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