MATTHEW CLARK NICHOLSON (O.D.) – Optometrist, NPI 1992713309
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,715 OPTOMETRY in IL
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Provider Addresses for MATTHEW CLARK NICHOLSON (O.D.)
352, Brown Boulevard, Bourbonnais, Kankakee County, Illinois, 60914, United States
BOURBONNAIS, IL 609142458
Phone: (815) 932-2020
Fax: (815) 937-0060
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $291.
Total Amount is formed as General ($291) + Research ($0) + Ownership ($0) = $291.
Last reported payment date: 2024-12-21 • Largest payer in this snapshot: ABBVIE INC. ($135).
Total Amount
$291
General + Research + Ownership
Payments
14
Total payment records
General Amount
$291
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $135 |
| Bausch & Lomb Americas Inc. | $59 |
| Astellas Pharma US Inc | $40 |
| Tarsus Pharmaceuticals, Inc. | $25 |
| LENSAR, INC. | $16 |
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: 2007-09-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| I20070904000434 | I | Optometry | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 | 1,805 | 1,752 | $0 |
| 92012 | Established patient problem focused exam of visual system | 522 | 371 | $0 |
| 92133 | Imaging of optic nerve | 354 | 343 | $0 |
| 83861 | Microfluid analysis of tears | 342 | 170 | $0 |
| 92083 | Exam of visual field with extended testing | 309 | 297 | $0 |
Insurance plans in this area (ZIP 60914)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | IL | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 917 | 615 |
| OPTOMETRY | IL | 92083 | Measurement of field of vision during daylight conditions | 223 | 223 |
| OPTOMETRY | IL | 92134 | Diagnostic imaging of retina | 48 | 44 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P H T H A L M O L O G Y | IL | |
| O P T O M E T R Y | IL |
Reviews
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