PROVIDER PROFILE · NPI 1285889311

Matthew ColeMD

OphthalmologyKnoxville, TNI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,714

Unique beneficiaries

—

Total services

31,545

Distinct HCPCS

Medicare payment

$3.2M

Peer benchmark

Total Medicare services vs. 326 Ophthalmology providers in TN — top quintile (cohort median 2,504).

PRESCRIBING · PART D · 2024

Total Rx claims

173

Beneficiaries

—

Total drug cost

$5K

Distinct drugs

Brand share

14.5%

Top prescribed drugs

Prednisolone Acetate95 claims

Dorzolamide Hcl/Timolol Maleat25 claims

Latanoprost21 claims

Timolol Maleate21 claims

Brimonidine Tartrate11 claims

QUALITY · MIPS · 2024

Final MIPS score

89.3

Quality

98.0

Cost

78.9

Improvement activities

40.0

Promoting interop.

85.0

Payment adjustment

0.60%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$2K

Payment records

By payment type

Food and Beverage$1K

Travel and Lodging$1K

REFERRAL NETWORK

Where Matthew Cole's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 6 inbound referrers · 12 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Alden Haun Ophthalmology · Maryville, TN	30	60
Christopher Taylor Ophthalmology · Knoxville, TN	23	48
Leslie Cunningham Ophthalmology · Knoxville, TN	20	32
Knoxville Ophthalmology Asc, Llc Ambulatory Surgical Center · Knoxville, TN	15	28
METRO KNOXVILLE HMA LLC	13	24
PARKWEST MEDICAL CENTER	13	32

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
PRISMA HEALTH-BLOUNT MEMORIAL HOSPITAL, INC	61	167
Laboratory Corporation Of America Clinical Laboratory · Knoxville, TN	28	71
UNIVERSITY HEALTH SYSTEM, INC.	20	85
CAMPBELL, PHILIP	19	31
FORT SANDERS REGIONAL MEDICAL CENTER	17	21
Alden Haun Ophthalmology · Maryville, TN	16	33
Knoxville Ophthalmology Asc, Llc Ambulatory Surgical Center · Knoxville, TN	16	17
PARKWEST MEDICAL CENTER	13	27
GELDRICH, WALTER	13	14
Rural/Metro Of Tennessee, L.P. Ambulance Service Provider · Knoxville, TN	13	53
METRO KNOXVILLE HMA LLC	12	24
Daniel Cotten Diagnostic Radiology · Maryville, TN	11	29

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history