Jay Kenneth Mattheis, M.D.
NPI 1154311058ActiveIndividual· Ophthalmology· Loma Linda, CA
Ophthalmology (M.D.) in Loma Linda, California, trained at Loma Linda University School of Medicine (class of 1988). Their prescriptions cost Medicare Part D more than their services did: $579,359 for 3,435 claims, against $92,135 paid for services in 2024. Alcon Vision LLC was the largest of 6 companies reporting payments in 2025, $620.91 in all, mostly food and beverage.
Overview
| NPI | 1154311058 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Oct 24, 2005 |
| Last updated in NPPES | Aug 17, 2023 |
| Certified by provider | Aug 17, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | G66270 | CA |
| Ophthalmology | 207W00000X | ME56477 | FL |
| Ophthalmology | 207W00000X | 14270 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Ophthalmology (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 623 |
|---|---|
| Services billed | 1,601 across 29 procedure codes |
| Paid by Medicare | $92,135 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,435 · 6,042 30-day fills |
|---|---|
| Patients | 715 |
| Total drug cost | $579,359 |
| Generic share | 61% of claims |
Education and affiliations
| Medical school | Loma Linda University School of Medicine |
|---|---|
| Graduation year | 1988 |
| Medicare specialty | Ophthalmology |
Medical groups
- Faculty Physicians and Surgeons of LlusmLoma Linda, CA · 1,315 clinicians
- Sac Health SystemSan Bernardino, CA · 227 clinicians
Hospital affiliations
- Loma Linda University Medical CenterLoma Linda, CA
- Riverside University Health System-Medical CenterMoreno Valley, CA
Industry payments (Open Payments)
- 2025$620.91 · 16 payments from 6 companies
- 2024$538.15 · 22 payments from 10 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Alcon Vision LLC | $244.83 | 7 |
| Sight Sciences, Inc. | $193.49 | 3 |
| Ani Pharmaceuticals, Inc. | $92.35 | 3 |
| Johnson & Johnson Surgical Vision, Inc. | $35.55 | 1 |
| Abbvie Inc. | $34.45 | 1 |
What the 2025 payments were for
- Food and Beverage$620.91 · 16 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 40 ophthalmologists in Loma Linda · All ophthalmologists in California