Marc T. Mathias, M.D.
Retina Specialist (Ophthalmology) Physician · Aurora, CO
Marc T. Mathias, M.D. is a retina specialist (ophthalmology) physician with a practice address in Aurora, Colorado, and NPI 1073774121, issued on Jun 20, 2008. Check the license (Colorado DR.0051109, as entered in NPPES) on the Colorado Medical Board; the Medicare figures below come from public CMS files.
- Name
- Marc T. Mathias
- Credential
- M.D.
- Primary taxonomy
- Retina Specialist (Ophthalmology) Physician 207WX0107X
- License numbers
- DR.0051109 CO
CO-51109 CO
Self-reported in NPPES; status is on the state search - Practice location
- 12605 E 16TH Ave, Aurora, CO 80045
- Phone
- (720) 848-0000
- Enumerated
- Jun 20, 2008
- Record last updated
- Apr 6, 2017 (not updated in 9 years: call before relying on the address or phone)
- Medicaid ID
- 61950076 CO
- Medicare enrollment
- Enrolled (PECOS I20120806000801); accepts Medicare assignment
- Medical or professional school
- Ohio State University College Of Medicine, 2008
- Entity
- Type 1 · individual
8 nearest retina specialist (ophthalmology) physician records → All 55 in Colorado → Look up another NPI →
Also registered at 12605 E 16TH Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Benjamin Aakre, MDAnesthesiology Physician1407140395
- Alec Aaronson, DOPsychiatry Physician1972065233
- Mona Abaza, MDOtolaryngology Physician1043313844
- Meagan AbbagnaroAnesthesiologist Assistant1851254262
- Jean Abbott, MDEmergency Medicine Physician1578672820
- Adam Abraham, MDInternal Medicine Physician1720178304
Verify Marc T. Mathias in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersColorado Medical Board
Search for license DR.0051109Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
37% fewer Medicare Part D claims than the average retina specialist (ophthalmology) physician in 2024
389 Medicare Part D claims for 117 beneficiaries, against an average of 620 among the 1,449 providers of this specialty who prescribed in Part D. Brand-name drugs were 32% of claims.
Most prescribed
- Ketorolac Tromethamine65 claims
- Prednisolone Acetate64 claims
- Dorzolamide-Timolol37 claims
- Brimonidine Tartrate35 claims
- Latanoprost34 claims
- Dorzolamide Hcl32 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 97.6 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $75.09
3 payments; by number, the most common kind was food and beverage; the largest payer was Dutch Ophthalmic, USA. The 1,253 providers of this specialty with any payment received $7,667.49 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- University Physicians IncorporatedAurora, CO
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Marc T. Mathias among 55 retina specialist (ophthalmology) physician records in Colorado
Marc T. Mathias, M.D. is one of 55 retina specialist (ophthalmology) physician records with a practice address in Colorado. 95% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 33% of them.
- NPI issued2008 · 33% of these records are older, 60% newer
- In a Medicare fileYes · 95% of these records are
- In the CMS Doctors and Clinicians fileYes · 91% of these records are
- Graduated2008 · median 2012 among the 50 with a school on file
- Record last updated2017 · 42% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207WX0107X and a Colorado practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Retina Specialist (Ophthalmology) Physician providers in Colorado
There are 55 retina specialist (ophthalmology) physician records in Colorado.
All 55 in Colorado → Every provider in Aurora → Retina Specialist (Ophthalmology) Physician nationwide →
The 8 retina specialist (ophthalmology) physician records with the nearest ZIP codes
- Rachel Chen, M.D.Aurora, CO 800451558740605
- Emily Cole, MDAurora, CO 800451700317534
- Talisa Forest, MDAurora, CO 800451154783447
- Zafar Gill, MDAurora, CO 800451699236943
- Lynn Hassman, MDAurora, CO 800451093158487
- Naresh Mandava, MDAurora, CO 800451962592634
- Niranjan Manoharan, MDAurora, CO 800451598182453
- Scott Oliver, MDAurora, CO 800451336173772
Common questions
What is Marc T. Mathias, M.D.'s NPI number?
Marc T. Mathias, M.D.'s National Provider Identifier (NPI) is 1073774121, issued on Jun 20, 2008. An NPI identifies a provider in billing; it is not a license.
Where is Marc T. Mathias, M.D. located?
The NPPES record lists a practice address at 12605 E 16TH Ave, Aurora, CO, 80045. Phone: (720) 848-0000. Providers update this record themselves, so call before visiting.
How can I verify Marc T. Mathias, M.D.'s license?
NPPES lists Colorado license number DR.0051109, as entered by the provider. Search the Colorado Medical Board at https://dpo.colorado.gov/Medical. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Marc T. Mathias, M.D. prescribe under Medicare Part D?
In 2024, Marc T. Mathias, M.D. had 389 Medicare Part D claims for 117 beneficiaries; the average among retina specialist (ophthalmology) physician prescribers was 620. Part D covers Medicare prescriptions only.
What is Marc T. Mathias, M.D.'s MIPS final score?
The 2023 MIPS final score is 97.6 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.