Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ryan Robert Pine, MD

Individual provider Ophthalmology Physician · NPI 1255599452

Dr. Ryan Robert Pine, MD is an Ophthalmology in Mattoon, Illinois. Graduated from Kansas City University of Physicians and Surgeons in 2012, 14 years ago. Practices with Sarah Bush Lincoln Health Center, a 410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Trained at
Kansas City University of Physicians and Surgeons
Licensed in
IL
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

200 Dettro Dr
Mattoon, IL 61938-9003
Phone: (217) 348-0221
Fax: (217) 345-1380
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1605 Reynolds Dr, Charleston, IL 61920-3152 — (217) 348-0221

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 036-131048 (IL)

Record details

NPI number1255599452
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 26, 2008
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing addressPo Box 372, Mattoon, IL 61938-0372

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolKANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS
Graduated 2012 (14 years in practice)
Group practice Sarah Bush Lincoln Health Center — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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