DR. MARK KIM WALSH M.D.,PHD
NPI 1003952318
Ophthalmology - Retina Specialist in Tucson, AZ

Active since January 30, 2007PECOS EnrolledAccepts Medicare Assignment
82.77/100
CMS Quality Rating
6561 E. CARONDELET DR., TUCSON, AZ 85710(520) 886-2597(520) 886-6639 Get Directions Write a Review

NPPES record last updated: April 5, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mark Kim Walsh M.d.,phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK KIM WALSH M.D.,PHD (NPI 1003952318) is an individual retina specialist in Tucson, Arizona, licensed in Arizona (41270) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Washington University School Of Medicine (2003).

NPPES Registry Identity

NPI1003952318
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. MARK KIM WALSHCredential: M.D.,PHD
Location Address6561 E. CARONDELET DR.Tucson, AZ 85710-2161
Mailing Address6561 E. Carondelet Dr.Tucson, AZ 85710-2161 · (520) 886-2597 · Fax (520) 886-6639
Fax(520) 886-6639
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2003
Enumeration DateJanuary 30, 2007
Last NPPES UpdateApril 5, 2017
NPI 1003952318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in AZ · 41270
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
6561 E. CARONDELET DR., Tucson, AZ 85710

Other Identifiers 2

Medicaid438790AZ
Medicare PINZ130084AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Mark Kim Walsh M.d.,phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224119524
PECOS Enrollment IDI20090618000452
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 26

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
70,560 services184 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
3,757 services1,403 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
2,578 services261 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
2,236 services534 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
2,224 services567 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,081 services757 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85710 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost42.57

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Walsh's NPI number?

The NPI number for Mark Walsh is 1003952318. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is Mark Walsh located?

Mark Walsh practices at 6561 E. Carondelet Dr., Tucson, AZ 85710. The listed phone number is (520) 886-2597.

What is Mark Walsh's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Mark Walsh enrolled in Medicare?

Yes. Mark Walsh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Walsh accept?

Health plans from Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and UnitedHealthcare list Mark Walsh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Walsh was last updated on April 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.