DR. KENNETH T WALS MD
NPI 1023057395
Ophthalmology in Coral Gables, FL

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
93.58/100
CMS Quality Rating
1097 S LEJEUNE RD, CORAL GABLES, FL 33134(305) 442-2020 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2024, Apr 25, 2019, May 23, 2017 (3 updates tracked since 2017).

About Dr. Kenneth T Wals Md NPPES

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

DR. KENNETH T WALS MD (NPI 1023057395) is an individual ophthalmology provider in Coral Gables, Florida, licensed in Florida (ME98284) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Missouri, Columbia School Of Medicine (2002).

NPPES Registry Identity

NPI1023057395
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. KENNETH T WALSCredential: MD
Location Address1097 S LEJEUNE RDCoral Gables, FL 33134
Mailing Address1097 S Lejeune RdCoral Gables, FL 33134 · (305) 442-2020 · Fax (786) 369-4588
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2002
Enumeration DateJune 5, 2006
Last NPPES UpdateJune 27, 20243 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
NPI 1023057395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME98284
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License ME98284 (FL)
1097 S LEJEUNE RD, Coral Gables, FL 33134

Other Identifiers 1

Medicaid000171300FL

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. Kenneth T Wals Md 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 ID1153334495
PECOS Enrollment IDI20071009000115
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 7

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.

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.
126 services58 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.
77 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services29 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.
38 services31 patients
Compounded drug, not otherwise classified J7999
A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.
32 services17 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
26 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

93.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.41
Promoting Interoperability78
Improvement Activities40
Cost67.21

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1097 S LEJEUNE RD
CORAL GABLES, FL 33134
Specialist
1097 S LEJEUNE RD
CORAL GABLES, FL 33134
Ophthalmology
1097 S LEJEUNE RD
CORAL GABLES, FL 33134
Optometrist
1097 S LEJEUNE RD
MIAMI, FL 33134
Nurse Practitioner (Family)
1097 S LEJEUNE RD
CORAL GABLES, FL 33134
Ophthalmology
1097 S LEJEUNE RD
CORAL GABLES, FL 33134
Optometrist
1097 S LEJEUNE RD
CORAL GABLES, FL 33134
Optometrist
1097 S LEJEUNE RD
CORAL GABLES, FL 33134

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 Kenneth Wals's NPI number?

The NPI number for Kenneth Wals is 1023057395. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Kenneth Wals located?

Kenneth Wals practices at 1097 S Lejeune Rd, Coral Gables, FL 33134. The listed phone number is (305) 442-2020.

What is Kenneth Wals's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Kenneth Wals enrolled in Medicare?

Yes. Kenneth Wals 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 Kenneth Wals accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Kenneth Wals 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 Kenneth Wals was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.