DR. JOHN C WELCH MD
NPI 1033116074
Ophthalmology - Retina Specialist in Hastings, NE

Q: What is John Welch's NPI number?

The NPI number for John Welch is 1033116074. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Q: What is John Welch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Welch was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since July 06, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

6003 OSBORNE DR W, HASTINGS, NE 68901(402) 461-4611(402) 461-4616 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2024, Apr 26, 2024, Mar 24, 2023 and 4 more (7 updates tracked since 2018).

On this page

About Dr. John C Welch Md NPPES

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

DR. JOHN C WELCH MD (NPI 1033116074) is an individual retina specialist in Hastings, Nebraska, licensed in Nebraska (15430) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Great Plains Health, and is a graduate of University Of Nebraska College Of Medicine (1980).

NPPES Registry Identity

NPI1033116074

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. JOHN C WELCHCredential: MD

Location Address6003 OSBORNE DR WHastings, NE 68901-9160

Mailing Address6003 Osborne Dr WHastings, NE 68901-9160 · (402) 461-4611 · Fax (402) 461-4616

Phone(402) 461-4611

Fax(402) 461-4616

Sole ProprietorNo

Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1980

Enumeration DateJuly 6, 2005

Last NPPES UpdateNovember 5, 20247 updates tracked since enumeration

NPPES CertifiedNovember 5, 2024

✔ NPI 1033116074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in NE · 15430

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 15430 (NE)

6003 OSBORNE DR W, Hastings, NE 68901

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Other Identifiers 4

Medicaid10026498303NE

Medicaid10026498300NE

Medicaid10026498304NE

Medicaid47071797500NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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. John C Welch 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 ID3678623527

PECOS Enrollment IDI20090615000524

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 14

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.

294,720 services867 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.

4,602 services1,102 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.

3,829 services1,200 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

1,391 services1,339 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.

746 services125 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.

722 services639 patients

Unclassified biologics J3590

Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.

508 services130 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

376 services376 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

250 services209 patients

Injection, ranibizumab, 0.1 mg J2778

Ranibizumab is a medication given via injection to treat certain eye conditions like age-related macular degeneration. It works by slowing vision loss and in some cases, improving vision by blocking abnormal blood vessel growth in the eye.

220 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

67 services51 patients

Photocoagulation treatment to prevent detachment of retina 67145

Photocoagulation is a procedure used to treat retinal disorders. A special laser is directed at the retina to create small burns. These burns form scar tissue which helps to secure the retina to the eye's wall, preventing detachment and preserving vision.

19 services18 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.

14 services14 patients

Removal of membrane of retina 67041

Removal of the retina's membrane is a surgical procedure aimed at treating eye conditions affecting the retina's function. It involves a delicate operation to eliminate scar tissue or membranes causing vision problems. The procedure can help improve or stabilize vision.

11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Great Plains Health

Acute Care Hospitals · North Platte, NE

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280065

Location601 West Leota StNorth Platte, NE 69101 · Lincoln County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68901 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

$121.35 typical visit price

range $52.69 – $160.21

Typical copayment $30.33 (range $13.17 – $40.05)

Most-billed visit code 99204

Established Patient

$66.00 typical visit price

range $16.90 – $131.25

Typical copayment $16.50 (range $4.22 – $32.81)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Other Providers at the Same Location NPPES 2

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

DR. WILLIAM D. TERRELL M.D.

Ophthalmology (Retina Specialist)

6003 OSBORNE DR W
HASTINGS, NE 68901

Adams County (402) 461-4611

RETINA CENTER OF NEBRASKA, P.C.

Ophthalmology (Retina Specialist)

6003 OSBORNE DR W
HASTINGS, NE 68901

Adams County (402) 461-4611

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 John Welch's NPI number?

The NPI number for John Welch is 1033116074. It was assigned to this individual provider in the NPPES registry on July 6, 2005.

Where is John Welch located?

John Welch practices at 6003 Osborne Dr W, Hastings, NE 68901. The listed phone number is (402) 461-4611.

What is John Welch's specialty?

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

Is John Welch enrolled in Medicare?

Yes. John Welch 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 John Welch accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 3 other insurers list John Welch 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.

Is John Welch affiliated with any hospitals?

According to CMS data, John Welch is affiliated with Great Plains Health.

When was this NPI record last updated?

The NPPES record for John Welch was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.