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PAUL L WINSLOW III M.D.
NPI 1043261506
Ophthalmology in Melbourne, FL

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
97.5/100
CMS Quality Rating
1649 W EAU GALLIE BLVD, SUITE 201, MELBOURNE, FL 32935(321) 622-5650(321) 622-5645 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Paul L Winslow Iii M.d. NPPES

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

PAUL L WINSLOW III M.D. (NPI 1043261506) is an individual ophthalmology provider in Melbourne, Florida, licensed in Florida (ME91061) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1043261506
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NamePAUL L WINSLOW IIICredential: M.D.
Location Address1649 W EAU GALLIE BLVD, SUITE 201Melbourne, FL 32935-4160
Mailing Address1649 W Eau Gallie Blvd, Suite 201Melbourne, FL 32935-4160 · (321) 622-5650 · Fax (321) 622-5645
Phone(321) 622-5650
Fax(321) 622-5645
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 12, 2006
Last NPPES UpdateDecember 19, 2012
✔ NPI 1043261506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in FL · ME91061
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.
1649 W EAU GALLIE BLVD, Melbourne, FL 32935
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Other Identifiers 3

Medicare PIN48530W
Medicaid270780200FL
Medicare UPINH62352

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Health Care Plans, Health First Commercial Plans, Inc., UnitedHealthcare.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

Paul L Winslow Iii M.d. 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 ID840267597
PECOS Enrollment IDI20040913001194
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.

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.
639 services349 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.
375 services128 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.
249 services39 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.
204 services13 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.
142 services26 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.
46 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32935 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

97.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95
Improvement Activities40

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Dilated Macular Examination
100%222 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
100%233 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
46%46 patients3/55-star benchmark: 91%
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
87%90 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
96%1,915 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 348 patients
Patients screened: 98% · 348 patients
62%21 patients3/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
94%49 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
100%32 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 780 patients
Patients totalRate: 0% · 780 patients
0%780 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

REGINE M PAPPAS MD
Ophthalmology
1649 W EAU GALLIE BLVD, STE 100
MELBOURNE, FL 32935
Brevard County (321) 255-4949
CENTRAL FLORIDA SPORTS MEDICINE & ORTHOPAEDIC CENTER
Orthopaedic Surgery
1649 W EAU GALLIE BLVD, SUITE 201
MELBOURNE, FL 32935
Brevard County (321) 255-9310
PINNACLE EYE CENTER INC
Ophthalmology
1649 W EAU GALLIE BLVD, STE 100
MELBOURNE, FL 32935
Brevard County (321) 255-4949
WINSLOW RETINA & VISION CENTER, INC.
Ophthalmology
1649 W EAU GALLIE BLVD, SUITE 201
MELBOURNE, FL 32935
Brevard County (321) 622-5650

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 Paul Winslow's NPI number?

The NPI number for Paul Winslow is 1043261506. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Paul Winslow located?

Paul Winslow practices at 1649 W Eau Gallie Blvd Suite 201, Melbourne, FL 32935. The listed phone number is (321) 622-5650.

What is Paul Winslow's specialty?

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

Is Paul Winslow enrolled in Medicare?

Yes. Paul Winslow 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 Paul Winslow accept?

Health plans from Florida Health Care Plans, Health First Commercial Plans, Inc. and UnitedHealthcare list Paul Winslow 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 Paul Winslow was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.