JAMES MICHAEL WALSH OD
NPI 1265094551
Optometrist in Boynton Beach, FL

Q: What is James Walsh's NPI number?

The NPI number for James Walsh is 1265094551. It was assigned to this individual provider in the NPPES registry on July 8, 2019.

Q: What is James Walsh's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for James Walsh was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 08, 2019PECOS EnrolledAccepts Medicare Assignment

84.01/100

CMS Quality Rating

1717 W WOOLBRIGHT RD, BOYNTON BEACH, FL 33426(561) 737-5500 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2026, Jan 15, 2026, Sep 22, 2021 and 2 more (5 updates tracked since 2019).

On this page

About James Michael Walsh Od NPPES

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

JAMES MICHAEL WALSH OD (NPI 1265094551) is an individual optometrist in Boynton Beach, Florida, licensed in Florida (OPC5880) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Wellington, and is a graduate of Indiana University - School Of Optometry (2019).

NPPES Registry Identity

NPI1265094551

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameJAMES MICHAEL WALSHCredential: OD

Location Address1717 W WOOLBRIGHT RDBoynton Beach, FL 33426-6319

Mailing Address1717 W Woolbright RdBoynton Beach, FL 33426-6319 · (561) 737-5500

Phone(561) 737-5500

Sole ProprietorNo

Medical School CMSIndiana University - School Of OptometryGraduated 2019

Enumeration DateJuly 8, 2019

Last NPPES UpdateMarch 3, 20265 updates tracked since enumeration

NPPES CertifiedMarch 3, 2026

✔ NPI 1265094551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in FL · OPC5880

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1717 W WOOLBRIGHT RD, Boynton Beach, FL 33426

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Secondary Practice Location 1

Location 12575 S State Road 7Wellington, FL 33414-9323 · Phone (561) 737-5500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Michael Walsh Od 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 ID4789910647

PECOS Enrollment IDI20210621001501

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.

Medicare Billing Reassignment

Medicare enrollment records show James Walsh reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Eye Microsurgical Institute Inc

Same address

Ophthalmology

1717 W WOOLBRIGHT RD
Boynton Beach, FL 33426

Reassigned Medicare billing, Florida enrollment
15 clinicians in this Medicare group

NPI 1104971423 (561) 737-5500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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 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.

383 services242 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.

175 services151 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

126 services45 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.

100 services98 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.

59 services57 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.

39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33426 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$73.00 typical visit price

range $18.44 – $144.68

Typical copayment $18.25 (range $4.61 – $36.17)

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.

84.01/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

46.72

Other Providers at the Same Location NPPES 8

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

FLORIDA EYE MICROSURGICAL INSTITUTE INC

Ophthalmology