DR. ROXANNE MARIE WALKOWIAK OD
NPI 1275765265
Optometrist in Plant City, FL

Active since August 10, 2009PECOS Enrolled
88.33/100
CMS Quality Rating
102 HENRY AVE, PLANT CITY, FL 33563(813) 704-6090 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roxanne Marie Walkowiak Od NPPES

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

DR. ROXANNE MARIE WALKOWIAK OD (NPI 1275765265) is an individual optometrist in Plant City, Florida, licensed in Florida (OPC4429) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Winter Haven.

NPPES Registry Identity

NPI1275765265
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. ROXANNE MARIE WALKOWIAKCredential: OD
Location Address102 HENRY AVEPlant City, FL 33563-7118
Mailing Address215 1st St N, Suite 100Winter Haven, FL 33881-4537 · (863) 299-8908 · Fax (863) 595-2838
Sole ProprietorNo
Enumeration DateAugust 10, 2009
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
NPI 1275765265 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 · OPC4429
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.
102 HENRY AVE, Plant City, FL 33563

Secondary Practice Location 1

Location 1215 1st St N, Suite 100Winter Haven, FL 33881-4537 · Phone (863) 299-8908 ext. 2039 · Fax (863) 595-2838

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 (PECOS)

Dr. Roxanne Marie Walkowiak Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.
1,642 services1,159 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.
1,055 services1,055 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.
723 services533 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
622 services546 patients
Extended exam of the back part of the eye with optic nerve drawing 92202
This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.
398 services366 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
82 services82 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33563 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.

88.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality56.66
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
100%51 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%4,826 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 3,242 patients
100%3,242 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier23 claims23 services$66.59 avg. paid by Medicare
Sphere, bifocal, plano to plus or minus 4.00d, per lens V2200
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims20 services$42.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

Optometrist
102 HENRY AVE
PLANT CITY, FL 33563
Optometrist
102 HENRY AVE
PLANT CITY, FL 33563
Optometrist
102 HENRY AVE
PLANT CITY, FL 33563
Optometrist
102 HENRY AVE
PLANT CITY, FL 33563
Optometrist
102 HENRY AVE
PLANT CITY, FL 33563

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 Roxanne Walkowiak's NPI number?

The NPI number for Roxanne Walkowiak is 1275765265. It was assigned to this individual provider in the NPPES registry on August 10, 2009.

Where is Roxanne Walkowiak located?

Roxanne Walkowiak practices at 102 Henry Ave, Plant City, FL 33563. The listed phone number is (813) 704-6090.

What is Roxanne Walkowiak's specialty?

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

Is Roxanne Walkowiak enrolled in Medicare?

Yes. Roxanne Walkowiak is registered in the Medicare PECOS enrollment system.

What insurance does Roxanne Walkowiak accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross Blue Shield of Wyoming and 6 other insurers list Roxanne Walkowiak 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 Roxanne Walkowiak was last updated on February 19, 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.