DR. NEIL LAWRENCE WATKINS MD
NPI 1295744993
Ophthalmology in Gary, IN

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
80.84/100
CMS Quality Rating
650 GRANT ST, SUITE 7, GARY, IN 46404(219) 885-0116(219) 881-0522 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Neil Lawrence Watkins Md NPPES

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

DR. NEIL LAWRENCE WATKINS MD (NPI 1295744993) is an individual ophthalmology provider in Gary, Indiana, licensed in Indiana (01039743A) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Inc, and is a graduate of Js Weill Medical College, Cornell University (1986).

NPPES Registry Identity

NPI1295744993
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. NEIL LAWRENCE WATKINSCredential: MD
Location Address650 GRANT ST, SUITE 7Gary, IN 46404-1533
Mailing AddressPo Box 366Gary, IN 46402-0366 · (219) 885-0116 · Fax (219) 881-0522
Fax(219) 881-0522
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 1986
Enumeration DateAugust 5, 2006
Last NPPES UpdateSeptember 12, 2007
NPI 1295744993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IN · 01039743A
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.
650 GRANT ST, Gary, IN 46404

Other Identifiers 5

Medicare PIN405020IN
Other000000219285IN · Anthem - Bcbs
Medicare PIN193110AIN
Medicare PIN329120IL
Medicare UPINE99961IN

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. Neil Lawrence Watkins 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 ID2567561673
PECOS Enrollment IDI20070823000530
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 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 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.
146 services138 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.
107 services94 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.
71 services42 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
29 services15 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
27 services27 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
21 services16 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospitals Inc

Acute Care Hospitals · Gary, IN
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150002
Location600 Grant StGary, IN 46402 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46404 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

80.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Promoting Interoperability97
Improvement Activities40
Cost17.43

Reported Quality Measures

Advance Care Plan
100%178 patients5/55-star benchmark: 100%
Diabetes: Eye Exam
97%462 patients4/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
8%86 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%2,844 patients5/55-star benchmark: 100%
e-Prescribing
98%213 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 492 patients
Patients screened: 100% · 492 patients
100%54 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%750 patients4/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
100%253 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 6

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

Nurse Practitioner (Family)
650 GRANT ST
GARY, IN 46404
Nurse Practitioner (Psychiatric/Mental Health)
650 GRANT ST
GARY, IN 46404
Podiatrist
650 GRANT ST, SUITE 4
GARY, IN 46404
Public Health or Welfare
650 GRANT ST, SUITE 5
GARY, IN 46404
Podiatrist (Foot & Ankle Surgery)
650 GRANT ST, #4
GARY, IN 46404
Nurse Practitioner (Family)
650 GRANT ST, SUITE 5
GARY, IN 46404

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 Neil Watkins's NPI number?

The NPI number for Neil Watkins is 1295744993. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Neil Watkins located?

Neil Watkins practices at 650 Grant St Suite 7, Gary, IN 46404. The listed phone number is (219) 885-0116.

What is Neil Watkins's specialty?

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

Is Neil Watkins enrolled in Medicare?

Yes. Neil Watkins 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 Neil Watkins accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Neil Watkins 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 Neil Watkins affiliated with any hospitals?

According to CMS data, Neil Watkins is affiliated with Methodist Hospitals Inc.

When was this NPI record last updated?

The NPPES record for Neil Watkins was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.