DR. ROBERT JOEL WELCH MD
NPI 1376981894
Ophthalmology - Retina Specialist in Provo, UT

Q: What is Robert Welch's NPI number?

The NPI number for Robert Welch is 1376981894. It was assigned to this individual provider in the NPPES registry on June 6, 2013. The provider is also known as R Joel Welch MD.

Q: What is Robert 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 Robert Welch was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 June 06, 2013PECOS EnrolledAccepts Medicare Assignment

91.65/100

CMS Quality Rating

1055 N 300 W STE 500, PROVO, UT 84604(801) 357-7704(801) 357-7424 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 15, 2025, Jul 10, 2025, Jul 31, 2024 and 3 more (6 updates tracked since 2016).

On this page

About Dr. Robert Joel Welch Md NPPES

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

DR. ROBERT JOEL WELCH MD (NPI 1376981894) is an individual retina specialist in Provo, Utah, licensed in Utah (141907241205) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Utah Valley Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1376981894

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. ROBERT JOEL WELCHCredential: MD

Location Address1055 N 300 W STE 500Provo, UT 84604-3312

Mailing Address1055 N 300 W Ste 500Provo, UT 84604-3312 · (801) 357-7704 · Fax (801) 357-7424

Phone(801) 357-7704

Fax(801) 357-7424

Sole ProprietorNo

Medical School CMSUniversity Of Utah School Of MedicineGraduated 2012

Enumeration DateJune 6, 2013

Last NPPES UpdateAugust 15, 20256 updates tracked since enumeration

NPPES CertifiedAugust 15, 2025

✔ NPI 1376981894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in UT · 141907241205

Definition

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

1055 N 300 W STE 500, Provo, UT 84604

Open in Google Maps ↗

Other Names 1

Professional Name (2)R Joel Welch Md

Secondary Practice Locations 3

Location 111820 S State St Ste 320Draper, UT 84020-7170 · Phone (385) 237-3200 · Fax (801) 357-7424

Location 2755 S 1040 WPayson, UT 84651-4643 · Phone (801) 406-1075 · Fax (801) 357-7424

Location 35171 S Cottonwood St Ste 700Murray, UT 84107-5717 · Phone (801) 892-8200 · Fax (801) 357-7424

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan and more.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

Dr. Robert Joel 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 ID9234360595

PECOS Enrollment IDI20250711003767

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 Robert Welch reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Retina And Vitreous Surgeons Of Utah, LLC

Same address

Retina Specialist

1055 N 300 W STE 500
Provo, UT 84604

Reassigned Medicare billing, Utah enrollment
4 clinicians in this Medicare group

NPI 1518117407 (801) 357-7704

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 19

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.

38,160 services104 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.

2,238 services674 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.

1,454 services314 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.

1,420 services140 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.

425 services19 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.

309 services165 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.

282 services223 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.

188 services51 patients

Injection, dexamethasone, intravitreal implant, 0.1 mg J7312

This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.

175 services11 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.

128 services121 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

89 services51 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

68 services68 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

50 services28 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.

37 services37 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.

23 services14 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

16 services16 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

13 services12 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

12 services12 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.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Utah Valley Hospital

Acute Care Hospitals · Provo, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460001

Location1034 North 500 WestProvo, UT 84604 · Utah County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84604 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$68.01 typical visit price

range $17.23 – $135.20

Typical copayment $17.00 (range $4.30 – $33.80)

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.

91.65/100

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

Scored as part of a group practice

Quality

100

Promoting Interoperability

Improvement Activities

Cost

73.86

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.

DR. JACK DUNYON STRINGHAM II M.D.

Ophthalmology (Retina Specialist)

1055 N 300 W STE 500
PROVO, UT 84604

Utah County (801) 357-7704

RETINA AND VITREOUS SURGEONS OF UTAH, LLC

Ophthalmology (Retina Specialist)

1055 N 300 W STE 500
PROVO, UT 84604

Utah County (801) 357-7704

RICHARD PAUL COREY M.D.

Ophthalmology (Retina Specialist)

1055 N 300 W STE 500
PROVO, UT 84604

Utah County (801) 357-7704

RYAN FRANKLIN ISOM MD

Ophthalmology (Retina Specialist)

1055 N 300 W STE 500
PROVO, UT 84604

Utah County (801) 357-7704

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 Robert Welch's NPI number?

The NPI number for Robert Welch is 1376981894. It was assigned to this individual provider in the NPPES registry on June 6, 2013. The provider is also known as R Joel Welch MD.

Where is Robert Welch located?

Robert Welch practices at 1055 N 300 W Ste 500, Provo, UT 84604. The listed phone number is (801) 357-7704.

What is Robert Welch's specialty?

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

Is Robert Welch enrolled in Medicare?

Yes. Robert 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 Robert Welch accept?

Health plans from BridgeSpan Health Company, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan, Regence BlueCross BlueShield of Utah and Select Health and 1 other insurer list Robert 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 Robert Welch affiliated with any hospitals?

According to CMS data, Robert Welch is affiliated with Utah Valley Hospital.

When was this NPI record last updated?

The NPPES record for Robert Welch was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.