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

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: July 26, 2026.

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

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
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

Other Names 1

Professional Name (2)R Joel Welch Md

Secondary Practice Locations 3

Location 1755 S 1040 WPayson, UT 84651-4643 · Phone (801) 406-1075 · Fax (801) 357-7424
Location 25171 S Cottonwood St Ste 700Murray, UT 84107-5717 · Phone (801) 892-8200 · Fax (801) 357-7424
Location 311820 S State St Ste 320Draper, UT 84020-7170 · Phone (385) 237-3200 · Fax (801) 357-7424

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. 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.

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

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
Quality100
Promoting Interoperability98
Improvement Activities40
Cost73.86

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.

Ophthalmology (Retina Specialist)
1055 N 300 W STE 500
PROVO, UT 84604
Ophthalmology (Retina Specialist)
1055 N 300 W STE 500
PROVO, UT 84604
Ophthalmology (Retina Specialist)
1055 N 300 W STE 500
PROVO, UT 84604
Ophthalmology (Retina Specialist)
1055 N 300 W STE 500
PROVO, UT 84604

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 with the weekly NPPES data releases published by CMS.