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GAD HEILWEIL M.D.
NPI 1386989440
Ophthalmology in Los Angeles, CA

Active since November 30, 2012PECOS EnrolledAccepts Medicare Assignment
74.56/100
CMS Quality Rating
200 STEIN PLZ, 1-340, LOS ANGELES, CA 90095(310) 206-7474 Get Directions Write a Review

NPPES record last updated: January 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gad Heilweil M.d. NPPES

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

GAD HEILWEIL M.D. (NPI 1386989440) is an individual ophthalmology provider in Los Angeles, California, licensed in California (A136287) and active in the NPI registry since November 2012. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1386989440
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameGAD HEILWEILCredential: M.D.
Location Address200 STEIN PLZ, 1-340Los Angeles, CA 90095-0001
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Phone(310) 206-7474
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 30, 2012
Last NPPES UpdateJanuary 22, 2025
NPPES CertifiedJanuary 22, 2025
✔ NPI 1386989440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in CA · A136287
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.
200 STEIN PLZ, Los Angeles, CA 90095
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Other Identifiers 1

Medicaid00F57500CA

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

Gad Heilweil M.d. 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 ID749434058
PECOS Enrollment IDI20130213000316
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 12

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.
10,925 services27 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.
2,304 services916 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.
1,974 services149 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.
1,535 services236 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.
1,084 services577 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.
711 services639 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

74.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.02
Promoting Interoperability100
Improvement Activities40
Cost30.17

Other Providers at the Same Location NPPES 7

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

MR. DAN DEUTSCH OPTIAN
Technician/Technologist (Optician)
200 STEIN PLZ, #1-231
LOS ANGELES, CA 90095
Los Angeles County (310) 206-7184
AMANDA POWERS HAVENS O.D.
Optometrist
200 STEIN PLZ, SUITE 1-340
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5000
SARAH H. YOO O.D.
Optometrist
200 STEIN PLZ, 1-340
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5000
ELIOT BRUCE SIEGEL MD
Ophthalmology
200 STEIN PLZ, 1-340
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5000
UCLA
Clinic/Center
200 STEIN PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 206-7474
SOH YOUN SUH MD
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
200 STEIN PLZ
LOS ANGELES, CA 90095
Los Angeles County (310) 267-3937
JASON J. JUN M.D.
Ophthalmology
200 STEIN PLZ, RM 1517
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5000

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 Gad Heilweil's NPI number?

The NPI number for Gad Heilweil is 1386989440. It was assigned to this individual provider in the NPPES registry on November 30, 2012.

Where is Gad Heilweil located?

Gad Heilweil practices at 200 Stein Plz 1-340, Los Angeles, CA 90095. The listed phone number is (310) 206-7474.

What is Gad Heilweil's specialty?

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

Is Gad Heilweil enrolled in Medicare?

Yes. Gad Heilweil 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.

When was this NPI record last updated?

The NPPES record for Gad Heilweil was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.