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: July 19, 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
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

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 11

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization dataset. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.
1,947 services933 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.
1,494 services117 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.
1,295 services764 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.
1,240 services205 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.
458 services75 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.
252 services249 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.

Ophthalmology
200 STEIN PLZ, 1-340
LOS ANGELES, CA 90095
Technician/Technologist (Optician)
200 STEIN PLZ, #1-231
LOS ANGELES, CA 90095
Ophthalmology
200 STEIN PLZ, RM 1517
LOS ANGELES, CA 90095
Clinic/Center
200 STEIN PLZ
LOS ANGELES, CA 90095
Optometrist
200 STEIN PLZ, SUITE 1-340
LOS ANGELES, CA 90095
Optometrist
200 STEIN PLZ, 1-340
LOS ANGELES, CA 90095
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
200 STEIN PLZ
LOS ANGELES, CA 90095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386989440, enumerated as an "individual" on November 30, 2012.

The provider is located at 200 STEIN PLZ 1-340 LOS ANGELES, CA 90095 and the phone number is (310) 206-7474.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.