DR. HARJIT S ATHWAL M.D.
NPI 1396732491
Ophthalmology in Toms River, NJ

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
99.47/100
CMS Quality Rating
14 MULE RD, SUITE 1, TOMS RIVER, NJ 08755(732) 286-0900(732) 244-6063 Get Directions Write a Review

NPPES record last updated: July 15, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Harjit S Athwal M.d. NPPES

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

DR. HARJIT S ATHWAL M.D. (NPI 1396732491) is an individual ophthalmology provider in Toms River, New Jersey, licensed in New Jersey (25MA05179600) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Rutgers School Of Dental Medicine (1986).

NPPES Registry Identity

NPI1396732491
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. HARJIT S ATHWALCredential: M.D.
Location Address14 MULE RD, SUITE 1Toms River, NJ 08755-5028
Mailing Address14 Mule Rd, Suite 1Toms River, NJ 08755-5028 · (732) 286-0900 · Fax (732) 244-6063
Fax(732) 244-6063
Sole ProprietorNo
Medical School CMSRutgers School Of Dental MedicineGraduated 1986
Enumeration DateOctober 4, 2005
Last NPPES UpdateJuly 15, 2010
NPI 1396732491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · 25MA05179600
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.

14 MULE RD, Toms River, NJ 08755

Other Identifiers 3

Medicare UPINE40976NJ
Medicaid5044405NJ
Medicare ID-Type Unspecified600650BCRNJ

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. Harjit S Athwal 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 ID6103863659
PECOS Enrollment IDI20050415000232
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 21

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

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.
1,110 services684 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.
739 services711 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.
642 services632 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.
369 services351 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
346 services137 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).
267 services264 patients

Hospital Affiliations CMS Care Compare

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

99.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.37
Improvement Activities40

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
14 MULE RD, SUITE 1
TOMS RIVER, NJ 08755
Ophthalmology
14 MULE RD
TOMS RIVER, NJ 08755
Ophthalmology
14 MULE RD
TOMS RIVER, NJ 08755
Optometrist
14 MULE RD
TOMS RIVER, NJ 08755

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396732491, enumerated as an "individual" on October 04, 2005.

The provider is located at 14 MULE RD SUITE 1 TOMS RIVER, NJ 08755 and the phone number is (732) 286-0900.

Ophthalmology with taxonomy code 207W00000X.

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

Harjit Athwal is affiliated with: COMMUNITY MEDICAL CENTER.