DR. JUSTIN WILKINSON M.D.
NPI 1396937074
Ophthalmology - Cornea and External Diseases Specialist in Provo, UT

Q: What is Justin Wilkinson's NPI number?

The NPI number for Justin Wilkinson is 1396937074. It was assigned to this individual provider in the NPPES registry on August 15, 2007.

Q: What is Justin Wilkinson's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Cornea and External Diseases Specialist, with taxonomy code 207WX0120X.

Q: When was this NPI record last updated?

The NPPES record for Justin Wilkinson was last updated on June 28, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 15, 2007PECOS EnrolledAccepts Medicare Assignment

85.09/100

CMS Quality Rating

1735 N STATE ST, PROVO, UT 84604(801) 374-1818(801) 374-0163 Get Directions Write a Review

NPPES record last updated: June 28, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Justin Wilkinson M.d. NPPES

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

DR. JUSTIN WILKINSON M.D. (NPI 1396937074) is an individual cornea and external diseases specialist in Provo, Utah, licensed in Utah (8227125-1205) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and is a graduate of University Of California, Geffen School Of Medicine (2007).

NPPES Registry Identity

NPI1396937074

Entity TypeIndividualMale

Primary Taxonomy207WX0120X

Provider Legal NameDR. JUSTIN WILKINSONCredential: M.D.

Location Address1735 N STATE STProvo, UT 84604

Mailing Address1735 N State StProvo, UT 84604-1010 · (801) 374-1818 · Fax (801) 374-0163

Phone(801) 374-1818

Fax(801) 374-0163

Sole ProprietorNo

Medical School CMSUniversity Of California, Geffen School Of MedicineGraduated 2007

Enumeration DateAugust 15, 2007

Last NPPES UpdateJune 28, 2018

✔ NPI 1396937074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Cornea and External Diseases SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0120X

License✔ Licensed in UT · 8227125-1205

Definition

An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.

Also ListedOphthalmologyTaxonomy 207W00000X · License 8227125-1205 (UT), MD154095 (OR)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License LL17376 (OR)

1735 N STATE ST, Provo, UT 84604

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Imperial Health Plan of the Southwest, Inc., Molina Healthcare and more.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. Justin Wilkinson 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 ID3678742459

PECOS Enrollment IDI20120607000329

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 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

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.

437 services378 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.

389 services184 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).

203 services133 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.

183 services149 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.

116 services93 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.

76 services58 patients

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.

85.09/100

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

Scored as part of a group practice

Quality

99.31

Improvement Activities

Cost

51.57

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Other Providers at the Same Location NPPES 19

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

JONATHAN B GUNTHER M.D.

Ophthalmology (Retina Specialist)