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CARL WILKINS MD
NPI 1609238633
Ophthalmology - Retina Specialist in Waltham, MA

Active since March 29, 2016PECOS EnrolledAccepts Medicare Assignment
1440 MAIN ST STE 201, WALTHAM, MA 02451(781) 891-6377(781) 647-1430 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2026, Aug 19, 2021, Mar 30, 2016 (3 updates tracked since 2016).

About Carl Wilkins Md NPPES

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

CARL WILKINS MD (NPI 1609238633) is an individual retina specialist in Waltham, Massachusetts, licensed in Massachusetts (1023485) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Massachusetts Eye And Ear Infirmary -, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609238633
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameCARL WILKINSCredential: MD
Location Address1440 MAIN ST STE 201Waltham, MA 02451-1634
Mailing Address1440 Main St Ste 201Waltham, MA 02451-1634 · (781) 891-6377 · Fax (781) 647-1430
Phone(781) 891-6377
Fax(781) 647-1430
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 29, 2016
Last NPPES UpdateJanuary 22, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1609238633 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 MA · 1023485
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
1440 MAIN ST STE 201, Waltham, MA 02451
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Secondary Practice Locations 2

Location 163 Lincoln StWorcester, MA 01605-2634 · Phone (508) 791-1217
Location 2825 Washington St Ste 230Norwood, MA 02062-3488 · Phone (781) 769-8880 · Fax (781) 769-8979

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Carl Wilkins 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 ID5597002451
PECOS Enrollment IDI20200909000575, I20231010002123, I20250807001648
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.

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.
180 services120 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.
101 services71 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.
98 services67 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
76 services68 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.
49 services34 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.
41 services24 patients

Hospital Affiliations CMS Care Compare

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

Massachusetts Eye And Ear Infirmary -

Acute Care Hospitals · Boston, MA
OwnershipVoluntary non-profit - Private
CMS Certification Number220075
Location243 Charles StreetBoston, MA 02114 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02451 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

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 Carl Wilkins's NPI number?

The NPI number for Carl Wilkins is 1609238633. It was assigned to this individual provider in the NPPES registry on March 29, 2016.

Where is Carl Wilkins located?

Carl Wilkins practices at 1440 Main St Ste 201, Waltham, MA 02451. The listed phone number is (781) 891-6377.

What is Carl Wilkins's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Carl Wilkins enrolled in Medicare?

Yes. Carl Wilkins 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 Carl Wilkins accept?

Health plans from Anthem Blue Cross and Blue Shield list Carl Wilkins 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 Carl Wilkins affiliated with any hospitals?

According to CMS data, Carl Wilkins is affiliated with Massachusetts Eye And Ear Infirmary -.

When was this NPI record last updated?

The NPPES record for Carl Wilkins was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.