EARL KIDWELL JR. MD
NPI 1689757254
Ophthalmology in Baltimore, MD

Active since October 24, 2006PECOS EnrolledAccepts Medicare Assignment
30/100
CMS Quality Rating
3104 LORD BALTIMORE DR, SUITE 200, BALTIMORE, MD 21244(410) 265-1501(410) 265-1504 Get Directions Write a Review

NPPES record last updated: January 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 2, 2020, Oct 18, 2017 (2 updates tracked since 2017).

About Earl Kidwell Jr. Md NPPES

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

EARL KIDWELL JR. MD (NPI 1689757254) is an individual ophthalmology provider in Baltimore, Maryland, licensed in District Of Columbia (MD13643) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Johns Hopkins University School Of Medicine (1973).

NPPES Registry Identity

NPI1689757254
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameEARL KIDWELL JR.Credential: MD
Location Address3104 LORD BALTIMORE DR, SUITE 200Baltimore, MD 21244-2898
Mailing Address3104 Lord Baltimore Dr, Suite 200Baltimore, MD 21244-2898 · (410) 265-1501 · Fax (410) 265-1504
Fax(410) 265-1504
Sole ProprietorYes
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1973
Enumeration DateOctober 24, 2006
Last NPPES UpdateJanuary 2, 20202 updates tracked since enumeration
NPI 1689757254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in DC · MD13643 Licensed in MD · D18526
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.
3104 LORD BALTIMORE DR, Baltimore, MD 21244

Secondary Practice Location 1

Location 12041 Georgia Ave NW Ste 2000Washington, DC 20060-2898 · Phone (202) 865-1257

Other Identifiers 1

Medicaid188961300MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Earl Kidwell Jr. 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 ID2961466552
PECOS Enrollment IDI20041113000241, I20080512000544
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 7

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.
285 services210 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.
269 services118 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
26 services26 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.
20 services18 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services18 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21244 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

30/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost100

Other Providers at the Same Location NPPES 11

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

Physical Therapist
3104 LORD BALTIMORE DR
BALTIMORE, MD 21244
Physical Therapist (Orthopedic)
3104 LORD BALTIMORE DR
WINDSOR MILL, MD 21244
Specialist/Technologist (Athletic Trainer)
3104 LORD BALTIMORE DR, SUITE 100
BALTIMORE, MD 21244
Physical Therapist
3104 LORD BALTIMORE DR, SUITE 100
BALTIMORE, MD 21244
Physical Therapist
3104 LORD BALTIMORE DR, SUITE 100
BALTIMORE, MD 21244
Physical Therapist
3104 LORD BALTIMORE DR, SUITE 100
BALTIMORE, MD 21244
Physical Therapist (Orthopedic)
3104 LORD BALTIMORE DR, EXECUTIVE PARK WEST STE 100
BALTIMORE, MD 21244
Physical Therapist
3104 LORD BALTIMORE DR, SUITE 100
BALTIMORE, MD 21244

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 Earl Kidwell's NPI number?

The NPI number for Earl Kidwell is 1689757254. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Earl Kidwell located?

Earl Kidwell practices at 3104 Lord Baltimore Dr Suite 200, Baltimore, MD 21244. The listed phone number is (410) 265-1501.

What is Earl Kidwell's specialty?

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

Is Earl Kidwell enrolled in Medicare?

Yes. Earl Kidwell 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 Earl Kidwell accept?

Health plans from Providence Health Plan list Earl Kidwell 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.

When was this NPI record last updated?

The NPPES record for Earl Kidwell was last updated on January 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.