DR. BARINDER S ATHWAL M.D.
NPI 1699762674
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 16, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Barinder S Athwal M.d. NPPES

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

DR. BARINDER S ATHWAL M.D. (NPI 1699762674) is an individual ophthalmology provider in Toms River, New Jersey, licensed in New Jersey (MA044009) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Rutgers School Of Dental Medicine (1982).

NPPES Registry Identity

NPI1699762674
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. BARINDER 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 1982
Enumeration DateOctober 4, 2005
Last NPPES UpdateJuly 16, 2007
NPI 1699762674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in NJ · MA044009
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 UPINC56870NJ
Medicaid4013905NJ
Medicare ID-Type Unspecified521139BCRNJ

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. Barinder 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 ID9537106935
PECOS Enrollment IDI20050415000651
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 23

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.
732 services457 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.
608 services594 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.
484 services481 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.
295 services124 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.
267 services243 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
239 services227 patients

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 1699762674, 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.