DR. JOSEPH D WALRATH M.D.
NPI 1720109853
Ophthalmology in Atlanta, GA

Q: What is Joseph Walrath's NPI number?

The NPI number for Joseph Walrath is 1720109853. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Q: What is Joseph Walrath's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Joseph Walrath was last updated on November 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment

91.9/100

CMS Quality Rating

3200 DOWNWOOD CIR NW, 640, ATLANTA, GA 30327(404) 351-0051(404) 351-0632 Get Directions Write a Review

NPPES record last updated: November 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Joseph D Walrath M.d. NPPES

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

DR. JOSEPH D WALRATH M.D. (NPI 1720109853) is an individual ophthalmology provider in Atlanta, Georgia, licensed in Georgia (060514) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of Columbia University College Of Physicians And Surgeons (2003).

NPPES Registry Identity

NPI1720109853

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. JOSEPH D WALRATHCredential: M.D.

Location Address3200 DOWNWOOD CIR NW, 640Atlanta, GA 30327-1610

Mailing Address3200 Downwood Cir Nw, 640Atlanta, GA 30327-1610 · (404) 351-0051 · Fax (404) 351-0632

Phone(404) 351-0051

Fax(404) 351-0632

Sole ProprietorYes

Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2003

Enumeration DateApril 3, 2007

Last NPPES UpdateNovember 1, 2017

✔ NPI 1720109853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in GA · 060514

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.

Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License 060514 (GA)

3200 DOWNWOOD CIR NW, Atlanta, GA 30327

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Other Identifiers 1

Medicaid02912921NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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. Joseph D Walrath 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 ID7719059922

PECOS Enrollment IDI20080703000333

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 14

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

182 services182 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.

134 services126 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

94 services91 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

83 services78 patients

Probing of nasal tear duct 68840

Probing of the nasal tear duct is a procedure to treat blocked tear ducts. A thin, flexible instrument is gently inserted into the tear duct to clear any obstruction, allowing tears to drain normally again. This procedure is typically quick and can help to alleviate symptoms like excessive tearing or infection.

55 services50 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

46 services46 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

39 services39 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.

36 services35 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

24 services22 patients

Extensive repair of turning-outward eyelid defect 67917

This procedure corrects an eyelid defect where the eyelid turns outward, exposing the eye. The extensive repair involves surgical techniques to reshape the eyelid and ensure it functions properly. This helps protect the eye and improve comfort.

23 services20 patients

Incision biopsy, first skin growth 11106

An incision biopsy involves taking a small sample of a skin growth for further examination. A local anesthetic is used to numb the area, then a portion of the growth is removed using a surgical knife. This helps identify the nature of the growth.

20 services18 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

17 services17 patients

Extensive repair of turning-inward eyelid defect 67924

This procedure helps correct an eyelid defect where the eyelid turns inward, causing discomfort or vision issues. A surgeon makes precise adjustments to the eyelid's structure, alleviating the inward turn and improving eye health and comfort.

12 services12 patients

Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less 11440

This procedure involves the removal of a noncancerous skin growth on the face, ears, eyelids, nose, lips, or mouth that is 0.5 cm or less in size. It is a safe, routine treatment that helps maintain skin health and appearance.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110161

Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30327 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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.

91.9/100

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

Scored as part of a group practice

Quality

79.16

Promoting Interoperability

Improvement Activities

Cost

94.68

Reported Quality Measures

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%4,149 patients5/55-star benchmark: 100%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

100%351 patients5/55-star benchmark: 100%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

0%528 patients1/55-star benchmark: 98%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

51%594 patients3/55-star benchmark: 90%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients screenedForUse: 97% · 353 patients

Patients tobacco: 90% · 353 patients

4%28 patients1/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

60%969 patients3/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

0%969 patients1/55-star benchmark: 79%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 1,219 patients

0%1,219 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

PEACHTREE UROLOGY, PC

Urology

3200 DOWNWOOD CIR NW, SUITE 680
ATLANTA, GA 30327

Fulton County (404) 355-7272

THE EMORY CLINIC INC.

Clinic/Center (Ambulatory Surgical)

3200 DOWNWOOD CIR NW, SUITE 640
ATLANTA, GA 30327

Fulton County (404) 351-0051

MS. CARA YANO PT

Physical Therapist

3200 DOWNWOOD CIR NW, SUITE 500
ATLANTA, GA 30327

Fulton County (404) 352-4500

LARRY D EMPTING M.D.

Psychiatry & Neurology (Neurology)

3200 DOWNWOOD CIR NW, SUITE 520
ATLANTA, GA 30327

Fulton County (404) 355-0933

JILLIAN BAILEY DPT

Physical Therapist

3200 DOWNWOOD CIR NW
ATLANTA, GA 30327

Fulton County (404) 355-0743

DR. FOAD NAHAI M.D.

Plastic Surgery

3200 DOWNWOOD CIR NW, 640
ATLANTA, GA 30327

Fulton County (404) 351-0051

MRS. EILEEN GALLAGHER N.P.

Nurse Practitioner

3200 DOWNWOOD CIR NW
ATLANTA, GA 30327

Fulton County (404) 351-0205

DR. ANDREW H ROSENTHAL M.D.

Plastic Surgery

3200 DOWNWOOD CIR NW
ATLANTA, GA 30327

Fulton County (404) 778-6880

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 Joseph Walrath's NPI number?

The NPI number for Joseph Walrath is 1720109853. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Joseph Walrath located?

Joseph Walrath practices at 3200 Downwood Cir NW 640, Atlanta, GA 30327. The listed phone number is (404) 351-0051.

What is Joseph Walrath's specialty?

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

Is Joseph Walrath enrolled in Medicare?

Yes. Joseph Walrath 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 Joseph Walrath accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Joseph Walrath 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 Joseph Walrath affiliated with any hospitals?

According to CMS data, Joseph Walrath is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Walrath was last updated on November 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.