DR. PAUL LOUIS WALTON MD
NPI 1912905423
Ophthalmology in Indianapolis, IN

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
88.87/100
CMS Quality Rating
1901 N MERIDIAN ST, INDIANAPOLIS, IN 46202(317) 925-2200(317) 921-6609 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Paul Louis Walton Md NPPES

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

DR. PAUL LOUIS WALTON MD (NPI 1912905423) is an individual ophthalmology provider in Indianapolis, Indiana, licensed in Indiana (01035918A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1983).

NPPES Registry Identity

NPI1912905423
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. PAUL LOUIS WALTONCredential: MD
Location Address1901 N MERIDIAN STIndianapolis, IN 46202-1303
Mailing Address1901 N Meridian StIndianapolis, IN 46202-1303 · (317) 925-2200 · Fax (317) 921-6609
Fax(317) 921-6609
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1983
Enumeration DateJuly 8, 2005
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
NPI 1912905423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in IN · 01035918A
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 ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 01035918A (IN), 1035918A (IN)
1901 N MERIDIAN ST, Indianapolis, IN 46202

Other Identifiers 1

Medicaid100228320BIN

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. Paul Louis Walton 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 ID4880642586
PECOS Enrollment IDI20101214000235
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 3

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.

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.
1,609 services1,036 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
613 services442 patients
Complex removal of cataract with insertion of prosthetic lens 66982
This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.
150 services125 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

88.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.75
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
12 suppliers20 claims20 services$56.06 avg. paid by Medicare
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens V2303
Other-Vision, Hearing, and Speech Services · category OC000N
8 suppliers12 claims23 services$50.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

Anesthesiology
1901 N MERIDIAN ST
INDIANAPOLIS, IN 46202
Optometrist (Corneal and Contact Management)
1901 N MERIDIAN ST
INDIANAPOLIS, IN 46202
Ophthalmology
1901 N MERIDIAN ST
INDIANAPOLIS, IN 46202
Optometrist (Corneal and Contact Management)
1901 N MERIDIAN ST
INDIANAPOLIS, IN 46202
Optometrist
1901 N MERIDIAN ST
INDIANAPOLIS, IN 46202
Anesthesiology
1901 N MERIDIAN ST
INDIANAPOLIS, IN 46202
Optometrist
1901 N MERIDIAN ST
INDIANAPOLIS, IN 46202
Optometrist (Corneal and Contact Management)
1901 N MERIDIAN ST
INDIANAPOLIS, IN 46202

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 Paul Walton's NPI number?

The NPI number for Paul Walton is 1912905423. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Paul Walton located?

Paul Walton practices at 1901 N Meridian St, Indianapolis, IN 46202. The listed phone number is (317) 925-2200.

What is Paul Walton's specialty?

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

Is Paul Walton enrolled in Medicare?

Yes. Paul Walton 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.

When was this NPI record last updated?

The NPPES record for Paul Walton was last updated on August 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.