Carl Wilkins, MD
NPI 1609238633 · Retina Specialist (Ophthalmology) Physician · Waltham, MA
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carl Wilkins, MD is a Retina Specialist (Ophthalmology) Physician provider in Waltham, MA (NPI 1609238633).
Provider details
- NPI number
- 1609238633
- Entity type
- Individual
- Primary specialty
- Retina Specialist (Ophthalmology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 1023485 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
681 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Imaging of Retina92134 | 180 | $27 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 101 | $106 |
| Established Patient Problem Focused Exam of Visual System92012 | 98 | $54 |
| Extended Exam of the Back Part of the Eye With Retinal Drawing92201 | 76 | $25 |
| Injection of Drug Into Eye67028 | 49 | $109 |
| Imaging of Retina92134 | 41 | $45 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'S |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 99 | 40 |
| Latanoprost | 61 | 25 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 46 | 16 |
| Brimonidine Tartrate | 28 | — |
| Erythromycin Basebrand: Erythromycin | 22 | 11 |
| Timolol Maleate | 16 | — |
| Cyclosporine | 15 | — |
| Prednisone |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,556 across 24 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 825 Washington St Ste 230Norwood, MA 02062-3488Phone: (781) 769-8880Fax: (781) 769-8979
- 63 Lincoln StWorcester, MA 01605-2634Phone: (508) 791-1217
Registry dates
- Enumerated
- 2016-03-29
- Last updated
- 2026-01-22
- Certified
- 2026-01-22
Frequently asked questions
- What is Carl Wilkins's NPI number?
- Carl Wilkins's National Provider Identifier (NPI) is 1609238633, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carl Wilkins's specialty?
- Carl Wilkins is listed in the NPPES registry with a primary specialty of Retina Specialist (Ophthalmology) Physician (Allopathic & Osteopathic Physicians).
- Where is Carl Wilkins located?
- Carl Wilkins's practice location on file with NPPES is 1440 Main St Ste 201, Waltham, MA 02451-1634.
- What is Carl Wilkins's phone number?
- The practice phone number listed in the NPPES registry for Carl Wilkins is (781) 891-6377.
- Does Carl Wilkins accept Medicare?
- Carl Wilkins is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carl Wilkins's NPI active?
- Yes — Carl Wilkins's NPI (1609238633) is active in the NPPES registry as of the last update on 2026-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.