Active NPI 1396732491 Individual Practitioner Male Practitioner

Dr. Harjit S Athwal , MD

Ophthalmology • Toms River, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Harjit Athwal, MD is a certified Ophthalmology practicing in Toms River, NJ. With approximately 40 years of clinical experience since graduating from Rutgers School Of Dental Medicine in 1986, Dr. Athwal delivers high-quality medical care to the local community at 14 MULE RD.

Dr. Athwal is affiliated with Shore Eye Associates Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient problem focused exam of visual system, established patient complete exam of visual system, photography of the retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

14 Mule Rd
Suite 1

Toms River, NJ 087555028

Telephone 7322860900

Fax 7322446063

Associated Practice Facility / Clinic

🏢 Athwal Eye Associates, P.c Facility NPI 1659433142

Medicare Profile & Education

Medical School

Rutgers School Of Dental Medicine

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Toms River, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +12.4 yrs vs City Avg

City Avg: 27.6 Yrs

State Avg: 32.1 Yrs

Regional Practice Density

24 Specialists

Practicing in Toms River, NJ (700 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Athwal (40 Years) 40 Yrs

Toms River Specialty Average (27.6 Years) 27.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,262	645	$300.00	$93.48
92014 Established patient complete exam of visual system	632	616	$420.00	$132.35
92250 Photography of the retina	522	514	$130.00	$38.94
92134 Imaging of retina	363	329	$140.00	$41.44
92136 Measurement of corneal curvature and depth of eye	285	121	$150.00	$31.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	229	173	$240.00	$133.03
92083 Exam of visual field with extended testing	213	210	$210.00	$67.02
92133 Imaging of optic nerve	209	205	$130.00	$37.98
92020 Examination of cornea and iris using lens device and slit lamp	200	194	$100.00	$28.57
92004 New patient complete exam of visual system	146	146	$500.00	$156.97
66984 Removal of cataract with insertion of lens	144	92	$1500.00	$558.25
92285 Photography of content of eyes	69	26	$60.00	$24.67
66821 Removal of recurring cataract in lens capsule using a laser	64	45	$680.00	$321.70
92071 Fitting of contact lens for treatment of eye surface disease	54	14	$50.00	$38.77
92145 Measurement of corneal pressure	53	53	$60.00	$12.21
68761 Closure of tear duct opening using plug	43	35	$490.00	$218.88
68841 Insertion of drug delivery implant into tear duct of eye	38	28	$150.00	$16.77
92002 New patient problem focused exam of visual system	30	30	$150.00	$89.34
76514 Ultrasound scan of cornea to determine thickness	21	21	$40.00	$11.17
65855 Laser repair to improve eye fluid flow	20	11	$1000.00	$211.59
92201 Extended exam of the back part of the eye with retinal drawing	18	17	$50.00	$25.74
66982 Complex removal of cataract with insertion of prosthetic lens	14	11	$2000.00	$772.94
92286 Imaging of front third of eye using a special microscope	11	11	$200.00	$41.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,186	684	$226.77	$97.19
92014 Established patient complete exam of visual system	766	731	$312.30	$138.28
92250 Photography of the retina	612	592	$114.71	$40.86
92134 Imaging of retina	366	353	$111.31	$43.60
92136 Measurement of corneal curvature and depth of eye	326	135	$150.00	$33.18
92020 Examination of cornea and iris using lens device and slit lamp	239	231	$79.85	$30.07
92133 Imaging of optic nerve	231	224	$105.97	$40.36
92083 Exam of visual field with extended testing	222	218	$162.25	$69.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	221	194	$239.46	$135.15
92004 New patient complete exam of visual system	179	179	$334.08	$163.27
66984 Removal of cataract with insertion of lens	163	101	$1500.00	$564.15
92145 Measurement of corneal pressure	62	58	$60.00	$12.69
66821 Removal of recurring cataract in lens capsule using a laser	54	43	$680.00	$340.05
76514 Ultrasound scan of cornea to determine thickness	32	32	$30.16	$11.67
68761 Closure of tear duct opening using plug	31	22	$475.48	$224.31
92002 New patient problem focused exam of visual system	30	30	$150.00	$91.19
65855 Laser repair to improve eye fluid flow	23	15	$1000.00	$221.08
92201 Extended exam of the back part of the eye with retinal drawing	23	20	$50.00	$26.64
66982 Complex removal of cataract with insertion of prosthetic lens	18	12	$2000.00	$803.26
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	18	11	$1000.00	$242.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,110	684	$150.05	$99.65
92014 Established patient complete exam of visual system	739	711	$200.00	$141.35
92250 Photography of the retina	642	632	$100.00	$41.51
92134 Imaging of retina	369	351	$80.00	$44.90
92136 Measurement of corneal curvature and depth of eye	346	137	$150.00	$36.04
92133 Imaging of optic nerve	267	264	$80.00	$41.02
92020 Examination of cornea and iris using lens device and slit lamp	256	252	$55.00	$30.96
92004 New patient complete exam of visual system	252	252	$200.00	$166.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	232	207	$240.00	$140.54
92083 Exam of visual field with extended testing	224	215	$110.00	$70.67
66984 Removal of cataract with insertion of lens	204	119	$1500.00	$587.42
92145 Measurement of corneal pressure	126	117	$60.00	$12.91
66821 Removal of recurring cataract in lens capsule using a laser	58	43	$680.00	$344.68
76514 Ultrasound scan of cornea to determine thickness	57	57	$25.00	$11.85
92002 New patient problem focused exam of visual system	36	36	$150.00	$93.82
92201 Extended exam of the back part of the eye with retinal drawing	36	31	$50.00	$26.90
68841 Insertion of drug delivery implant into tear duct of eye	32	22	$150.00	$17.77
83861 Microfluid analysis of tears	25	12	$50.00	$22.20
92286 Imaging of front third of eye using a special microscope	17	17	$200.00	$40.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$200.00	$182.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,179	624	$133.40	$101.38
92014 Established patient complete exam of visual system	751	722	$169.93	$142.44
92250 Photography of the retina	640	624	$92.20	$44.31
92136 Measurement of corneal curvature and depth of eye	385	180	$141.93	$42.26
92134 Imaging of retina	361	333	$73.40	$45.42
92020 Examination of cornea and iris using lens device and slit lamp	287	270	$48.80	$31.21
92133 Imaging of optic nerve	283	267	$72.28	$41.88
92083 Exam of visual field with extended testing	272	256	$104.72	$72.15
66984 Removal of cataract with insertion of lens	217	132	$1345.34	$571.50
92004 New patient complete exam of visual system	209	208	$192.71	$168.90
92145 Measurement of corneal pressure	175	128	$54.35	$13.97
0356T Insertion of drug delivery implant into tear ducts	147	100	$162.10	$114.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	138	117	$237.29	$142.68
66821 Removal of recurring cataract in lens capsule using a laser	75	52	$535.94	$349.77
83861 Microfluid analysis of tears	69	35	$37.17	$22.48
76514 Ultrasound scan of cornea to determine thickness	55	55	$23.53	$12.20
92002 New patient problem focused exam of visual system	32	32	$138.62	$97.50
66982 Complex removal of cataract with insertion of prosthetic lens	32	23	$1772.01	$760.65
92201 Extended exam of the back part of the eye with retinal drawing	30	26	$50.21	$26.50
92071 Fitting of contact lens for treatment of eye surface disease	28	22	$47.60	$41.12
66174 Dilation of fluid outflow drainage within eye	22	13	$2199.35	$1041.51
68761 Closure of tear duct opening using plug	18	17	$410.64	$212.89
65778 Insertion of amniotic membrane to eye surface	13	11	$1946.55	$1721.89
67820 Removal of eyelashes using forceps	12	11	$103.00	$23.27
92202 Extended exam of the back part of the eye with optic nerve drawing	12	12	$43.08	$17.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,071	505	$140.00	$98.95
92014 Established patient complete exam of visual system	693	676	$205.06	$140.53
92250 Photography of the retina	575	564	$160.00	$50.47
92145 Measurement of corneal pressure	297	159	$60.00	$15.76
92134 Imaging of retina	287	268	$100.00	$45.05
92083 Exam of visual field with extended testing	230	219	$145.00	$71.39
92133 Imaging of optic nerve	221	212	$100.00	$41.60
92020 Examination of cornea and iris using lens device and slit lamp	215	210	$60.00	$30.70
92136 Measurement of corneal curvature and depth of eye	205	131	$205.00	$55.77
92004 New patient complete exam of visual system	196	196	$245.00	$167.18
66984 Removal of cataract with insertion of lens	156	94	$2500.00	$594.87
66821 Removal of recurring cataract in lens capsule using a laser	63	45	$705.00	$348.92
83861 Microfluid analysis of tears	52	25	$60.00	$22.27
92071 Fitting of contact lens for treatment of eye surface disease	47	21	$70.00	$41.29
66982 Complex removal of cataract with insertion of prosthetic lens	35	24	$3000.00	$832.88
76514 Ultrasound scan of cornea to determine thickness	31	31	$35.00	$12.53
65778 Insertion of amniotic membrane to eye surface	29	19	$1700.00	$1631.03
92002 New patient problem focused exam of visual system	26	26	$135.00	$94.21
92201 Extended exam of the back part of the eye with retinal drawing	25	23	$76.00	$27.65
65855 Laser repair to improve eye fluid flow	22	13	$670.00	$229.13
0356T Insertion of drug delivery implant into tear ducts	19	17	$1000.00	$110.66
68761 Closure of tear duct opening using plug	19	17	$275.00	$154.15
92025 Ct scan of cornea	15	12	$60.00	$40.40
92286 Imaging of front third of eye using a special microscope	13	12	$85.00	$40.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,310	623	$140.00	$96.92
92014 Established patient complete exam of visual system	826	804	$205.00	$138.74
92250 Photography of the retina	711	694	$160.00	$56.11
92134 Imaging of retina	397	363	$100.00	$44.73
92145 Measurement of corneal pressure	347	194	$60.00	$17.80
92133 Imaging of optic nerve	321	307	$100.00	$40.72
92020 Examination of cornea and iris using lens device and slit lamp	307	296	$60.24	$29.95
92083 Exam of visual field with extended testing	302	286	$145.00	$71.00
92136 Measurement of corneal curvature and depth of eye	241	160	$205.00	$61.37
92004 New patient complete exam of visual system	230	230	$245.00	$165.28
66984 Removal of cataract with insertion of lens	206	131	$2500.00	$697.66
83861 Microfluid analysis of tears	126	61	$60.00	$22.03
66821 Removal of recurring cataract in lens capsule using a laser	81	60	$705.00	$334.12
92225 Examination of eye by ophthalmoscope with retinal drawing	78	71	$60.00	$30.11
76514 Ultrasound scan of cornea to determine thickness	56	56	$35.00	$12.96
68761 Closure of tear duct opening using plug	37	30	$289.86	$160.50
92071 Fitting of contact lens for treatment of eye surface disease	36	19	$70.00	$40.95
92226 Examination of eye by ophthalmoscope with retinal drawing	27	22	$55.00	$27.87
66982 Complex removal of cataract with insertion of prosthetic lens	26	20	$3000.00	$867.16
92286 Imaging of front third of eye using a special microscope	25	25	$85.00	$39.88
92002 New patient problem focused exam of visual system	24	24	$135.00	$92.47
65778 Insertion of amniotic membrane to eye surface	20	15	$1700.00	$1616.11
67820 Removal of eyelashes using forceps	18	15	$110.00	$36.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,329	715	$140.00	$95.27
92014 Established patient complete exam of visual system	976	953	$204.97	$136.79
92250 Photography of the retina	844	826	$160.00	$62.69
92134 Imaging of retina	422	399	$100.00	$45.09
92133 Imaging of optic nerve	392	354	$100.00	$41.05
92083 Exam of visual field with extended testing	386	356	$145.00	$70.56
92020 Examination of cornea and iris using lens device and slit lamp	367	358	$60.00	$28.91
92004 New patient complete exam of visual system	299	299	$245.00	$163.34
83861 Microfluid analysis of tears	232	117	$60.00	$22.03
92136 Measurement of corneal curvature and depth of eye	228	153	$205.00	$66.89
66984 Removal of cataract with insertion of lens	195	129	$2500.00	$684.67
92225 Examination of eye by ophthalmoscope with retinal drawing	97	87	$60.00	$28.67
66821 Removal of recurring cataract in lens capsule using a laser	96	74	$705.00	$339.22
76514 Ultrasound scan of cornea to determine thickness	79	79	$35.00	$15.61
92002 New patient problem focused exam of visual system	66	66	$135.00	$90.84
92226 Examination of eye by ophthalmoscope with retinal drawing	49	33	$55.00	$27.03
68761 Closure of tear duct opening using plug	29	22	$350.86	$162.81
66982 Complex removal of cataract with insertion of prosthetic lens	26	21	$3000.00	$857.00
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	22	12	$530.00	$255.76
67820 Removal of eyelashes using forceps	21	14	$115.24	$45.59
92071 Fitting of contact lens for treatment of eye surface disease	20	14	$73.50	$41.30
65855 Laser repair to improve eye fluid flow	17	12	$670.00	$223.94
92286 Imaging of front third of eye using a special microscope	15	15	$85.00	$38.47
92235 Exam of retinal blood vessels using a special camera after injection of a dye	13	13	$250.00	$87.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92012 Established patient problem focused exam of visual system	1,541	821	$140.00	$92.42
92014 Established patient complete exam of visual system	980	948	$205.00	$133.61
95004 Test for allergy using allergenic extract	900	15	$10.00	$7.47
92250 Photography of the retina	800	761	$160.20	$72.37
83861 Microfluid analysis of tears	448	215	$60.00	$22.21
92134 Imaging of retina	441	402	$100.00	$44.35
92083 Exam of visual field with extended testing	402	384	$145.00	$70.38
92020 Examination of cornea and iris using lens device and slit lamp	374	361	$60.00	$28.87
92133 Imaging of optic nerve	351	335	$100.00	$40.67
92004 New patient complete exam of visual system	267	267	$245.00	$160.33
92136 Measurement of corneal curvature and depth of eye	262	173	$205.00	$72.17
66984 Removal of cataract with insertion of lens	194	122	$2500.00	$674.80
92225 Examination of eye by ophthalmoscope with retinal drawing	138	122	$60.00	$28.82
66821 Removal of recurring cataract in lens capsule using a laser	74	60	$705.00	$336.77
92002 New patient problem focused exam of visual system	74	74	$135.00	$87.82
92226 Examination of eye by ophthalmoscope with retinal drawing	73	61	$55.00	$26.62
92235 Exam of retinal blood vessels using a special camera after injection of a dye	61	59	$286.89	$83.94
92071 Fitting of contact lens for treatment of eye surface disease	58	24	$77.24	$42.38
65855 Laser repair to improve eye fluid flow	52	35	$670.00	$222.05
76514 Ultrasound scan of cornea to determine thickness	52	52	$35.00	$15.37
68761 Closure of tear duct opening using plug	45	40	$385.00	$185.33
66982 Complex removal of cataract with insertion of prosthetic lens	44	30	$3000.00	$852.88
92025 Ct scan of cornea	32	29	$61.88	$39.21
67820 Removal of eyelashes using forceps	27	20	$110.00	$52.77
66761 Creation of eye fluid drainage tracts in iris using a laser, per session	24	14	$530.00	$254.21
92286 Imaging of front third of eye using a special microscope	20	18	$89.25	$39.08

Medical Specialties & State Licenses

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License NJ 25MA05179600

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

5044405 (NJ)

Hospital & Practice Group Affiliations

Shore Eye Associates Pa

530 Lakehurst Rd, Toms River, NJ 087558063

Phone: 7323414733

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners

Lisa Athwal

Ophthalmology

NPI 1043576630

Dr. Gillian Uldrich , OD

Optometrist

NPI 1205672748

Doctor of Optometry

Neal Athwal

Optometrist

NPI 1295222511

Dr. Barinder Athwal , MD

Ophthalmology

NPI 1699762674

Doctor of Medicine (M.D.)

Dr. Marez Megalla , MD

Ophthalmology

NPI 1962856047

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 15, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 15, 2010

Registered at 14 MULE RD, SUITE 1, TOMS RIVER, NJ 087555028 (Tel: 7322860900)

📍

Updated Business Mailing Address July 15, 2010

Registered at 14 MULE RD, SUITE 1, TOMS RIVER, NJ 087555028 (Tel: 7322860900)

👤

Provider Name / Credentials Updated July 15, 2010

Recorded as HARJIT ATHWAL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2010

Ophthalmology (License #25MA05179600 in NJ)

🟢

Initial NPI Registration & Enumeration October 04, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396732491

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 04, 2005

Last Update: July 15, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

14 Mule Rd, Suite 1

Toms River, NJ 087555028

Phone: 7322860900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.