Individual provider Active NPI

Walton Kitchin Joyner Jr., MD

  • Ophthalmology Physician
  • Raleigh, NC
National Provider Identifier
1851376164
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
39152 Issued in NC
Practice address
3900 Browning Place
Suite 200
Raleigh, NC 27609-6530
Phone
(919) 787-2758
Fax
(919) 787-2988
NPI assigned
Dec 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 39152 NC Primary

Addresses

Primary practice location

3900 Browning Place
Suite 200
Raleigh, NC 27609-6530

Mailing address

3900 Browning Place
Suite 200
Raleigh, NC 27609-6530
Phone (919) 787-2758

Other identifiers 2

IdentifierTypeStateIssuer
47568OtherBLUE CROSS BLUE SHIELD
8947568MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101104000822 NC Practitioner - Ophthalmology 9234323106 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of North Carolina at Chapel Hill School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Eye Center, P.a.Group PAC ID 7113944125, 14 clinicians

Practice addresses (Care Compare)

3320 Executive Dr
Suite 111
Raleigh, NC 27609-7445
Phone (919) 876-2427

Merit-based Incentive Payment System (MIPS)

Final score
89.93 of 100Reported as group
Quality
93.82
Improvement activities
40
Cost
74.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39152NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Eye Center, PA Ophthalmology CurrentSince Apr 1, 2023 Accepting new patients
Raleigh Eye Center, PA Ophthalmology CurrentSince Apr 1, 2023 Accepting new patients

Locations

3320 Executive Dr
Ste 111
Raleigh, NC 27609
Phone (919) 876-2427

Interoperability endpoints

  • Direct secure messaging: wjoyner@raleigheyecenter.imwdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1851376164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 BROWNING PLACE",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096530",
            "telephone_number": "919-787-2758",
            "fax_number": "919-787-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 BROWNING PLACE",
            "address_2": "SUITE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096530",
            "telephone_number": "919-787-2758",
            "fax_number": "919-787-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOYNER",
        "first_name": "WALTON",
        "middle_name": "KITCHIN",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "39152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "47568",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8947568",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.