DR. JESSE SENGILLO MD
NPI 1053803957
Ophthalmology - Retina Specialist in North Miami, FL

Active since June 06, 2018PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
2111 SOLE MIA WAY, NORTH MIAMI, FL 33181(305) 482-5275 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 12, 2026, Jan 8, 2026, Jun 24, 2024 and 2 more (5 updates tracked since 2019).

About Dr. Jesse Sengillo Md NPPES

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

DR. JESSE SENGILLO MD (NPI 1053803957) is an individual retina specialist in North Miami, Florida, licensed in Florida (ME155650) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053803957
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameDR. JESSE SENGILLOCredential: MD
Location Address2111 SOLE MIA WAYNorth Miami, FL 33181-2492
Mailing Address2111 Sole Mia WayNorth Miami, FL 33181-2492 · (305) 482-5275
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 6, 2018
Last NPPES UpdateJanuary 12, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
NPI 1053803957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License Licensed in FL · ME155650
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License ME155650 (FL)
2111 SOLE MIA WAY, North Miami, FL 33181

Secondary Practice Locations 2

Location 1900 NW 17th StMiami, FL 33136-1119 · Phone (305) 355-1122
Location 25555 Ponce De Leon BlvdCoral Gables, FL 33146-2513 · Phone (305) 482-5275

Other Identifiers 1

OtherTRN28043FL · Florida Medical License

Accepted 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. Jesse Sengillo 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 ID143577601
PECOS Enrollment IDI20220801001670
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 5

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.

Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
36 services30 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.
28 services22 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
25 services25 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
18 services18 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33181 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

Nurse Practitioner (Adult Health)
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181
Internal Medicine (Medical Oncology)
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181
Physician Assistant
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181
Pediatrics (Sports Medicine)
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181
Physician Assistant
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181
Internal Medicine (Cardiovascular Disease)
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181
Internal Medicine
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2111 SOLE MIA WAY
NORTH MIAMI, FL 33181

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 Jesse Sengillo's NPI number?

The NPI number for Jesse Sengillo is 1053803957. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Where is Jesse Sengillo located?

Jesse Sengillo practices at 2111 Sole Mia Way, North Miami, FL 33181. The listed phone number is (305) 482-5275.

What is Jesse Sengillo's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Jesse Sengillo enrolled in Medicare?

Yes. Jesse Sengillo 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 Jesse Sengillo accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jesse Sengillo 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.

When was this NPI record last updated?

The NPPES record for Jesse Sengillo was last updated on January 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.