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DR. FRANCIS XAVIER FIGUEROA M.D.
NPI 1073612156
Ophthalmology in Cranston, RI

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
975 PONTIAC AVE, CRANSTON, RI 02920(401) 942-2626(401) 942-5628 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Francis Xavier Figueroa M.d. NPPES

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

DR. FRANCIS XAVIER FIGUEROA M.D. (NPI 1073612156) is an individual ophthalmology provider in Cranston, Rhode Island, licensed in Rhode Island (9187) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cranston, and is a graduate of Tufts University School Of Medicine (1991).

NPPES Registry Identity

NPI1073612156
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. FRANCIS XAVIER FIGUEROACredential: M.D.
Location Address975 PONTIAC AVECranston, RI 02920-7924
Mailing Address17 Talia CtNarragansett, RI 02882-7304 · (401) 284-1122
Phone(401) 942-2626
Fax(401) 942-5628
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1991
Enumeration DateSeptember 22, 2006
Last NPPES UpdateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1073612156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in RI · 9187
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.
975 PONTIAC AVE, Cranston, RI 02920
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 Howard AveCranston, RI 02920-3001 · Phone (401) 462-4188

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Francis Xavier Figueroa M.d. 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 ID9830081496
PECOS Enrollment IDI20040327000300
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.

Medicare Billing Reassignment

Medicare enrollment records show Francis Figueroa reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Eleanor Slater Hospital
5.5 mi
Long Term Care Hospital
111 HOWARD AVE
Cranston, RI 02920
  • Reassigned Medicare billing, Rhode Island enrollment
  • Medicare enrollment name: State Of Rhode Island
  • 16 clinicians in this Medicare group
NPI 1922197789 (401) 462-1405

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,098 services1,096 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
260 services211 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
136 services123 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
98 services98 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
85 services85 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
75 services74 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02920 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

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 Francis Figueroa's NPI number?

The NPI number for Francis Figueroa is 1073612156. It was assigned to this individual provider in the NPPES registry on September 22, 2006.

Where is Francis Figueroa located?

Francis Figueroa practices at 975 Pontiac Ave, Cranston, RI 02920. The listed phone number is (401) 942-2626.

What is Francis Figueroa's specialty?

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

Is Francis Figueroa enrolled in Medicare?

Yes. Francis Figueroa 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.

Which organization bills Medicare for Francis Figueroa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Francis Figueroa reassigns Medicare benefits to Eleanor Slater Hospital (Cranston, RI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Francis Figueroa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Francis Figueroa was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.