KEVIN CRONIN
NPI 1174880967
Ophthalmology in Jacksonville, FL

Active since April 18, 2012PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7205 BONNEVAL RD, JACKSONVILLE, FL 32256(904) 296-0098(904) 861-3899 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2020, May 20, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Kevin Cronin NPPES

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

KEVIN CRONIN (NPI 1174880967) is an individual ophthalmology provider in Jacksonville, Florida, licensed in Florida (ME132583) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Winston Salem, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1174880967
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameKEVIN CRONIN
Location Address7205 BONNEVAL RDJacksonville, FL 32256-7565
Mailing Address7205 Bonneval RdJacksonville, FL 32256-7565
Fax(904) 861-3899
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 18, 2012
Last NPPES UpdateNovember 27, 20234 updates tracked since enumeration
NPPES CertifiedAugust 24, 2020
NPI 1174880967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in FL · ME132583
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.
7205 BONNEVAL RD, Jacksonville, FL 32256

Secondary Practice Location 1

Location 1Wake Forest Baptist Medical Ctr, Medical Center BoulevardWinston Salem, NC 27157-0001 · Phone (336) 716-2011

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

Kevin Cronin 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 ID5395965123
PECOS Enrollment IDI20170914000153
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 13

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.
198 services125 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).
82 services77 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.
76 services50 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
54 services32 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
49 services49 patients
Exam of the internal drainage system of eye 92020
This is a procedure where your doctor examines the eye's internal drainage system, essential for maintaining eye pressure. They use specialized tools to check for blockages or damage that might lead to conditions like glaucoma. It's non-invasive and painless.
49 services49 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32256 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost100

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%31 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
7205 BONNEVAL RD
JACKSONVILLE, FL 32256
Optometrist
7205 BONNEVAL RD
JACKSONVILLE, FL 32256
Optometrist
7205 BONNEVAL RD
JACKSONVILLE, FL 32256
Ophthalmology
7205 BONNEVAL RD
JACKSONVILLE, FL 32256
Ophthalmology
7205 BONNEVAL RD
JACKSONVILLE, FL 32256
Optometrist
7205 BONNEVAL RD
JACKSONVILLE, FL 32256
Eyewear Supplier
7205 BONNEVAL RD
JACKSONVILLE, FL 32256
Eyewear Supplier
7205 BONNEVAL RD
JACKSONVILLE, FL 32256

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 Kevin Cronin's NPI number?

The NPI number for Kevin Cronin is 1174880967. It was assigned to this individual provider in the NPPES registry on April 18, 2012.

Where is Kevin Cronin located?

Kevin Cronin practices at 7205 Bonneval Rd, Jacksonville, FL 32256. The listed phone number is (904) 296-0098.

What is Kevin Cronin's specialty?

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

Is Kevin Cronin enrolled in Medicare?

Yes. Kevin Cronin 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 Kevin Cronin accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Kevin Cronin 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 Kevin Cronin was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.