Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAUL F HERNANDEZ RUBIO
NPI 1245799519
Ophthalmology in Fort Myers, FL

Active since March 17, 2019PECOS EnrolledAccepts Medicare Assignment
4101 EVANS AVE, FORT MYERS, FL 33901(941) 792-2020 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 29, 2026, Apr 23, 2026, Oct 4, 2024 and 3 more (6 updates tracked since 2019).

About Raul F Hernandez Rubio NPPES

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

RAUL F HERNANDEZ RUBIO (NPI 1245799519) is an individual ophthalmology provider in Fort Myers, Florida, licensed in Florida (OS20850) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, maintains 14 additional practice locations, and is a graduate of Philadelphia Col Of Osteo Med, Sewanee (2019).

NPPES Registry Identity

NPI1245799519
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameRAUL F HERNANDEZ RUBIO
Location Address4101 EVANS AVEFort Myers, FL 33901-9310
Mailing AddressPo Box 11407Birmingham, AL 35246-8575 · (864) 359-1308
Sole ProprietorYes
Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 2019
Enumeration DateMarch 17, 2019
Last NPPES UpdateSeptember 29, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1245799519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in FL · OS20850✔ Licensed in CA · 20A20884
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.
Also ListedOphthalmology · Neuro-ophthalmologyTaxonomy 207WX0109X · License OS20850 (FL)
Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X · License OS20850 (FL)
4101 EVANS AVE, Fort Myers, FL 33901

Secondary Practice Locations 14

Location 117966 N Tamiami Trl Ste 160North Fort Myers, FL 33903-1414 · Phone (941) 792-2020
Location 21550 E Venice AveVenice, FL 34292-1661 · Phone (941) 792-2020
Location 32529 Tamiami TrlPunta Gorda, FL 33950-6929 · Phone (239) 466-2020
Location 4112 Del Prado Blvd NCape Coral, FL 33909-2702 · Phone (941) 792-2020
Location 53940 Via Del ReyBonita Springs, FL 34134-7592 · Phone (239) 466-2020
Location 6675 Piper Blvd Unit 1Naples, FL 34110-5703 · Phone (941) 792-2020
Location 721275 Olean BlvdPort Charlotte, FL 33952-6704 · Phone (941) 792-2020
Location 86091 S Pointe BlvdFort Myers, FL 33919-4899 · Phone (239) 466-2020
Location 95220 Lee BlvdLehigh Acres, FL 33971-1036 · Phone (239) 466-2020
Location 1020600 Veterans BlvdPort Charlotte, FL 33954-2209 · Phone (239) 466-2020
Location 11877 111th Ave N Ste 2Naples, FL 34108-1853 · Phone (941) 792-2020
Location 123507 Lee Blvd Ste 104Lehigh Acres, FL 33971-1303 · Phone (941) 792-2020
Location 131331 S Sumter BlvdNorth Port, FL 34287-2339 · Phone (239) 466-2020
Location 1415640 New Hampshire CtFort Myers, FL 33908-4168 · Phone (239) 466-2020

Accepted Insurance

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

Raul F Hernandez Rubio 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 ID2961866371
PECOS Enrollment IDI20240625001071
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 Reassignments

2

Medicare enrollment records show Raul Hernandez Rubio reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
6002 POINTE WEST BLVD
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 64 clinicians in this Medicare group
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 1,437 clinicians in this Medicare group

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 2

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.

Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
34 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33901 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

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 Anesthetist, Certified Registered
4101 EVANS AVE
FORT MYERS, FL 33901
Optometrist
4101 EVANS AVE
FORT MYERS, FL 33901
Ophthalmology
4101 EVANS AVE
FORT MYERS, FL 33901
Nurse Practitioner (Primary Care)
4101 EVANS AVE
FORT MYERS, FL 33901
Optometrist
4101 EVANS AVE
FORT MYERS, FL 33901
Ophthalmology (Retina Specialist)
4101 EVANS AVE
FORT MYERS, FL 33901
Nurse Anesthetist, Certified Registered
4101 EVANS AVE
FORT MYERS, FL 33901
Nurse Anesthetist, Certified Registered
4101 EVANS AVE
FORT MYERS, FL 33901

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 Raul Hernandez Rubio's NPI number?

The NPI number for Raul Hernandez Rubio is 1245799519. It was assigned to this individual provider in the NPPES registry on March 17, 2019.

Where is Raul Hernandez Rubio located?

Raul Hernandez Rubio practices at 4101 Evans Ave, Fort Myers, FL 33901. The listed phone number is (941) 792-2020.

What is Raul Hernandez Rubio's specialty?

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

Is Raul Hernandez Rubio enrolled in Medicare?

Yes. Raul Hernandez Rubio 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 organizations bill Medicare for Raul Hernandez Rubio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Hernandez Rubio reassigns Medicare benefits to 2 organizations: Eye Associates Of Manatee, LLP (Bradenton, FL) and Emergency And Acute Care Medical Corporation (San Diego, CA). Each 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 Raul Hernandez Rubio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul Hernandez Rubio accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 6 other insurers list Raul Hernandez Rubio 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 Raul Hernandez Rubio was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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.