JAIME HUMBERTO MEMBRENO MD
NPI 1255309704
Ophthalmology - Retina Specialist in Kissimmee, FL

Q: What is Jaime Membreno's NPI number?

The NPI number for Jaime Membreno is 1255309704. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Q: What is Jaime Membreno's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaime Membreno was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 10, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

100 PARK PLACE BLVD, STE#202, KISSIMMEE, FL 34741(407) 931-1510(407) 931-3759 Get Directions Write a Review

NPPES record last updated: April 12, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 12, 2017, Mar 31, 2017 (2 updates tracked since 2017).

On this page

About Jaime Humberto Membreno Md NPPES

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

JAIME HUMBERTO MEMBRENO MD (NPI 1255309704) is an individual retina specialist in Kissimmee, Florida, licensed in Florida (ME85244) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Temple University School Of Medicine (1998).

NPPES Registry Identity

NPI1255309704

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameJAIME HUMBERTO MEMBRENOCredential: MD

Location Address100 PARK PLACE BLVD, STE#202Kissimmee, FL 34741-2332

Mailing Address100 Park Place Blvd, Ste#202Kissimmee, FL 34741-2332 · (407) 931-1510 · Fax (407) 931-3759

Phone(407) 931-1510

Fax(407) 931-3759

Sole ProprietorYes

Medical School CMSTemple University School Of MedicineGraduated 1998

Enumeration DateMarch 10, 2006

Last NPPES UpdateApril 12, 20172 updates tracked since enumeration

✔ NPI 1255309704 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 · ME85244

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License ME85244 (FL)

100 PARK PLACE BLVD, Kissimmee, FL 34741

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Other Identifiers 3

Medicare PINU2626XFL

Medicare UPINH65829

Medicare PINU2626X

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Cigna Healthcare and more.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

Jaime Humberto Membreno 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 ID2163400466

PECOS Enrollment IDI20040713000326

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

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

Retina Macula Specialists PLLC

1.0 mi

Ophthalmology

720 W OAK ST, SUITE 301
Kissimmee, FL 34741

Reassigned Medicare billing, Florida enrollment

NPI 1528112950 (407) 931-1510

Filutowski Eye Institute PA

15 mi

Clinic/Center

2295 S HIAWASSEE ROAD, SUITE 101
Orlando, FL 32835

Reassigned Medicare billing, Florida enrollment
28 clinicians in this Medicare group

NPI 1134290356 (407) 902-2533

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 15

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, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

11,220 services38 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

1,721 services654 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.

1,661 services588 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.

1,575 services622 patients

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.

1,081 services239 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

894 services96 patients

Compounded drug, not otherwise classified J7999

A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.

364 services109 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.

203 services138 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

139 services139 patients

Not otherwise classified, antineoplastic drugs J9999

Antineoplastic drugs, not otherwise classified, are medicines used to treat cancer. They work by inhibiting the growth of cancer cells. The specific type and function of these drugs may vary, but their main goal is to stop or slow the progression of the disease.

106 services62 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

86 services82 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.

84 services71 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

54 services36 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

54 services43 patients

Destruction of leaking blood vessels of retina using laser 67228

This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.

37 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34741 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

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Diabetes: Eye Exam

100%656 patients5/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

37%475 patients3/55-star benchmark: 91%

Diabetic Macular Edema - Loss of Visual Acuity

99%212 patients

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

97%728 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

99%7,235 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 99% · 1,388 patients

Patients screened: 100% · 1,388 patients

83%54 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,412 patients

Patients totalRate: 0% · 1,412 patients

0%1,412 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 3

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

JOAN ORTIZ MS

Counselor

100 PARK PLACE BLVD, SUITE 201
KISSIMMEE, FL 34741

Osceola County (407) 518-9505

MID FLORIDA MEDICAL AND CHIROPRACTIC CENTER LLC

General Practice

100 PARK PLACE BLVD, SUITE 201
KISSIMMEE, FL 34741

Osceola County (407) 847-8900

LUIS F TOBON MD

Obstetrics & Gynecology

100 PARK PLACE BLVD, SUITE 202
KISSIMMEE, FL 34741

Osceola County (407) 846-4882

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 Jaime Membreno's NPI number?

The NPI number for Jaime Membreno is 1255309704. It was assigned to this individual provider in the NPPES registry on March 10, 2006.

Where is Jaime Membreno located?

Jaime Membreno practices at 100 Park Place Blvd Ste#202, Kissimmee, FL 34741. The listed phone number is (407) 931-1510.

What is Jaime Membreno's specialty?

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

Is Jaime Membreno enrolled in Medicare?

Yes. Jaime Membreno 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 Jaime Membreno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaime Membreno reassigns Medicare benefits to 2 organizations: Retina Macula Specialists PLLC (Kissimmee, FL) and Filutowski Eye Institute PA (Orlando, FL). 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 Jaime Membreno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaime Membreno accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Cigna HealthCare of Florida, Inc., Cigna Healthcare and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Jaime Membreno 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.

Is Jaime Membreno affiliated with any hospitals?

According to CMS data, Jaime Membreno is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Jaime Membreno was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.