DR. PABLO EZEQUIEL RAVENNA MD - NPI 1255950788 - Ophthalmology in Boca Raton, FL

Q: What is Pablo Ravenna's NPI number?

The NPI number for Pablo Ravenna is 1255950788. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Q: What is Pablo Ravenna's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Neuro-ophthalmology, with taxonomy code 207WX0109X.

Q: When was this NPI record last updated?

The NPPES record for Pablo Ravenna was last updated on January 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Dr. Pablo Ezequiel Ravenna Md NPPES

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

DR. PABLO EZEQUIEL RAVENNA MD (NPI 1255950788) is an individual neuro-ophthalmology provider in Boca Raton, Florida, licensed in Florida (ME168582) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1255950788

Entity TypeIndividualMale

Primary Taxonomy207WX0109X

Provider Legal NameDR. PABLO EZEQUIEL RAVENNACredential: MD

Location Address670 GLADES RD STE 300Boca Raton, FL 33431-6464

Mailing Address1001 Nw 13th St Ste 201Boca Raton, FL 33486-2269 · (561) 955-6663 · Fax (561) 955-2879

Phone(561) 955-4600

Fax(833) 450-4920

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 14, 2020

Last NPPES UpdateJanuary 22, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2026

✔ NPI 1255950788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Neuro-ophthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207WX0109X

License✔ Licensed in FL · ME168582

Definition

A neuro-ophthalmologist is a subspecialist of ophthalmology. This physician evaluates, treats, and studies disorders of the eye, orbit and nervous system having to do with interactions of the visual motor and visual sensory systems with the central nervous system. Neuro-ophthalmologists manage patients with complex and severe neuro-ophthalmological disorders.

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License ME168582 (FL)

670 GLADES RD STE 300, Boca Raton, FL 33431

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Molina Healthcare.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. Pablo Ezequiel Ravenna 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 ID749726255

PECOS Enrollment IDI20240720000169

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.

Hospital Affiliations CMS Care Compare

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

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100168

Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33431 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 10

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

DR. ALEXANDER DAVID GAUKHMAN M.D

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)