JOSELITO SAN ANTONIO NAVALEZA M.D.
NPI 1316993561
Ophthalmology in Easton, MD

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
93.37/100
CMS Quality Rating
8420 OCEAN GTWY, EASTON, MD 21601(410) 822-0424(410) 822-2283 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joselito San Antonio Navaleza M.d. NPPES

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

JOSELITO SAN ANTONIO NAVALEZA M.D. (NPI 1316993561) is an individual ophthalmology provider in Easton, Maryland, licensed in Maryland (D0064417) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Md Shore Medical Ctr At Chestertown, and is a graduate of University Of Michigan Medical School (2003).

NPPES Registry Identity

NPI1316993561
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOSELITO SAN ANTONIO NAVALEZACredential: M.D.
Location Address8420 OCEAN GTWYEaston, MD 21601-7169
Mailing Address8420 Ocean GtwyEaston, MD 21601-7169 · (410) 822-0424 · Fax (410) 822-2283
Fax(410) 822-2283
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2003
Enumeration DateMay 26, 2006
Last NPPES UpdateFebruary 16, 2016
NPI 1316993561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in MD · D0064417
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.
8420 OCEAN GTWY, Easton, MD 21601

Other Identifiers 4

Medicare UPINI54548MD
OtherS719O056MD · Medicare
OtherD0064417MD · Medical License
Medicaid0101487600MD

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

Joselito San Antonio Navaleza 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 ID3173536752
PECOS Enrollment IDI20060727000064
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 16

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.
1,283 services1,044 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.
742 services530 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
512 services490 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).
457 services451 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.
311 services288 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.
304 services263 patients

Hospital Affiliations CMS Care Compare 2

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

University Of MD Shore Medical Ctr At Chestertown

Acute Care Hospitals · Chestertown, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210030
Location100 Brown StreetChestertown, MD 21620 · Kent County
Emergency services

University Of MD Shore Medical Center At Easton

Acute Care Hospitals · Easton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210037
Location219 South Washington StreetEaston, MD 21601 · Talbot County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21601 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

93.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.97
Improvement Activities40
Cost81.95

Other Providers at the Same Location NPPES 5

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

Anesthesiology
8420 OCEAN GTWY
EASTON, MD 21601
Ophthalmology
8420 OCEAN GTWY
EASTON, MD 21601
Clinic/Center (Ophthalmologic Surgery)
8420 OCEAN GTWY
EASTON, MD 21601
Ophthalmology
8420 OCEAN GTWY
EASTON, MD 21601
Ophthalmology
8420 OCEAN GTWY
EASTON, MD 21601

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 Joselito Navaleza's NPI number?

The NPI number for Joselito Navaleza is 1316993561. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Joselito Navaleza located?

Joselito Navaleza practices at 8420 Ocean Gtwy, Easton, MD 21601. The listed phone number is (410) 822-0424.

What is Joselito Navaleza's specialty?

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

Is Joselito Navaleza enrolled in Medicare?

Yes. Joselito Navaleza 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 Joselito Navaleza accept?

Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Joselito Navaleza 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 Joselito Navaleza affiliated with any hospitals?

According to CMS data, Joselito Navaleza is affiliated with University Of MD Shore Medical Ctr At Chestertown and University Of MD Shore Medical Center At Easton.

When was this NPI record last updated?

The NPPES record for Joselito Navaleza was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.