LUIS ALEJANDRO ACABA-BERROCAL
NPI 1336768852
Ophthalmology in Philadelphia, PA

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment
840 WALNUT ST STE 1020, PHILADELPHIA, PA 19107(800) 331-6634 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 9, 2024, Jul 15, 2021, Apr 14, 2020 (3 updates tracked since 2020).

About Luis Alejandro Acaba-berrocal NPPES

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

LUIS ALEJANDRO ACABA-BERROCAL (NPI 1336768852) is an individual ophthalmology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD484123) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2020).

NPPES Registry Identity

NPI1336768852
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameLUIS ALEJANDRO ACABA-BERROCAL
Location Address840 WALNUT ST STE 1020Philadelphia, PA 19107-5109
Mailing Address840 Walnut St Ste 1020Philadelphia, PA 19107-5109 · (800) 331-6634
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2020
Enumeration DateApril 14, 2020
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJuly 9, 2024
NPI 1336768852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in PA · MD484123
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.

840 WALNUT ST STE 1020, Philadelphia, PA 19107

Other Names 1

Other Name (5)Luis Acaba

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

Luis Alejandro Acaba-berrocal 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 ID4385056118
PECOS Enrollment IDI20240517000997
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 9

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.

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.
175 services146 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.
140 services124 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.
50 services12 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.
46 services36 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
31 services28 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.
26 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390174
Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Wills Eye Hospital

Acute Care Hospitals · Philadelphia, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390331
Location840 Walnut StreetPhiladelphia, PA 19107 · Philadelphia County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107
Ophthalmology
840 WALNUT ST STE 1020
PHILADELPHIA, PA 19107

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 Luis Acaba-berrocal's NPI number?

The NPI number for Luis Acaba-berrocal is 1336768852. It was assigned to this individual provider in the NPPES registry on April 14, 2020. The provider is also known as Luis Acaba.

Where is Luis Acaba-berrocal located?

Luis Acaba-berrocal practices at 840 Walnut St Ste 1020, Philadelphia, PA 19107. The listed phone number is (800) 331-6634.

What is Luis Acaba-berrocal's specialty?

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

Is Luis Acaba-berrocal enrolled in Medicare?

Yes. Luis Acaba-berrocal 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 Luis Acaba-berrocal accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Luis Acaba-berrocal 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 Luis Acaba-berrocal affiliated with any hospitals?

According to CMS data, Luis Acaba-berrocal is affiliated with Thomas Jefferson University Hospital and Wills Eye Hospital.

When was this NPI record last updated?

The NPPES record for Luis Acaba-berrocal was last updated on July 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.