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J D RUGGIERO MD
NPI 1346221348
Otolaryngology in Orange Park, FL

Active since November 08, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2035 PROFESSIONAL CENTER DR, SUITE A, ORANGE PARK, FL 32073(904) 272-3200(904) 272-3211 Get Directions Write a Review

NPPES record last updated: February 25, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About J D Ruggiero Md NPPES

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

J D RUGGIERO MD (NPI 1346221348) is an individual otolaryngology provider in Orange Park, Florida, licensed in Florida (ME67983) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of University Of South Florida College Of Medicine (1984).

NPPES Registry Identity

NPI1346221348
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJ D RUGGIEROCredential: MD
Location Address2035 PROFESSIONAL CENTER DR, SUITE AOrange Park, FL 32073-4492
Mailing Address2035 Professional Center Dr, Suite AOrange Park, FL 32073-4492 · (904) 272-3200 · Fax (904) 272-3211
Phone(904) 272-3200
Fax(904) 272-3211
Sole ProprietorNo
Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1984
Enumeration DateNovember 8, 2005
Last NPPES UpdateFebruary 25, 2016
✔ NPI 1346221348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in FL · ME67983
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
2035 PROFESSIONAL CENTER DR, Orange Park, FL 32073
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Other Identifiers 3

Medicare UPINI38841
Medicare PIN16248FL
Medicare PIN16248ZFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), UnitedHealthcare.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

J D Ruggiero 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 ID7517999253
PECOS Enrollment IDI20050902000232
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 13

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 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.
740 services430 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
243 services174 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
236 services169 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
213 services213 patients
Test for eardrum and muscle function 92550
This test assesses the health of your eardrum and muscles linked to hearing. A small device is placed in your ear that creates pressure changes and sounds. Your ear's responses are recorded to determine if they are functioning properly.
129 services125 patients
Comprehensive hearing and speech recognition test 92557
A comprehensive hearing and speech recognition test assesses your ability to hear and understand spoken words. It includes hearing tests to check for issues with sound perception and speech tests to evaluate your word recognition. It's a crucial step in identifying any hearing or speech problems.
125 services121 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
33%399 patients2/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
27%388 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
30%723 patients2/55-star benchmark: 85%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%924 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
57%177 patients3/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%835 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
42%1,505 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
82%1,505 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
19%1,505 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
33%1,505 patients
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 7

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

OCTAVIO CARRENO MD PA
Specialist
2035 PROFESSIONAL CENTER DR, SUITE A
ORANGE PARK, FL 32073
Clay County (904) 272-3200
NORTH FLORIDA EAR, NOSE AND THROAT
Specialist
2035 PROFESSIONAL CENTER DR, SUITE A
ORANGE PARK, FL 32073
Clay County (904) 272-3200
NICHOLAS ALEXANDER HERRERO M.D.
Otolaryngology
2035 PROFESSIONAL CENTER DR, SUITE A
ORANGE PARK, FL 32073
Clay County (904) 272-3200
TINA M VOISIN ARNP
Nurse Practitioner (Family)
2035 PROFESSIONAL CENTER DR
ORANGE PARK, FL 32073
Clay County (904) 264-7132
OTOLARYNGOLOGY SURGICAL ASSOCIATES
Otolaryngology
2035 PROFESSIONAL CENTER DR, SUITE A
ORANGE PARK, FL 32073
Clay County (904) 272-3200
NICHOLAS A HERRERO MD PLLC
Otolaryngology
2035 PROFESSIONAL CENTER DR, SUITE A
ORANGE PARK, FL 32073
Clay County (904) 272-3200
J D RUGGIERO MD PLLC
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
2035 PROFESSIONAL CENTER DR, SUITE A
ORANGE PARK, FL 32073
Clay County (904) 272-3200

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 J Ruggiero's NPI number?

The NPI number for J Ruggiero is 1346221348. It was assigned to this individual provider in the NPPES registry on November 8, 2005.

Where is J Ruggiero located?

J Ruggiero practices at 2035 Professional Center Dr Suite A, Orange Park, FL 32073. The listed phone number is (904) 272-3200.

What is J Ruggiero's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is J Ruggiero enrolled in Medicare?

Yes. J Ruggiero 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 J Ruggiero accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and UnitedHealthcare list J Ruggiero 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 J Ruggiero was last updated on February 25, 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.