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DR. AUDINA M BERROCAL MD
NPI 1437192135
Ophthalmology - Retina Specialist in Miami, FL

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
900 NW 17TH AVE, BOX 016960 M851, MIAMI, FL 33101(305) 326-6031(305) 243-8470 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Audina M Berrocal Md NPPES

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

DR. AUDINA M BERROCAL MD (NPI 1437192135) is an individual retina specialist in Miami, Florida, licensed in Florida (ME80740) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Tufts University School Of Medicine (1996).

NPPES Registry Identity

NPI1437192135
Entity TypeIndividualFemale
Primary Taxonomy207WX0107X
Provider Legal NameDR. AUDINA M BERROCALCredential: MD
Location Address900 NW 17TH AVE, BOX 016960 M851Miami, FL 33101-6960
Mailing Address900 Nw 17th Ave, Box 016960 M851Miami, FL 33101-6960 · (305) 326-6031 · Fax (305) 243-8470
Phone(305) 326-6031
Fax(305) 243-8470
Sole ProprietorYes
Medical School CMSTufts University School Of MedicineGraduated 1996
Enumeration DateJune 13, 2006
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1437192135 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 · ME80740
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License ME80740 (FL)
900 NW 17TH AVE, Miami, FL 33101
Open in Google Maps ↗

Other Identifiers 1

Medicaid2594277-00FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue HMO (a BlueCross BlueShield FL company), 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. Audina M Berrocal 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 ID4688757776
PECOS Enrollment IDI20080213000179
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 8

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 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.
198 services115 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.
115 services60 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.
114 services35 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.
113 services81 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.
60 services47 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.
43 services29 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33101 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

DR. KENDALL E DONALDSON MD
Ophthalmology
900 NW 17TH AVE
MIAMI, FL 33101
Miami-Dade County (305) 326-6031
DR. RICHARD K FORSTER MD
Ophthalmology
900 NW 17TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 326-6031
DR. JOHN J MCSOLEY OD
Optometrist
900 NW 17TH AVE
MIAMI, FL 33101
Miami-Dade County (305) 326-6031
DR. LORI VENTURA MD
Ophthalmology
900 NW 17TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 326-6031
DR. JOHN G CLARKSON MD
Ophthalmology
900 NW 17TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 326-6031
DR. YUNHEE LEE MD
Ophthalmology
900 NW 17TH AVE, BOX 016960 M851
MIAMI, FL 33101
Miami-Dade County (305) 326-6031
DR. HENRY L TRATTLER MD
Ophthalmology
900 NW 17TH AVE
MIAMI, FL 33101
Miami-Dade County (305) 326-6031
DR. CRAIG A MCKEOWN MD
Ophthalmology
900 NW 17TH AVE, M851
MIAMI, FL 33101
Miami-Dade County (305) 326-6031

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 Audina Berrocal's NPI number?

The NPI number for Audina Berrocal is 1437192135. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Audina Berrocal located?

Audina Berrocal practices at 900 NW 17th Ave Box 016960 M851, Miami, FL 33101. The listed phone number is (305) 326-6031.

What is Audina Berrocal's specialty?

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

Is Audina Berrocal enrolled in Medicare?

Yes. Audina 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 Audina Berrocal accept?

Health plans from AmeriHealth Caritas Next, Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Audina 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 Audina Berrocal affiliated with any hospitals?

According to CMS data, Audina Berrocal is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Audina Berrocal was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.