MIGUEL A ONETO MD
NPI 1457342479
Radiology - Diagnostic Radiology in Boca Raton, FL

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
89.33/100
CMS Quality Rating
17371 BALARIA ST, BOCA RATON, FL 33496(956) 622-4470(888) 557-6285 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miguel A Oneto Md NPPES

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

MIGUEL A ONETO MD (NPI 1457342479) is an individual diagnostic radiology provider in Boca Raton, Florida, licensed in Texas (L4617) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Harlingen, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1457342479
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMIGUEL A ONETOCredential: MD
Location Address17371 BALARIA STBoca Raton, FL 33496-3279
Mailing Address28430 Valencia Cir WHarlingen, TX 78552-2241 · (956) 627-3083
Fax(888) 557-6285
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateOctober 31, 2005
Last NPPES UpdateJune 25, 2019
✔ NPI 1457342479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in TX · L4617
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
17371 BALARIA ST, Boca Raton, FL 33496

Secondary Practice Location 1

Location 128430 Valencia Cir WHarlingen, TX 78552-2241 · Phone (956) 622-4470 · Fax (888) 557-6285

Other Identifiers 2

Medicaid151367303TX
Medicaid151367301TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miguel A Oneto 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 ID2961486972
PECOS Enrollment IDI20040616001406, I20120127000700
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Miguel Oneto reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Intermediate Care Facility, Intellectual Disabilities
6844 N US HIGHWAY 69
Pollok, TX 75969
  • Reassigned Medicare billing, Texas enrollment
  • 452 clinicians in this Medicare group
Diagnostic Radiology
1346 CAMPBELL RD
Houston, TX 77055
  • Reassigned Medicare billing, Texas enrollment
  • 169 clinicians in this Medicare group
Diagnostic Radiology
28430 VALENCIA CIR W
Harlingen, TX 78552
  • Reassigned Medicare billing, Florida and Texas enrollments
  • 3 clinicians in this Medicare group
Radiology
122 W CASTELLANO DR
El Paso, TX 79912
  • Reassigned Medicare billing, Texas enrollment
  • 17 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Injection, gadoterate meglumine, 0.1 ml A9575
Gadoterate meglumine is a contrast agent used in MRI scans to help visualize certain areas of your body more clearly. It's injected into your bloodstream, typically through a vein in your arm, and helps doctors get more detailed images.
2,971 services20 patients
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
1,711 services20 patients
Complete ultrasound scan of 1 breast 76641
A complete ultrasound scan of one breast is a non-invasive imaging test that uses sound waves to create detailed images of the inside of your breast. It helps in detecting any abnormalities or changes, ensuring your breast health.
244 services236 patients
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml A9579
This is an MRI procedure where a gadolinium-based contrast agent is injected into your body. The agent enhances the images, making it easier to detect abnormalities. It's safe and side effects are rare. It's administered per milliliter as needed.
209 services14 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
182 services182 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
121 services121 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33496 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
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.

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.

89.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.67
Improvement Activities40

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 Miguel Oneto's NPI number?

The NPI number for Miguel Oneto is 1457342479. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is Miguel Oneto located?

Miguel Oneto practices at 17371 Balaria St, Boca Raton, FL 33496. The listed phone number is (956) 622-4470.

What is Miguel Oneto's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Miguel Oneto enrolled in Medicare?

Yes. Miguel Oneto 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.

Which organizations bill Medicare for Miguel Oneto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Oneto reassigns Medicare benefits to 4 organizations: Health And Human Services Commission (Pollok, TX), Memorial Mri And Diagnostic LLC (Houston, TX), Miguel Oneto, MD, PA (Harlingen, TX) and Southwestern Ultrasound Inc. (El Paso, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Miguel Oneto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miguel Oneto accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Miguel Oneto 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 Miguel Oneto was last updated on June 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.