MR. MARCO ANTONIO FABREGA JR. M.D.
NPI 1629009675
Ophthalmology in Miami, FL

Q: What is Marco Fabrega's NPI number?

The NPI number for Marco Fabrega is 1629009675. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Marco Fabrega's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marco Fabrega was last updated on June 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment

93.58/100

CMS Quality Rating

1097 S LE JEUNE RD, MIAMI, FL 33134(305) 442-2021 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 19, 2024, Jul 21, 2023 (2 updates tracked since 2023).

On this page

About Mr. Marco Antonio Fabrega Jr. M.d. NPPES

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

MR. MARCO ANTONIO FABREGA JR. M.D. (NPI 1629009675) is an individual ophthalmology provider in Miami, Florida, licensed in Florida (ME82033) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1985).

NPPES Registry Identity

NPI1629009675

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameMR. MARCO ANTONIO FABREGA JR.Credential: M.D.

Location Address1097 S LE JEUNE RDMiami, FL 33134-2639

Mailing Address1097 S Le Jeune RdMiami, FL 33134-2639 · (305) 442-2021

Phone(305) 442-2021

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateJuly 6, 2006

Last NPPES UpdateJune 19, 20242 updates tracked since enumeration

NPPES CertifiedJune 19, 2024

✔ NPI 1629009675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · ME82033

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.

1097 S LE JEUNE RD, Miami, FL 33134

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Other Identifiers 1

Medicaid110447100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Mr. Marco Antonio Fabrega Jr. 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 ID547168601

PECOS Enrollment IDI20031229000030

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 6

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.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

42 services33 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.

34 services29 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

17 services14 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.

16 services14 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

15 services14 patients

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.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33134 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.

93.58/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

96.41

Promoting Interoperability

Improvement Activities

Cost

67.21

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Other Providers at the Same Location NPPES 13

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

DR. KATHERYN ELIZABETH CREGAN OD

Optometrist

1097 S LE JEUNE RD
MIAMI, FL 33134

Miami-Dade County (305) 442-2020

DR. AHAD DEEN

Ophthalmology

1097 S LE JEUNE RD
CORAL GABLES, FL 33134

Miami-Dade County (305) 442-2020

DR. ALBERTO J. ARAN MD

Ophthalmology

1097 S LE JEUNE RD, THIRD FLOOR
MIAMI, FL 33134

Miami-Dade County (305) 442-2021

ARAN EYE ASSOCIATES PA

Specialist

1097 S LE JEUNE RD, 3RD FLOOR
CORAL GABLES, FL 33134

Miami-Dade County (305) 442-2021

DR. SAMANTHA ELIZABETH FERNANDEZ OD

Optometrist

1097 S LE JEUNE RD
MIAMI, FL 33134

Miami-Dade County (305) 442-2020

SURGERY CENTER OF CORAL GABLES LLC

Clinic/Center (Ambulatory Surgical)

1097 S LE JEUNE RD, 2ND FLOOR
CORAL GABLES, FL 33134

Miami-Dade County (305) 461-1300

DR. NATALIE D DUIDER OD

Optometrist

1097 S LE JEUNE RD
MIAMI, FL 33134

Miami-Dade County (305) 442-2020

DR. EMILIO H. BALIUS O.D.

Optometrist

1097 S LE JEUNE RD
CORAL GABLES, FL 33134

Miami-Dade County (305) 442-2021

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 Marco Fabrega's NPI number?

The NPI number for Marco Fabrega is 1629009675. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Where is Marco Fabrega located?

Marco Fabrega practices at 1097 S Le Jeune Rd, Miami, FL 33134. The listed phone number is (305) 442-2021.

What is Marco Fabrega's specialty?

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

Is Marco Fabrega enrolled in Medicare?

Yes. Marco Fabrega 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 Marco Fabrega accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Marco Fabrega 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 Marco Fabrega was last updated on June 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.