DR. MARIO JOSEPH ROJAS M.D.
NPI 1659634939
Ophthalmology in Coral Gables, FL

Q: What is Mario Rojas's NPI number?

The NPI number for Mario Rojas is 1659634939. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Q: What is Mario Rojas'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 Mario Rojas was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment

93.58/100

CMS Quality Rating

1097 S LEJEUNE RD, CORAL GABLES, FL 33134(305) 442-2020 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2024, Apr 14, 2020, Sep 17, 2018 and 2 more (5 updates tracked since 2016).

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About Dr. Mario Joseph Rojas M.d. NPPES

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

DR. MARIO JOSEPH ROJAS M.D. (NPI 1659634939) is an individual ophthalmology provider in Coral Gables, Florida, licensed in Florida (118075) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2012).

NPPES Registry Identity

NPI1659634939

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. MARIO JOSEPH ROJASCredential: M.D.

Location Address1097 S LEJEUNE RDCoral Gables, FL 33134

Mailing Address1111 Sw 1st Ave Apt 2020Miami, FL 33130-5406

Phone(305) 442-2020

Sole ProprietorNo

Medical School CMSLoma Linda University School Of MedicineGraduated 2012

Enumeration DateJune 21, 2012

Last NPPES UpdateJune 27, 20245 updates tracked since enumeration

NPPES CertifiedJune 19, 2024

✔ NPI 1659634939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · 118075

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 LEJEUNE RD, Coral Gables, FL 33134

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Other Identifiers 1

Medicaid103566100FL

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

Dr. Mario Joseph Rojas 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 ID446557771

PECOS Enrollment IDI20190829001571

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.

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.

33 services25 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.

23 services23 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.

22 services22 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

13 services12 patients

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.

11 services11 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

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

Other Providers at the Same Location NPPES 9

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

DR. KENNETH T WALS MD

Ophthalmology

1097 S LEJEUNE RD
CORAL GABLES, FL 33134

Miami-Dade County (305) 442-2020

YAMILA DIAZ PARRA ARNP

Nurse Practitioner (Family)

1097 S LEJEUNE RD
CORAL GABLES, FL 33134

Miami-Dade County (305) 442-2020

ARAN EYE ASSOCIATES PA

Specialist

1097 S LEJEUNE RD
CORAL GABLES, FL 33134

Miami-Dade County (305) 442-2020

JOEL DAVID ARONOWICZ-GALLEGO MD

Ophthalmology

1097 S LEJEUNE RD
CORAL GABLES, FL 33134

Miami-Dade County (305) 422-2020

DR. JACQUELINE ZAPATA OD

Optometrist

1097 S LEJEUNE RD
MIAMI, FL 33134

Miami-Dade County (305) 442-2020

LORELEI ORTEGA DIAZ

Nurse Practitioner (Family)

1097 S LEJEUNE RD
CORAL GABLES, FL 33134

Miami-Dade County (305) 442-2020

DR. CHRISTINA LEE GONZALEZ OD

Optometrist

1097 S LEJEUNE RD
CORAL GABLES, FL 33134

Miami-Dade County (305) 442-2020

SEEMA ASHOK BHADSAVLE O.D.

Optometrist

1097 S LEJEUNE RD
CORAL GABLES, FL 33134

Miami-Dade County (305) 442-2020

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 Mario Rojas's NPI number?

The NPI number for Mario Rojas is 1659634939. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Mario Rojas located?

Mario Rojas practices at 1097 S Lejeune Rd, Coral Gables, FL 33134. The listed phone number is (305) 442-2020.

What is Mario Rojas's specialty?

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

Is Mario Rojas enrolled in Medicare?

Yes. Mario Rojas 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 Mario Rojas accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 4 other insurers list Mario Rojas 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 Mario Rojas was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.