DR. FERNANDO BARJA III O.D.
NPI 1730521840
Optometrist in New Port Richey, FL

Active since July 18, 2013PECOS EnrolledAccepts Medicare Assignment
86.02/100
CMS Quality Rating
6804 CECELIA DR, NEW PORT RICHEY, FL 34653(855) 232-0644(888) 546-0488 Get Directions Write a Review

NPPES record last updated: March 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 4, 2022, Jan 15, 2018 (2 updates tracked since 2018).

About Dr. Fernando Barja Iii O.d. NPPES

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

DR. FERNANDO BARJA III O.D. (NPI 1730521840) is an individual optometrist in New Port Richey, Florida, licensed in Florida (OPC5283) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1730521840
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. FERNANDO BARJA IIICredential: O.D.
Location Address6804 CECELIA DRNew Port Richey, FL 34653-4935
Mailing Address6804 Cecelia DriveNew Port Richey, FL 34653-4935 · (552) 320-6448 · Fax (888) 546-0488
Fax(888) 546-0488
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 18, 2013
Last NPPES UpdateMarch 4, 20222 updates tracked since enumeration
NPPES CertifiedMarch 4, 2022
NPI 1730521840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in FL · OPC5283 Licensed in PA · OEG002832
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
6804 CECELIA DR, New Port Richey, FL 34653

Accepted 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. Fernando Barja Iii O.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 ID6709150592
PECOS Enrollment IDI20170918001290
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 3

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
365 services251 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
128 services91 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34653 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.

86.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.41
Promoting Interoperability95
Improvement Activities40

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.

Internal Medicine
6804 CECELIA DR
NEW PORT RICHEY, FL 34653
Nurse Practitioner (Primary Care)
6804 CECELIA DR
NEW PORT RICHEY, FL 34653
Nurse Practitioner
6804 CECELIA DR
NEW PORT RICHEY, FL 34653
Nurse Practitioner (Family)
6804 CECELIA DR
NEW PORT RICHEY, FL 34653
Nurse Practitioner (Family)
6804 CECELIA DR
NEW PORT RICHEY, FL 34653
Physician Assistant
6804 CECELIA DR
NEW PORT RICHEY, FL 34653
Internal Medicine (Hospice and Palliative Medicine)
6804 CECELIA DR
NEW PORT RICHEY, FL 34653
Nurse Practitioner (Family)
6804 CECELIA DR
NEW PORT RICHEY, FL 34653

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 Fernando Barja's NPI number?

The NPI number for Fernando Barja is 1730521840. It was assigned to this individual provider in the NPPES registry on July 18, 2013.

Where is Fernando Barja located?

Fernando Barja practices at 6804 Cecelia Dr, New Port Richey, FL 34653. The listed phone number is (855) 232-0644.

What is Fernando Barja's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Fernando Barja enrolled in Medicare?

Yes. Fernando Barja 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 Fernando Barja accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 7 other insurers list Fernando Barja 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 Fernando Barja was last updated on March 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.