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DR. SERGIO PRADILLA O.D.
NPI 1881027811
Optometrist in Brandon, FL

Active since August 13, 2013PECOS EnrolledAccepts Medicare Assignment
227 BRANDON TOWN CENTER DR, BRANDON, FL 33511(813) 685-1935 Get Directions Write a Review

NPPES record last updated: June 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sergio Pradilla O.d. NPPES

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

DR. SERGIO PRADILLA O.D. (NPI 1881027811) is an individual optometrist in Brandon, Florida, licensed in Florida (OPC4804) and active in the NPI registry since August 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1881027811
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. SERGIO PRADILLACredential: O.D.
Location Address227 BRANDON TOWN CENTER DRBrandon, FL 33511-4728
Mailing Address227 Brandon Town Center DrBrandon, FL 33511-4728 · (813) 685-1935
Phone(813) 685-1935
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 13, 2013
Last NPPES UpdateJune 28, 2014
✔ NPI 1881027811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC4804
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.
227 BRANDON TOWN CENTER DR, Brandon, FL 33511
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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. Sergio Pradilla 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 ID5799929139
PECOS Enrollment IDI20130925000060
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33511 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.

Other Providers at the Same Location NPPES

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

DR. ERIC SCOTT HEAPS O.D.
Optometrist
227 BRANDON TOWN CENTER DR
BRANDON, FL 33511
Hillsborough County (813) 685-1935

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 Sergio Pradilla's NPI number?

The NPI number for Sergio Pradilla is 1881027811. It was assigned to this individual provider in the NPPES registry on August 13, 2013.

Where is Sergio Pradilla located?

Sergio Pradilla practices at 227 Brandon Town Center Dr, Brandon, FL 33511. The listed phone number is (813) 685-1935.

What is Sergio Pradilla's specialty?

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

Is Sergio Pradilla enrolled in Medicare?

Yes. Sergio Pradilla 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 Sergio Pradilla accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross Blue Shield of Wyoming and 8 other insurers list Sergio Pradilla 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 Sergio Pradilla was last updated on June 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.