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DR. RAUL J MORENO MD
NPI 1932109659
Ophthalmology in Jacksonville, FL

Active since July 22, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2639 OAK ST, JACKSONVILLE, FL 32204(904) 387-5600(904) 388-0114 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2022, Apr 12, 2017, Oct 1, 2015 (3 updates tracked since 2015).

About Dr. Raul J Moreno Md NPPES

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

DR. RAUL J MORENO MD (NPI 1932109659) is an individual ophthalmology provider in Jacksonville, Florida, licensed in Florida (ME0059679) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Puerto Rico School Of Medicine (1980).

NPPES Registry Identity

NPI1932109659
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. RAUL J MORENOCredential: MD
Location Address2639 OAK STJacksonville, FL 32204-4505
Mailing Address8786 Perimeter Park BlvdJacksonville, FL 32216-6347 · (904) 997-9202 · Fax (904) 996-1446
Phone(904) 387-5600
Fax(904) 388-0114
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1980
Enumeration DateJuly 22, 2005
Last NPPES UpdateApril 20, 20233 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
✔ NPI 1932109659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in FL · ME0059679✔ Licensed in GA · 34670
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.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 34670 (GA), ME59679 (FL)
2639 OAK ST, Jacksonville, FL 32204
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Secondary Practice Locations 3

Location 18786 Perimeter Park BlvdJacksonville, FL 32216-6347 · Phone (904) 997-9202 · Fax (904) 997-9205
Location 2304 Riverside DrWaycross, GA 31501-4549 · Phone (912) 283-1400 · Fax (912) 283-0019
Location 33120 Glynn AveBrunswick, GA 31520-4848 · Phone (912) 262-9092 · Fax (912) 466-0939

Other Identifiers 2

Medicaid000464065AGA
Medicaid056043000FL

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. Raul J Moreno 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 ID9032184817
PECOS Enrollment IDI20040826000946, I20101215000619
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 7

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.

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.
180 services98 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
112 services23 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
80 services35 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.
63 services56 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
59 services40 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
44 services44 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

KYLE S FALLGATTER MD
Ophthalmology
2639 OAK ST
JACKSONVILLE, FL 32204
Duval County (904) 387-5600
DR. ABDALLAH MOHAMED JEROUDI MD
Ophthalmology
2639 OAK ST
JACKSONVILLE, FL 32204
Duval County (904) 387-5600

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 Raul Moreno's NPI number?

The NPI number for Raul Moreno is 1932109659. It was assigned to this individual provider in the NPPES registry on July 22, 2005.

Where is Raul Moreno located?

Raul Moreno practices at 2639 Oak St, Jacksonville, FL 32204. The listed phone number is (904) 387-5600.

What is Raul Moreno's specialty?

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

Is Raul Moreno enrolled in Medicare?

Yes. Raul Moreno 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 Raul Moreno accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross Blue Shield of Wyoming and 4 other insurers list Raul Moreno 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 Raul Moreno was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.