ANGELINA GAVEL-RUKHA OD
NPI 1992357560
Optometrist in St Johns, FL

Q: What is Angelina Gavel-rukha's NPI number?

The NPI number for Angelina Gavel-rukha is 1992357560. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Q: What is Angelina Gavel-rukha's specialty?

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

Active since July 12, 2019PECOS EnrolledAccepts Medicare Assignment

450 STATE ROAD 13 N STE 107, ST JOHNS, FL 32259(904) 287-3678(904) 287-3386 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 14, 2025, Oct 30, 2023, Jun 22, 2021 and 5 more (8 updates tracked since 2019).

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About Angelina Gavel-rukha Od NPPES

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

ANGELINA GAVEL-RUKHA OD (NPI 1992357560) is an individual optometrist in St Johns, Florida, licensed in Florida (OPC5745) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1992357560

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameANGELINA GAVEL-RUKHACredential: OD

Location Address450 STATE ROAD 13 N STE 107St Johns, FL 32259-3861

Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442

Phone(904) 287-3678

Fax(904) 287-3386

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 12, 2019

Last NPPES UpdateNovember 14, 20258 updates tracked since enumeration

NPPES CertifiedNovember 14, 2025

✔ NPI 1992357560 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 · OPC5745✔ Licensed in MA · 5375✔ Licensed in CT · 3115

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.

450 STATE ROAD 13 N STE 107, St Johns, FL 32259

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Secondary Practice Location 1

Location 111945 San Jose Blvd Ste 202Jacksonville, FL 32223-1612 · Phone (904) 262-2249

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

Angelina Gavel-rukha Od 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 ID4981932803

PECOS Enrollment IDI20231116002609

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.

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.

20 services18 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.

13 services13 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.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32259 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.

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 Angelina Gavel-rukha's NPI number?

The NPI number for Angelina Gavel-rukha is 1992357560. It was assigned to this individual provider in the NPPES registry on July 12, 2019.

Where is Angelina Gavel-rukha located?

Angelina Gavel-rukha practices at 450 State Road 13 N Ste 107, St Johns, FL 32259. The listed phone number is (904) 287-3678.

What is Angelina Gavel-rukha's specialty?

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

Is Angelina Gavel-rukha enrolled in Medicare?

Yes. Angelina Gavel-rukha 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 Angelina Gavel-rukha accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Blue Cross Blue Shield of Wyoming and 9 other insurers list Angelina Gavel-rukha 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 Angelina Gavel-rukha was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.