JONI M LU (DO) – Ophthalmology Physician, NPI 1104110592

JONI M LU (DO) is a healthcare provider. based in Winter park, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials DO. They hold a License No. OS50789 (FL). The NPI Number for JONI M LU (DO) is 1104110592

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
JONI M LU (DO)
NPI
1104110592
Phone
(407) 629-6646
Address
1925 MIZELL AVE
Enumeration Date
3 June 2011
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Secondary Phone
6263822020
Graduation Year
2011 (15 years ago)
PAC ID
7810214400
Group Practice PAC ID
5799786984
Professional Enrollment ID
I20230323001551
Address ID
CA917551974MO511XXAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:15State licenses:2Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

Provider Addresses for JONI M LU (DO)

  • 1925 MIZELL AVE

    STE 302

    WINTER PARK, FL 327924106

    Phone: (407) 629-6646

    Fax: (407) 740-5089

    Type: Mailing

  • 207 S SANTA ANITA ST STE P25

    SAN GABRIEL, CA 917761145

    Phone: (626) 200-1277

    Fax: (626) 200-1278

    Type: Location

  • 14726 RAMONA AVE STE 203

    CHINO, CA 917105730

    Phone: (626) 305-9100

    Fax: (626) 305-0152

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 51 Open Payments records for all available years, with a total value of $1,375.

Total Amount is formed as General ($1,375) + Research ($0) + Ownership ($0) = $1,375.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($443).

Total Amount

$1,375

General + Research + Ownership

Payments

51

Total payment records

General Amount

$1,375

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-03-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160201001775IOphthalmologyFLTBD
I20230323001551IOphthalmologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes9278$0
92134Imaging of retina4949$0
92014Established patient complete exam of visual system4747$0
92133Imaging of optic nerve1919$0
99213Established patient office or other outpatient visit, 20-29 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 32792)

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Provider's Procedures

JONI M LU (DO) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYFL92012Eye and medical examination for diagnosis and treatment, established patient4441
OPHTHALMOLOGYFL92083Measurement of field of vision during daylight conditions3938
OPHTHALMOLOGYFL92134Diagnostic imaging of retina4643

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799786984View full group profile
NameSpecialtyState
-CA
O P H T H A L M O L O G YCA
O P T O M E T R YCA

Reviews

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Frequently asked questions

How do payers reference JONI M LU (DO)?
For JONI M LU (DO), use NPI 1104110592 as the unique 10-digit identifier.
Would JONI M LU (DO) appear as active to a payer?
You can treat JONI M LU (DO) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to JONI M LU (DO)?
JONI M LU (DO)'s specialty line reads Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is JONI M LU (DO) located near Winter Park?
JONI M LU (DO) currently maps to Winter Park, Florida in this extract.
When was this NPI issued?
Enumeration for JONI M LU (DO) is noted as June 3, 2011 where the registry provides it.

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