JUAN M PUERTAS (D.O) – Diagnostic Radiology Physician, NPI 1194110528
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,168 DIAGNOSTIC RADIOLOGY in FL
Provider Addresses for JUAN M PUERTAS (D.O)
9745 TOUCHTON RD UNIT 724
JACKSONVILLE, FL 322464494
Phone: (614) 401-7470
Type: Mailing
653 W 8TH ST
JACKSONVILLE, FL 322096511
Phone: (904) 244-4282
Type: Location
7825 SW 165TH ST
PALMETTO BAY, FL 331573742
Phone: (614) 401-7470
Type: Mailing
550 1ST AVE
NEW YORK, NY 100166402
Phone: (212) 263-5230
Type: Location
734 N 3RD ST STE 115
LEESBURG, FL 347485287
Phone: (352) 365-2583
Fax: (352) 728-6749
Type: Mailing
801 E DIXIE AVE STE 104
LEESBURG, FL 347487601
Phone: (352) 787-5858
Fax: (352) 787-4655
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2021-12-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210604001104 | I | Diagnostic Radiology | FL | TBD |
| I20211202002396 | I | Diagnostic Radiology | NY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 32,477 | 305 | $0 |
| A9585 | Injection, gadobutrol, 0.1 ml | 24,513 | 254 | $0 |
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 9,565 | 50 | $0 |
| 71046 | X-ray of chest, 2 views | 840 | 437 | $0 |
| 71250 | Ct scan of chest without contrast | 596 | 305 | $0 |
Insurance plans in this area (ZIP 32246)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NY | |
| Internal Medicine | NY | |
| - | NY | |
| A N E S T H E S I O L O G Y | TX | |
| Physical Therapist In Private Practice | NY | |
| A N E S T H E S I O L O G Y | NY | |
| - | NY | |
| - | NY | |
| - | NY |
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