JAIME HUMBERTO MEMBRENO (MD) – Retina Specialist (Ophthalmology) Physician, NPI 1255309704
Retina Specialist (Ophthalmology) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,548 OPHTHALMOLOGY in FL
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Provider Addresses for JAIME HUMBERTO MEMBRENO (MD)
100, Park Place Blvd, Kissimmee, Osceola County, Florida, 34741, United States
STE#202
KISSIMMEE, FL 347412332
Phone: (407) 931-1510
Fax: (407) 931-3759
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $932.
Total Amount is formed as General ($932) + Research ($0) + Ownership ($0) = $932.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($536).
Total Amount
$932
General + Research + Ownership
Payments
15
Total payment records
General Amount
$932
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2004-07-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20040713000326 | I | Ophthalmology | FL | 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 |
|---|---|---|---|---|
| J2777 | Injection, faricimab-svoa, 0.1 mg | 9,780 | 46 | $0 |
| 92201 | Extended exam of the back part of the eye with retinal drawing | 2,164 | 707 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,811 | 598 | $0 |
| 92134 | Imaging of retina | 1,774 | 665 | $0 |
| 67028 | Injection of drug into eye | 1,224 | 255 | $0 |
Insurance plans in this area (ZIP 34741)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPHTHALMOLOGY | FL | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 119 | 90 |
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