DR. JORGE JUAN BACALLAO (MD) – Ophthalmology Physician, NPI 1275549511
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 DR. JORGE JUAN BACALLAO (MD)
5858, Southwest 68th Street, South Miami, Miami-Dade County, Florida, 33143, United States
SOUTH MIAMI, FL 331433693
Phone: (305) 661-8588
Fax: (305) 661-4906
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 53 Open Payments records for all available years, with a total value of $1,156.
Total Amount is formed as General ($1,156) + Research ($0) + Ownership ($0) = $1,156.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Mallinckrodt Hospital Products Inc. ($462).
Total Amount
$1,156
General + Research + Ownership
Payments
53
Total payment records
General Amount
$1,156
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mallinckrodt Hospital Products Inc. | $462 |
| ABBVIE INC. | $314 |
| Tarsus Pharmaceuticals, Inc. | $113 |
| Bausch & Lomb Americas Inc. | $44 |
| Thea Pharma Inc. | $34 |
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: 2004-01-30
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 |
|---|---|---|---|---|
| I20040130000320 | 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 |
|---|---|---|---|---|
| 92250 | Photography of the retina | 67 | 61 | $0 |
| 92014 | Established patient complete exam of visual system | 54 | 51 | $0 |
| 92012 | Established patient problem focused exam of visual system | 53 | 38 | $0 |
| 92004 | New patient complete exam of visual system | 42 | 42 | $0 |
| 76512 | 2d ultrasound scan of eye tissue and structures | 34 | 19 | $0 |
Insurance plans in this area (ZIP 33143)
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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 | 43 | 34 |
| OPHTHALMOLOGY | FL | 92083 | Measurement of field of vision during daylight conditions | 25 | 24 |
| OPHTHALMOLOGY | FL | 92134 | Diagnostic imaging of retina | 26 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | FL | |
| O P H T H A L M O L O G Y | FL | |
| O P T O M E T R Y | FL |
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