BENJAMIN MORENO (M.D.) – General Practice Physician, NPI 1548212897

BENJAMIN MORENO (M.D.) is a healthcare provider. based in Kissimmee, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials M.D.. They hold a License No. 16431 (PR). The NPI Number for BENJAMIN MORENO (M.D.) is 1548212897

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
BENJAMIN MORENO (M.D.)
NPI
1548212897
Phone
(407) 933-7900
Address
4543 PLEASANT HILL RD
Enumeration Date
16 May 2006
Last Update Date
23 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3212757500
Graduation Year
2004 (22 years ago)
PAC ID
8022020981
Group Practice PAC ID
7113368911
Professional Enrollment ID
I20131015000505
Address ID
FL327926724WI7151XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,466 GENERAL PRACTICE in FL

Provider Addresses for BENJAMIN MORENO (M.D.)

  • 4543 PLEASANT HILL RD

    STE A

    KISSIMMEE, FL 347593403

    Phone: (407) 933-7900

    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 2 Open Payments records for all available years, with a total value of $238.

Total Amount is formed as General ($238) + Research ($0) + Ownership ($0) = $238.

Last reported payment date: 2024-06-27 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($124).

Total Amount

$238

General + Research + Ownership

Payments

2

Total payment records

General Amount

$238

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-27

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2013-10-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131015000505IGeneral PracticeFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5418$0
99214Established patient office or other outpatient visit, 30-39 minutes5020$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1212$0
View full utilization report →

Insurance plans in this area (ZIP 34759)

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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: 7113368911View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for BENJAMIN MORENO (M.D.)?
BENJAMIN MORENO (M.D.) — NPI 1548212897 — is the standard way to identify this listing.
Is BENJAMIN MORENO (M.D.) listed as active for patients and plans?
The listing shows BENJAMIN MORENO (M.D.) as active in the NPI system.
What is BENJAMIN MORENO (M.D.)'s specialty?
The listing groups BENJAMIN MORENO (M.D.) with General Practice Physician. Clinical services aligned with this taxonomy classification.
Does BENJAMIN MORENO (M.D.) list a practice location?
Patients near Kissimmee, Florida may find BENJAMIN MORENO (M.D.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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