MR. EUGENE JONATHAN C. EUGENIO (M.D.) – Diagnostic Radiology Physician, NPI 1679534366
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MR. EUGENE JONATHAN C. EUGENIO (M.D.)
483 N SEMORAN BLVD STE 104
WINTER PARK, FL 327923800
Phone: (321) 436-0771
Fax: (407) 218-8906
Type: Location
2208, Terranova Court, Lexington, Fayette County, Kentucky, 40513, United States
LEXINGTON, KY 405131839
Phone: (859) 536-4189
Type: Mailing
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.
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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: 2010-07-26
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 |
|---|---|---|---|---|
| I20040326000123 | I | Diagnostic Radiology | KY | TBD |
| I20100726000679 | I | Diagnostic Radiology | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32792)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | FL | 71250 | CT scan chest | 17 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | NJ | |
| - | NC | |
| Diagnostic Radiology | CA | |
| - | NV | |
| - | FL | |
| Diagnostic Radiology | AZ | |
| Interventional Radiology, Diagnostic Radiology | IL | |
| - | PR | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | AZ |
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