DR. ABDALLAH MOHAMED JEROUDI (MD) – Ophthalmology Physician, NPI 1730479650
Ophthalmology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,548 OPHTHALMOLOGY in FL
Provider Addresses for DR. ABDALLAH MOHAMED JEROUDI (MD)
1100 Plantation Island Dr S Ste 130
St Augustine, FL 320805173
Phone: (904) 826-0663
Fax: (904) 826-0664
Type: Location
304 Riverside Dr
Waycross, GA 315014549
Phone: (912) 283-1400
Fax: (912) 283-0019
Type: Location
8786 PERIMETER PARK BLVD
JACKSONVILLE, FL 322166347
Phone: (904) 997-9202
Fax: (904) 997-9205
Type: Mailing
2639 OAK ST
JACKSONVILLE, FL 322044505
Phone: (904) 387-5600
Fax: (904) 388-0114
Type: Location
8786 Perimeter Park Blvd
Jacksonville, FL 322166347
Phone: (904) 997-9202
Fax: (904) 997-9205
Type: Location
50 Leanni Way Unit E5
Palm Coast, FL 321374757
Phone: (386) 447-1847
Fax: (386) 447-1848
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $2,514.
Total Amount is formed as General ($2,514) + Research ($0) + Ownership ($0) = $2,514.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: US Retina LLC ($1,663).
Total Amount
$2,514
General + Research + Ownership
Payments
27
Total payment records
General Amount
$2,514
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
1
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| US Retina LLC | $1,663 |
| Regeneron Healthcare Solutions, Inc. | $312 |
| Astellas Pharma US Inc | $154 |
| Genentech USA, Inc. | $110 |
| Bausch & Lomb Americas Inc. | $102 |
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: 2017-06-23
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 |
|---|---|---|---|---|
| I20170615001851 | I | Ophthalmology | GA | TBD |
| I20170623000282 | 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 | 17,701 | 57 | $0 |
| J0178 | Injection, aflibercept, 1 mg | 3,164 | 361 | $0 |
| 92134 | Imaging of retina | 2,793 | 1,097 | $0 |
| 67028 | Injection of drug into eye | 2,113 | 485 | $0 |
| 92014 | Established patient complete exam of visual system | 998 | 822 | $0 |
Insurance plans in this area (ZIP 32080)
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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 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 | |
| - | FL | |
| O P H T H A L M O L O G Y | MN | |
| 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 | MI | |
| 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 |
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