DR. SERGIO G JR. MOREIRA (M.D.) – Urology Physician, NPI 1790735918

DR. SERGIO G JR. MOREIRA (M.D.) is a healthcare provider. based in Fort walton beach, Florida. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. M8184 (TX). The NPI Number for DR. SERGIO G JR. MOREIRA (M.D.) is 1790735918

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
DR. SERGIO G JR. MOREIRA (M.D.)
NPI
1790735918
Phone
(850) 863-3463
Address
320 RACETRACK RD NW STE 100C
Enumeration Date
10 May 2006
Last Update Date
23 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3214348121
Graduation Year
2011 (15 years ago)
PAC ID
5395776355
Group Practice PAC ID
7416100672
Professional Enrollment ID
I20050830000135
Address ID
FL329072506PA1425XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

897 UROLOGY in FL

Provider Addresses for DR. SERGIO G JR. MOREIRA (M.D.)

  • 320 RACETRACK RD NW STE 100C

    FORT WALTON BEACH, FL 325471796

    Phone: (850) 863-3463

    Fax: (850) 862-0188

    Type: Location

  • 701 W Cocoa Beach Cswy

    Cocoa Beach, FL 329313585

    Phone: (321) 868-5871

    Type: Location

  • 205, North Mound Street, Nacogdoches, Nacogdoches County, Texas, 75961, United States

    NACOGDOCHES, TX 759614434

    Phone: (936) 560-5200

    Fax: (936) 560-5222

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 46 Open Payments records for all available years, with a total value of $2,598.

Total Amount is formed as General ($2,598) + Research ($0) + Ownership ($0) = $2,598.

Last reported payment date: 2024-12-07 • Largest payer in this snapshot: Medtronic, Inc. ($1,081).

Total Amount

$2,598

General + Research + Ownership

Payments

46

Total payment records

General Amount

$2,598

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-07

Latest reported date

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: 2025-12-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 4 Medicare enrollment records; no due dates published yet.

Enrollment records

4

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
I20050830000135IUrologyFLTBD
I20080729000287IUrologyTXTBD
I20150716002689IUrologyARTBD
I20251210002348IUrologyPATBD

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 minutes226170$0
81003Automated urinalysis test181140$0
99203New patient office or other outpatient visit, 30-44 minutes6969$0
52000Diagnostic exam of bladder and urethra using an endoscope6261$0
99202New patient office or other outpatient visit, 15-29 minutes5959$0
View full utilization report →

Insurance plans in this area (ZIP 32547)

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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: 7416100672View full group profile
NameSpecialtyState
-FL
General SurgeryFL
Internal MedicineFL
-FL
-FL
Physical Medicine And RehabilitationFL
Family PracticeFL
G A S T R O E N T E R O L O G YFL
-FL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Is there an official ID for DR. SERGIO G JR. MOREIRA (M.D.) in U.S. healthcare records?
The official identifier for DR. SERGIO G JR. MOREIRA (M.D.) is NPI 1790735918.
Is there an active status for DR. SERGIO G JR. MOREIRA (M.D.)?
For scheduling context, DR. SERGIO G JR. MOREIRA (M.D.) is shown as active in the registry.
What expertise is attributed to DR. SERGIO G JR. MOREIRA (M.D.)?
DR. SERGIO G JR. MOREIRA (M.D.)'s specialty line reads Urology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SERGIO G JR. MOREIRA (M.D.)?
Directory geography for DR. SERGIO G JR. MOREIRA (M.D.) centers on Fort Walton Beach, Florida.
Can I trust this NPI listing for DR. SERGIO G JR. MOREIRA (M.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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