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Active NPI 1538372958 Individual Practitioner Male Practitioner

Dr. Luis Antonio Moreno , MD

General Practice • Edgewater, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Luis Moreno, MD is a certified General Practice practicing in Edgewater, FL. With approximately 33 years of clinical experience since graduating from Texas A & M University System, Hsc, College Of Medicine in 1993, Dr. Moreno delivers high-quality medical care to the local community at 2984 S RIDGEWOOD AVE STE 1.

Dr. Moreno is affiliated with Island Doctors Intrastate Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, vaccine for influenza for injection into muscle, administration of influenza virus vaccine. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2984 S Ridgewood Ave Ste 1

Edgewater, FL 321417515

Telephone 3864284640
Fax 3864261409
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Texas A & M University System, Hsc, College Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Edgewater, FL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
33 Yrs Matches City Avg
City Avg: 33.0 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Edgewater, FL (2490 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
38.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moreno (33 Years) 33 Yrs
Edgewater Specialty Average (33.0 Years) 33.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
127 64 $203.53 $124.59
99213 Established patient office or other outpatient visit, typically 15 minutes
90 49 $144.00 $88.22

Medical Specialties & State Licenses

CMS Verified: 2021-11-16
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME88233

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

State License FL ME 88233

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Hospital & Practice Group Affiliations

Island Doctors Intrastate Llc

2984 S Ridgewood Ave, Edgewater, FL 321417515

Phone: 3864284640

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1174594295

Doctor of Osteopathic Medicine (D.O.)

Grace Davis , APRN

Nurse Practitioner - Family

NPI 1376181057

Advanced Practice Registered Nurse

Dr. Leslie Lee , MD

Internal Medicine

NPI 1750352431

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location November 16, 2021

Registered at 2984 S RIDGEWOOD AVE STE 1, EDGEWATER, FL 321417515 (Tel: 3864284640)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 845 CRESTWOOD AVE, TITUSVILLE, FL 327962265 (Tel: 3218673827)

📍
Updated Business Mailing Address July 08, 2007

Registered at 845 CRESTWOOD AVE, TITUSVILLE, FL 327962265 (Tel: 3218673827)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as LUIS MORENO, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Military Health Care Provider (License #ME 88233 in FL)

🟢
Initial NPI Registration & Enumeration May 08, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538372958
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2007
Last Update: November 16, 2021
Sole Proprietor: No

Mailing Address

845 Crestwood Ave

Titusville, FL 327962265

Phone: 3218673827

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.