Active NPI 1730479650 Individual Practitioner Male Practitioner

Dr. Abdallah Mohamed Jeroudi , MD

Ophthalmology • Jacksonville, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Abdallah Jeroudi, MD is a certified Ophthalmology practicing in Jacksonville, FL. With approximately 15 years of clinical experience since graduating from Baylor College Of Medicine in 2011, Dr. Jeroudi delivers high-quality medical care to the local community at 2639 OAK ST.

Dr. Jeroudi is affiliated with Retina Vitreous Consultants and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, faricimab-svoa, 0.1 mg, injection, aflibercept, 1 mg, imaging of retina. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2639 Oak St

Jacksonville, FL 322044505

Telephone 9043875600

Fax 9043880114

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Jacksonville, FL

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs -12.4 yrs vs City Avg

City Avg: 27.4 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

89 Specialists

Practicing in Jacksonville, FL (1686 Statewide)

Telehealth Adoption Rate

3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

74.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jeroudi (15 Years) 15 Yrs

Jacksonville Specialty Average (27.4 Years) 27.4 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
J2777 Injection, faricimab-svoa, 0.1 mg	17,460	64	$99.66	$34.49
J0178 Injection, aflibercept, 1 mg	3,164	358	$2395.45	$822.01
92134 Imaging of retina	2,301	842	$109.97	$38.29
67028 Injection of drug into eye	1,974	470	$818.15	$119.62
J0177 Injection, aflibercept hd, 1 mg	1,824	61	$1315.24	$324.98
99213 Established patient office or other outpatient visit, typically 15 minutes	1,101	780	$249.88	$88.20
J2782 Injection, avacincaptad pegol, 0.1 mg	860	11	$525.00	$108.77
92250 Photography of the retina	654	598	$126.00	$35.01
99426 Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month	467	95	$200.00	$60.71
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	330	13	$1200.00	$227.43
92014 Established patient complete exam of visual system	274	273	$338.85	$118.20
92202 Extended exam of the back part of the eye with optic nerve drawing	180	162	$80.00	$14.84
92004 New patient complete exam of visual system	158	158	$400.00	$141.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	144	144	$500.00	$162.46
99427 Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month	143	76	$150.00	$46.06
92012 Established patient problem focused exam of visual system	136	121	$240.00	$84.10
J7999 Compounded drug, not otherwise classified	83	37	$400.00	$80.97
J3490 Unclassified drugs	36	23	$9858.33	$2682.66
76512 Ultrasound of eye disease, growth, or structure	28	25	$226.82	$46.15
67145 Photocoagulation treatment to prevent detachment of retina	16	13	$1500.00	$231.79
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	12	11	$1970.00	$326.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2777 Injection, faricimab-svoa, 0.1 mg	17,701	57	$78.58	$36.62
J0178 Injection, aflibercept, 1 mg	3,164	361	$1702.61	$860.20
92134 Imaging of retina	2,793	1,097	$77.33	$39.43
67028 Injection of drug into eye	2,113	485	$452.18	$121.15
92014 Established patient complete exam of visual system	998	822	$229.79	$122.94
92250 Photography of the retina	837	704	$126.00	$36.34
92202 Extended exam of the back part of the eye with optic nerve drawing	521	459	$80.00	$15.33
92012 Established patient problem focused exam of visual system	496	394	$178.19	$87.42
J7999 Compounded drug, not otherwise classified	363	139	$305.23	$83.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	345	345	$333.95	$166.33
J2778 Injection, ranibizumab, 0.1 mg	331	21	$605.38	$225.17
99213 Established patient office or other outpatient visit, typically 15 minutes	254	201	$143.85	$89.92
Q5128 Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	230	15	$987.83	$271.33
J3490 Unclassified drugs	76	33	$1290.53	$473.90
76512 Ultrasound of eye disease, growth, or structure	32	23	$225.84	$47.04
J9999 Not otherwise classified, antineoplastic drugs	23	18	$308.70	$83.64
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	16	11	$1970.00	$334.88
67145 Photocoagulation treatment to prevent detachment of retina	13	13	$1192.62	$237.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,702	1,005	$70.00	$39.96
J0178 Injection, aflibercept, 1 mg	2,475	229	$1466.06	$896.09
J2777 Injection, faricimab-svoa, 0.1 mg	2,103	17	$77.06	$36.39
67028 Injection of drug into eye	1,828	399	$337.75	$119.41
92014 Established patient complete exam of visual system	931	707	$202.00	$124.05
92250 Photography of the retina	756	563	$126.00	$36.66
J2778 Injection, ranibizumab, 0.1 mg	640	30	$598.89	$271.74
92202 Extended exam of the back part of the eye with optic nerve drawing	599	469	$80.00	$15.65
J7999 Compounded drug, not otherwise classified	517	159	$299.42	$83.66
92012 Established patient problem focused exam of visual system	444	331	$167.00	$87.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	292	292	$282.89	$169.53
99213 Established patient office or other outpatient visit, typically 15 minutes	239	186	$121.00	$90.86
J3490 Unclassified drugs	113	41	$1078.41	$493.70
76512 Ultrasound of eye disease, growth, or structure	31	23	$226.06	$48.99
92020 Examination of cornea and iris using lens device and slit lamp	28	22	$70.00	$27.71
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	27	17	$1970.00	$327.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,391	883	$70.00	$40.47
J0178 Injection, aflibercept, 1 mg	1,851	170	$1472.61	$914.14
67028 Injection of drug into eye	1,605	336	$328.97	$119.43
92014 Established patient complete exam of visual system	851	627	$202.00	$124.99
J7999 Compounded drug, not otherwise classified	643	187	$300.00	$84.62
92250 Photography of the retina	616	473	$126.00	$38.62
92202 Extended exam of the back part of the eye with optic nerve drawing	606	468	$80.00	$15.86
J2778 Injection, ranibizumab, 0.1 mg	433	17	$604.18	$313.09
92012 Established patient problem focused exam of visual system	391	278	$167.00	$88.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	263	263	$283.00	$170.87
99213 Established patient office or other outpatient visit, typically 15 minutes	239	188	$121.00	$92.22
J3490 Unclassified drugs	51	29	$300.00	$81.67
76512 Ultrasound of eye disease, growth, or structure	30	23	$226.30	$50.31
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	20	13	$1970.00	$342.54
92020 Examination of cornea and iris using lens device and slit lamp	15	12	$70.00	$27.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,270	884	$70.00	$40.46
J0178 Injection, aflibercept, 1 mg	1,578	169	$1450.70	$911.00
67028 Injection of drug into eye	1,487	352	$320.38	$106.23
92014 Established patient complete exam of visual system	741	595	$202.00	$124.95
J7999 Compounded drug, not otherwise classified	637	184	$300.00	$57.30
92250 Photography of the retina	555	440	$126.00	$44.18
92202 Extended exam of the back part of the eye with optic nerve drawing	551	461	$80.00	$16.04
J2778 Injection, ranibizumab, 0.1 mg	523	20	$529.30	$291.41
92012 Established patient problem focused exam of visual system	372	278	$167.00	$87.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	261	261	$283.00	$166.30
99213 Established patient office or other outpatient visit, typically 15 minutes	245	186	$121.00	$75.13
J7312 Injection, dexamethasone, intravitreal implant, 0.1 mg	203	11	$393.00	$198.55
92020 Examination of cornea and iris using lens device and slit lamp	49	33	$70.00	$26.58
76512 Ultrasound of eye disease, growth, or structure	47	34	$219.00	$52.23
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	33	21	$1970.00	$326.27
92235 Exam of retinal blood vessels using a special camera after injection of a dye	15	15	$228.00	$102.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,261	854	$70.00	$39.97
67028 Injection of drug into eye	1,316	287	$306.61	$102.58
J0178 Injection, aflibercept, 1 mg	1,202	120	$1455.37	$930.29
92014 Established patient complete exam of visual system	790	599	$202.00	$123.43
92226 Examination of eye by ophthalmoscope with retinal drawing	788	593	$153.71	$47.89
J7999 Compounded drug, not otherwise classified	643	194	$223.95	$48.91
92250 Photography of the retina	536	430	$126.00	$48.51
92012 Established patient problem focused exam of visual system	361	272	$167.00	$85.78
J2778 Injection, ranibizumab, 0.1 mg	341	17	$560.11	$324.87
92225 Examination of eye by ophthalmoscope with retinal drawing	329	321	$153.68	$52.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	315	315	$283.00	$162.98
99213 Established patient office or other outpatient visit, typically 15 minutes	267	204	$121.00	$73.02
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	116	15	$3.75	$1.51
92020 Examination of cornea and iris using lens device and slit lamp	97	61	$70.00	$25.60
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	59	32	$1970.00	$329.74
76512 Ultrasound of eye disease, growth, or structure	45	34	$223.87	$60.33
67515 Injection of medication or substance into membrane covering eyeball	28	14	$156.00	$64.38
67145 Photocoagulation treatment to prevent detachment of retina	26	25	$1056.00	$518.26
92235 Exam of retinal blood vessels using a special camera after injection of a dye	21	21	$228.00	$89.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	2,062	845	$70.00	$40.42
67028 Injection of drug into eye	1,072	267	$308.68	$102.90
J3490 Unclassified drugs	756	228	$147.62	$47.88
J2778 Injection, ranibizumab, 0.1 mg	701	41	$610.02	$369.84
92226 Examination of eye by ophthalmoscope with retinal drawing	629	500	$139.17	$44.22
92014 Established patient complete exam of visual system	609	517	$202.00	$123.18
92012 Established patient problem focused exam of visual system	421	293	$167.00	$85.71
J0178 Injection, aflibercept, 1 mg	348	56	$1475.00	$952.30
99213 Established patient office or other outpatient visit, typically 15 minutes	339	254	$121.00	$71.77
92225 Examination of eye by ophthalmoscope with retinal drawing	318	291	$134.59	$46.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	273	273	$283.00	$161.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	196	27	$3.75	$1.80
92250 Photography of the retina	185	159	$126.00	$53.21
92020 Examination of cornea and iris using lens device and slit lamp	98	57	$70.00	$24.80
76512 Ultrasound of eye disease, growth, or structure	76	43	$224.76	$73.79
67515 Injection of medication or substance into membrane covering eyeball	47	26	$156.00	$71.17
67228 Laser destruction of leaking retinal blood vessels, 1 or more sessions	36	25	$1970.00	$332.31
92235 Exam of retinal blood vessels using a special camera after injection of a dye	24	23	$228.00	$83.87
67145 Photocoagulation treatment to prevent detachment of retina	15	13	$1056.00	$525.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
92134 Imaging of retina	482	318	$70.00	$39.84
67028 Injection of drug into eye	178	92	$311.80	$103.19
J3490 Unclassified drugs	169	84	$150.00	$49.00
92225 Examination of eye by ophthalmoscope with retinal drawing	146	126	$118.90	$42.83
92014 Established patient complete exam of visual system	128	128	$202.00	$120.87
92012 Established patient problem focused exam of visual system	121	99	$172.49	$82.28
92226 Examination of eye by ophthalmoscope with retinal drawing	113	107	$127.17	$40.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$283.00	$163.08
67042 Removal of membrane of retina with removal of internal limiting membrane of retina	34	34	$752.94	$234.97
J0178 Injection, aflibercept, 1 mg	28	11	$1475.00	$959.24
76512 Ultrasound of eye disease, growth, or structure	23	18	$255.65	$89.66
99213 Established patient office or other outpatient visit, typically 15 minutes	22	22	$131.77	$69.92
67108 Repair of detached retina and drainage of eye fluid between lens and retina	20	20	$1092.50	$318.44
92020 Examination of cornea and iris using lens device and slit lamp	17	15	$70.29	$26.33
67036 Removal of eye fluid (vitreous) between the lens and retina	13	13	$756.54	$278.50
92004 New patient complete exam of visual system	11	11	$247.00	$145.56
67040 Destruction of eye fluid (vitreous) between lens and retina and all of retina using a laser	11	11	$1500.00	$399.35

Medical Specialties & State Licenses

CMS Verified: 2023-04-20

Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License FL ME130764

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Ophthalmology

NUCC Taxonomy Code: 207W00000X

State License GA 77496

Ophthalmology - Retina Specialist

NUCC Taxonomy Code: 207WX0107X

State License GA 77496

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Ophthalmology - Retina Specialist

NUCC Taxonomy Code: 207WX0107X

State License FL ME130764

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

003188625 (GA)

Medicaid State Provider ID

019742700 (FL)

Hospital & Practice Group Affiliations

Retina Vitreous Consultants

50 Leanni Way, Palm Coast, FL 321374757

Phone: 3864471847

Retina Vitreous Consultants

304 Riverside Dr, Waycross, GA 315014549

Phone: 9122831400

Secondary Practice Locations

1100 Plantation Island Dr S Ste 130

St Augustine, FL 320805173

Phone: 9048260663

50 Leanni Way Unit E5

Palm Coast, FL 321374757

Phone: 3864471847

304 Riverside Dr

Waycross, GA 315014549

Phone: 9122831400

8786 Perimeter Park Blvd

Jacksonville, FL 322166347

Phone: 9049979202

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Kyle Fallgatter , MD

Ophthalmology

NPI 1588160188

Doctor of Medicine (M.D.)

Dr. Raul Moreno , MD

Ophthalmology

NPI 1932109659

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

21 Historical Events

📍

Updated Practice Location October 27, 2022

Registered at 2639 OAK ST, JACKSONVILLE, FL 322044505 (Tel: 9043875600)

📍

Updated Practice Location August 13, 2018

Registered at 2639 OAK ST, JACKSONVILLE, FL 32204 (Tel: 9043875600)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2018

Ophthalmology (License #77496 in GA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2018

Ophthalmology (License #ME130764 in FL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Ophthalmology (License #2015010870 in MO)

✅

NPI Profile Active August 25, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location August 25, 2017

Registered at 2639 OAK ST, JACKSONVILLE, FL 322044505 (Tel: 9043875600)

📍

Updated Business Mailing Address August 25, 2017

Registered at 8786 PERIMETER PARK BLVD, JACKSONVILLE, FL 322166347 (Tel: 9049979202)

👤

Provider Name / Credentials Updated August 25, 2017

Recorded as ABDALLAH JEROUDI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2017

Ophthalmology (License #ME130764 in FL)

📍

Updated Practice Location June 19, 2017

Registered at 2639 OAK ST, JACKSONVILLE, FL 322044505 (Tel: 9043875600)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2017

Ophthalmology (License #2015010870 in MO)

📍

Updated Practice Location April 13, 2017

Registered at 8786 PERIMETER PARK BLVD, JACKSONVILLE, FL 322166347 (Tel: 9049979202)

📍

Updated Business Mailing Address April 13, 2017

Registered at 8786 PERIMETER PARK BLVD, JACKSONVILLE, FL 322166347 (Tel: 9049979202)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2017

Ophthalmology (License #ME130764 in FL)

✅

NPI Profile Active July 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 20, 2015

Registered at 17 THE BOULEVARD, ST LOUIS, MO 631171118 (Tel: 3143671181)

📍

Updated Business Mailing Address July 20, 2015

Registered at 1600 SOUTH BRENTWOOD BLVD, SUITE 800, ST LOUIS, MO 631441317 (Tel: 3143671181)

👤

Provider Name / Credentials Updated July 20, 2015

Recorded as ABDALLAH JEROUDI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2015

Ophthalmology (License #2015010870 in MO)

🟢

Initial NPI Registration & Enumeration April 12, 2011

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: 1730479650

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 12, 2011

Last Update: April 20, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8786 Perimeter Park Blvd

Jacksonville, FL 322166347

Phone: 9049979202

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.