JOHN T ENGLISH MD
NPI 1013987817
Surgery in Naples, FL

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
86.37/100
CMS Quality Rating
6101 PINE RIDGE RD, NAPLES, FL 34119(239) 348-4400 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John T English Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN T ENGLISH MD (NPI 1013987817) is an individual surgery provider in Naples, Florida, licensed in Florida (ME125083) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Physicians Regional Medical Center - Pine Ridge, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1013987817
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOHN T ENGLISHCredential: MD
Location Address6101 PINE RIDGE RDNaples, FL 34119-3900
Mailing AddressPo Box 11392Belfast, ME 04915-4004 · (239) 348-4221
Sole ProprietorYes
Medical School CMSOtherGraduated 1982
Enumeration DateJanuary 24, 2006
Last NPPES UpdateAugust 29, 2019
NPI 1013987817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in FL · ME125083
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
6101 PINE RIDGE RD, Naples, FL 34119

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John T English Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385715853
PECOS Enrollment IDI20190724001346
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
87 services60 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
65 services65 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
29 services29 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
13 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Physicians Regional Medical Center - Pine Ridge

Acute Care Hospitals · Naples, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100286
Location6101 Pine Ridge RoadNaples, FL 34119 · Collier County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality72.75
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist (Foot & Ankle Surgery)
6101 PINE RIDGE RD, 3RD FLOOR
NAPLES, FL 34119
Nurse Anesthetist, Certified Registered
6101 PINE RIDGE RD
NAPLES, FL 34119
Nurse Practitioner (Family)
6101 PINE RIDGE RD
NAPLES, FL 34119
Nurse Anesthetist, Certified Registered
6101 PINE RIDGE RD
NAPLES, FL 34119
Anesthesiology
6101 PINE RIDGE RD
NAPLES, FL 34119
Pharmacist
6101 PINE RIDGE RD
NAPLES, FL 34119
Anesthesiology
6101 PINE RIDGE RD
NAPLES, FL 34119
Student in an Organized Health Care Education/Training Program
6101 PINE RIDGE RD
NAPLES, FL 34119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John English's NPI number?

The NPI number for John English is 1013987817. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is John English located?

John English practices at 6101 Pine Ridge Rd, Naples, FL 34119. The listed phone number is (239) 348-4400.

What is John English's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John English enrolled in Medicare?

Yes. John English is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John English accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list John English as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is John English affiliated with any hospitals?

According to CMS data, John English is affiliated with Physicians Regional Medical Center - Pine Ridge.

When was this NPI record last updated?

The NPPES record for John English was last updated on August 29, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.