RAYMOND SANTUCCI II MD
NPI 1053356964
Internal Medicine - Pulmonary Disease in Fort Myers, FL

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
79.77/100
CMS Quality Rating
16420 HEALTHPARK COMMONS DR, FORT MYERS, FL 33908(239) 985-1925(239) 321-6044 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2024, Oct 25, 2023, Jun 15, 2016 (3 updates tracked since 2016).

About Raymond Santucci Ii Md NPPES

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

RAYMOND SANTUCCI II MD (NPI 1053356964) is an individual pulmonary disease provider in Fort Myers, Florida, licensed in Florida (ME 99967) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Fort Myers.

NPPES Registry Identity

NPI1053356964
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameRAYMOND SANTUCCI IICredential: MD
Location Address16420 HEALTHPARK COMMONS DRFort Myers, FL 33908-9621
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 985-1925 · Fax (239) 321-6044
Fax(239) 321-6044
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1999
Enumeration DateJune 17, 2006
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
NPI 1053356964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in FL · ME 99967
Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License ME 99967 (FL)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License ME 99967 (FL)
16420 HEALTHPARK COMMONS DR, Fort Myers, FL 33908

Secondary Practice Location 1

Location 17335 Gladiolus DrFort Myers, FL 33908-5101 · Phone (239) 985-1925 · Fax (239) 321-6044

Other Identifiers 10

Other11336FL · Bcbs Of Fl
Medicaid2613158OH
OtherP203272FL · Optimum
Other7544875FL · Aetna
OtherP305702FL · Freedom
Other990635FL · Wellcare
OtherP01319839FL · Rr Medicare
Medicaid280282100FL
Other313574FL · Avmed
Other9455421FL · Cigna

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

Raymond Santucci Ii 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 ID941202519
PECOS Enrollment IDI20080317000256
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 6

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 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.
506 services280 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
218 services147 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
214 services128 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
137 services132 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.
21 services21 patients
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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33908 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
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.

79.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.34
Promoting Interoperability100
Improvement Activities40
Cost55.23

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
61%149 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
54%298 patients3/55-star benchmark: 85%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
81%1,161 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
60%535 patients3/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 97% · 268 patients
99%268 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers11 claims11 services$10.32 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$3.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$64.15 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

Internal Medicine (Pulmonary Disease)
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Nurse Practitioner (Gerontology)
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Internal Medicine (Pulmonary Disease)
16420 HEALTHPARK COMMONS DR, SUITE 100
FORT MYERS, FL 33908
Physician Assistant
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Internal Medicine (Pulmonary Disease)
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Internal Medicine (Pulmonary Disease)
16420 HEALTHPARK COMMONS DR, SUITE 100
FORT MYERS, FL 33908
Physician Assistant
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908
Internal Medicine (Pulmonary Disease)
16420 HEALTHPARK COMMONS DR
FORT MYERS, FL 33908

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 Raymond Santucci's NPI number?

The NPI number for Raymond Santucci is 1053356964. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Raymond Santucci located?

Raymond Santucci practices at 16420 Healthpark Commons Dr, Fort Myers, FL 33908. The listed phone number is (239) 985-1925.

What is Raymond Santucci's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Raymond Santucci enrolled in Medicare?

Yes. Raymond Santucci 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 Raymond Santucci accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Wellpoint list Raymond Santucci 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 Raymond Santucci affiliated with any hospitals?

According to CMS data, Raymond Santucci is affiliated with Lee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Raymond Santucci was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.