DR. JOHN K FUSSELMAN O.D.
NPI 1083711196
Optometrist in Longboat Key, FL

Active since September 20, 2006PECOS Enrolled
3281 BAYOU SOUND, LONGBOAT KEY, FL 34228(407) 620-5356 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 26, 2022, Mar 10, 2022, May 20, 2021 (3 updates tracked since 2021).

About Dr. John K Fusselman O.d. NPPES

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

DR. JOHN K FUSSELMAN O.D. (NPI 1083711196) is an individual optometrist in Longboat Key, Florida, licensed in Florida (OPC1993) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083711196
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN K FUSSELMANCredential: O.D.
Location Address3281 BAYOU SOUNDLongboat Key, FL 34228-3009
Mailing Address3281 Bayou SoundLongboat Key, FL 34228-3009 · (407) 620-5356
Sole ProprietorYes
Enumeration DateSeptember 20, 2006
Last NPPES UpdateApril 26, 20223 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
✔ NPI 1083711196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC1993
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3281 BAYOU SOUND, Longboat Key, FL 34228

Other Identifiers 1

OtherOPC1993FL · State License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John K Fusselman O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

9

Medicare enrollment records show John Fusselman reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
4907 14TH ST W
Bradenton, FL 34207
  • Reassigned Medicare billing, Florida enrollment
  • 229 clinicians in this Medicare group
Optometrist
7145 STATE ROAD 64 E UNIT 102
Bradenton, FL 34212
  • Reassigned Medicare billing, Florida enrollment
  • 322 clinicians in this Medicare group
Ophthalmology
9375 66TH ST N
Pinellas Park, FL 33782
  • Reassigned Medicare billing, Florida enrollment
  • 86 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1503 BILL BECK BLVD
Kissimmee, FL 34744
  • Reassigned Medicare billing, Florida enrollment
  • 14 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
19204 E PENNSYLVANIA AVE
Dunnellon, FL 34432
  • Reassigned Medicare billing, Florida enrollment
  • 84 clinicians in this Medicare group
Clinic/Center
2001 N FEDERAL HWY UNIT 120
Pompano Beach, FL 33062
  • Reassigned Medicare billing, Florida enrollment
  • 38 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
20612 NW 27TH AVE
Miami Gardens, FL 33056
  • Reassigned Medicare billing, Florida enrollment
  • 61 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
6601 SW 152ND AVE
Miami, FL 33193
  • Reassigned Medicare billing, Florida enrollment
  • 144 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
11645 BISCAYNE BLVD, SUITE 401, 403, 405
Miami, FL 33181
  • Reassigned Medicare billing, Florida enrollment
  • 85 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34228 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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 Fusselman's NPI number?

The NPI number for John Fusselman is 1083711196. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is John Fusselman located?

John Fusselman practices at 3281 Bayou Sound, Longboat Key, FL 34228. The listed phone number is (407) 620-5356.

What is John Fusselman's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is John Fusselman enrolled in Medicare?

Yes. John Fusselman is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Fusselman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Fusselman reassigns Medicare benefits to 9 organizations: Eye Doctors Optical Outlets PA (Bradenton, FL), Myeyedr Optometry Of Florida, LLC (Bradenton, FL), Southeast Eye Institute, PA (Pinellas Park, FL), Primary Care Medical Services Of Poinciana Inc (Kissimmee, FL), Heart Of Florida Health Center Inc (Dunnellon, FL) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Fusselman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Fusselman accept?

Health plans from Anthem Blue Cross and Blue Shield, AvMed, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 12 other insurers list John Fusselman 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.

When was this NPI record last updated?

The NPPES record for John Fusselman was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.