ANTHONY JOSEPH ANFUSO JR.
NPI 1093957649
Otolaryngology in Fort Myers, FL

Q: What is Anthony Anfuso's NPI number?

The NPI number for Anthony Anfuso is 1093957649. It was assigned to this individual provider in the NPPES registry on March 28, 2009.

Q: What is Anthony Anfuso's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Anthony Anfuso was last updated on April 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2009PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

13691 METRO PKWY STE 300, FORT MYERS, FL 33912(239) 291-6970(239) 522-4288 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2023, May 9, 2016, Feb 8, 2016 and 1 more (4 updates tracked since 2015).

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About Anthony Joseph Anfuso Jr. NPPES

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

ANTHONY JOSEPH ANFUSO JR. (NPI 1093957649) is an individual otolaryngology provider in Fort Myers, Florida, licensed in Florida (ME118346) and active in the NPI registry since March 2009. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1093957649

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameANTHONY JOSEPH ANFUSO JR.

Location Address13691 METRO PKWY STE 300Fort Myers, FL 33912-4322

Mailing Address6321 Daniels Pkwy Ste 200Fort Myers, FL 33912-4773 · (239) 291-6970 · Fax (239) 264-1236

Phone(239) 291-6970

Fax(239) 522-4288

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMarch 28, 2009

Last NPPES UpdateApril 24, 20234 updates tracked since enumeration

NPPES CertifiedApril 24, 2023

✔ NPI 1093957649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in FL · ME118346

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

13691 METRO PKWY STE 300, Fort Myers, FL 33912

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Other Identifiers 11

Other9280321FL · Cigna

Medicaid011848700FL

OtherP01520280FL · Railroad Medicare

Other1035847FL · Wellcare

Other14W4SFL · Bcbs

Other4928705FL · Aetna

Other1566218FL · Coventry

Other75121240FL · Prestige Health Choice

OtherP1023983FL · Freedom

OtherP962129FL · Optimum

Other375100FL · Avmed

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Anthony Joseph Anfuso Jr. 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 ID547486920

PECOS Enrollment IDI20140721000501

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 12

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.

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

432 services269 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

405 services264 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

244 services174 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

176 services176 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

80 services80 patients

Removal or exploration of parathyroid glands 60500

The procedure for removal or exploration of parathyroid glands involves a surgeon making a small incision in the neck to locate and remove one or more of the tiny parathyroid glands. These glands control calcium levels in the body. This procedure helps treat conditions like hyperparathyroidism.

32 services32 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.

22 services21 patients

Removal of lymph nodes, muscle, and tissue of neck 38724

This procedure, known as a neck dissection, involves removing lymph nodes, muscle, and tissue from the neck. It's performed to treat or prevent the spread of disease, often cancer. It's a major surgery, but it can help ensure your health and recovery.

19 services19 patients

Removal of growth of saliva gland with release of facial nerve 42415

This procedure involves the surgical removal of an abnormal growth in your saliva gland. During the surgery, the facial nerve, which might be affected by the growth, is carefully preserved to maintain facial functions.

15 services15 patients

Diagnostic exam of voice box using an endoscope with operating microscope or telescope 31526

This procedure involves using a special instrument called an endoscope, combined with a microscope or telescope, to examine your voice box. It helps doctors identify any abnormalities or issues that could affect your voice or breathing.

14 services12 patients

Removal of thyroid through chest or back 60271

This procedure involves the surgical removal of the thyroid gland, which is located in your neck. It's done through an incision either in the chest or back. This is typically required when the thyroid is overactive, has growths, or is enlarged. The goal is to improve your health.

14 services14 patients

Removal of thyroid lobe on side of neck 60220

This procedure involves the removal of one side of your thyroid gland, located in your neck. It's done to treat conditions like nodules or tumors. You'll be under anesthesia, and the surgeon will make a small incision in your neck to remove the lobe. Recovery typically takes a few weeks.

13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100220

Location13681 Doctors WayFort Myers, FL 33912 · Lee County

Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100244

Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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

$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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Reported Quality Measures

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.

97%2,755 patients4/55-star benchmark: 100%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

97%602 patients4/55-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…

30%997 patients2/55-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 screenedForUse: 100% · 526 patients

Patients tobacco: 86% · 526 patients

1%90 patients1/55-star benchmark: 98%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

5%1,042 patients1/55-star benchmark: 100%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 536 patients

0%536 patients5/55-star benchmark: 100%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

3%1,042 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 11

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

Adhesive remover, wipes, any type, each A4456

DME-Medical/Surgical Supplies · category DA000N

1 supplier18 claims1,350 services$0.23 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

1 supplier20 claims3,300 services$0.23 avg. paid by Medicare

Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507

DME-Orthotic Devices · category DF000N

1 supplier54 claims5,370 services$2.36 avg. paid by Medicare

Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each A7508

DME-Orthotic Devices · category DF000N

1 supplier31 claims3,465 services$2.75 avg. paid by Medicare

Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each A7520

DME-Orthotic Devices · category DF000N

2 suppliers16 claims16 services$43.33 avg. paid by Medicare

Tracheostomy tube collar/holder, each A7526

DME-Orthotic Devices · category DF000N

1 supplier12 claims190 services$3.27 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 6

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

CAITLYN HERRON

Physician Assistant