PHYSICIANS MEDICAL GROUP OF SOUTHWEST FLORIDA,LLC
NPI 1104259035
Family Medicine in Fort Myers, FL
About Physicians Medical Group Of Southwest Florida,llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYSICIANS MEDICAL GROUP OF SOUTHWEST FLORIDA,LLC (NPI 1104259035) is a healthcare organization registered as a family medicine in Fort Myers, Florida and active in the NPI registry since August 2013. The organization lists Barry K Butler, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Physicians Medical Group Of Southwest Florida,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Physicians Medical Group Of Southwest Florida,llc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Physicians Medical Group Of Southwest Florida,llc's NPI number?
The NPI number for Physicians Medical Group Of Southwest Florida,llc is 1104259035. It was assigned to this organization in the NPPES registry on August 14, 2013.
Where is Physicians Medical Group Of Southwest Florida,llc located?
Physicians Medical Group Of Southwest Florida,llc is located at 3800 Colonial Blvd Ste 200, Fort Myers, FL 33966. The listed phone number is (239) 936-1233.
What is Physicians Medical Group Of Southwest Florida,llc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Physicians Medical Group Of Southwest Florida,llc enrolled in Medicare?
Yes. Physicians Medical Group Of Southwest Florida,llc is registered in the Medicare PECOS enrollment system.
When is Physicians Medical Group Of Southwest Florida,llc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Physicians Medical Group Of Southwest Florida,llc?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Physicians Medical Group Of Southwest Florida,llc, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Physicians Medical Group Of Southwest Florida,llc was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Physicians Medical Group Of Southwest Florida,llc · NPI 1104259035
Family Medicine organization in Fort Myers, Florida. Organization record, active in the CMS NPPES registry since August 14, 2013.
## Identity
- **NPI:** 1104259035 (Entity type: Organization)
- **Enumerated:** August 14, 2013
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Barry Butler, MEDICAL DIRECTOR
## Practice location
- **Address:** 3800 COLONIAL BLVD STE 200, Fort Myers, FL 33966-1075
- **Phone:** (239) 936-1233 · **Fax:** (239) 936-8576
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Florida, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104259035) · Data from the CMS NPPES public registry.