DR. JOHN DESTEFANO DPM
NPI 1124289111
Podiatrist in Fort Polk, LA

Q: What is John Destefano's NPI number?

The NPI number for John Destefano is 1124289111. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Q: What is John Destefano's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Q: When was this NPI record last updated?

The NPPES record for John Destefano was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since June 23, 2008PECOS Enrolled

1585 3RD ST, FORT POLK, LA 71459(337) 531-3427 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2025, Oct 4, 2021, Apr 25, 2017 (3 updates tracked since 2017).

On this page

About Dr. John Destefano Dpm NPPES

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

DR. JOHN DESTEFANO DPM (NPI 1124289111) is an individual podiatrist in Fort Polk, Louisiana, licensed in Florida (PO 3715) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124289111

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameDR. JOHN DESTEFANOCredential: DPM

Location Address1585 3RD STFort Polk, LA 71459-5102

Mailing Address7720 Us Highway 98 W, Suite 340Miramar Beach, FL 32550-7230

Phone(337) 531-3427

Sole ProprietorYes

Enumeration DateJune 23, 2008

Last NPPES UpdateNovember 14, 20253 updates tracked since enumeration

NPPES CertifiedNovember 14, 2025

✔ NPI 1124289111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in FL · PO 3715

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

1585 3RD ST, Fort Polk, LA 71459

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Destefano Dpm 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71459 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$67.06 typical visit price

range $16.64 – $133.62

Typical copayment $16.76 (range $4.16 – $33.40)

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.

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.

JEFFERY ALAN WHITE D.O.

Orthopaedic Surgery

1585 3RD ST
FORT POLK, LA 71459

Vernon Parish (337) 531-3896

DR. LINDSAY EDWARDS MUNCY M.D.

Internal Medicine

1585 3RD ST
FORT POLK, LA 71459

Vernon Parish (706) 787-6945

DR. ANNIKA ELAINE ZIMMERMAN AU.D.

Audiologist

1585 3RD ST
FORT JOHNSON, LA 71459

Vernon Parish (337) 531-2629

MARCO I MIRNICS DPT

Physical Therapist

1585 3RD ST
FORT JOHNSON, LA 71459

Vernon Parish (615) 609-1424

LILLIAN ROZANSKI KEPPINGER RD

Dietitian, Registered

1585 3RD ST
FORT JOHNSON, LA 71459

Vernon Parish (318) 451-6947

KIARA GLORIA YEATMAN SCHIEN DO

Pediatrics

1585 3RD ST
FORT POLK, LA 71459

Vernon Parish (726) 780-2385

GERARD TIFFAULT MD

Emergency Medicine

1585 3RD ST
FORT POLK, LA 71459

Vernon Parish (240) 351-9565

MARK BRADLEY

Social Worker (Clinical)

1585 3RD ST, BJACH
FORT POLK, LA 71459

Vernon Parish (337) 531-3942

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 Destefano's NPI number?

The NPI number for John Destefano is 1124289111. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is John Destefano located?

John Destefano practices at 1585 3rd St, Fort Polk, LA 71459. The listed phone number is (337) 531-3427.

What is John Destefano's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is John Destefano enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for John Destefano was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.