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JOHN P FEZZA MD
NPI 1184715187
Ophthalmology - Ophthalmic Plastic and Reconstructive Surgery in Venice, FL

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment
85.3/100
CMS Quality Rating
1370 E VENICE AVE STE 205, VENICE, FL 34285(941) 488-2020 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2020, Apr 1, 2016 (2 updates tracked since 2016).

About John P Fezza Md NPPES

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

JOHN P FEZZA MD (NPI 1184715187) is an individual ophthalmic plastic and reconstructive surgery provider in Venice, Florida, licensed in Florida (ME76288) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1184715187
Entity TypeIndividualMale
Primary Taxonomy207WX0200X
Provider Legal NameJOHN P FEZZACredential: MD
Location Address1370 E VENICE AVE STE 205Venice, FL 34285-9084
Mailing Address1360 E Venice AveVenice, FL 34285-9066 · (941) 488-2020 · Fax (941) 484-2200
Phone(941) 488-2020
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1992
Enumeration DateSeptember 27, 2006
Last NPPES UpdateNovember 27, 20232 updates tracked since enumeration
NPPES CertifiedMay 27, 2020
✔ NPI 1184715187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207WX0200X
License✔ Licensed in FL · ME76288
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
Also ListedOphthalmologyTaxonomy 207W00000X · License ME76288 (FL)
1370 E VENICE AVE STE 205, Venice, FL 34285
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11360 E Venice AveVenice, FL 34285-9066 · Phone (941) 488-2020 · Fax (941) 484-2200
Location 21800 S McCall RdEnglewood, FL 34223-4958 · Phone (941) 480-2135
Location 32601 S Tamiami TrlSarasota, FL 34239-4504 · Phone (941) 480-2135

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan.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

John P Fezza 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 ID4981626470
PECOS Enrollment IDI20051227000609
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 5

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.

Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
262 services254 patients
Removal of excessive skin and fat of upper eyelid 15823
This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.
213 services213 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
37 services37 patients
Reconstruction of eyelid margin 67950
Reconstruction of the eyelid margin is a surgical procedure to repair defects or abnormalities in the eyelid. It helps to protect the eye, improve vision, and enhance appearance. The surgery involves reshaping the eyelid using tissue grafts or flaps.
31 services29 patients
Removal of over 1/4 of eyelid margin and repair of eyelid 67966
This procedure involves the removal of more than a quarter of the eyelid margin due to conditions like tumors, infections, or injuries. The remaining part is then repaired to restore normal function and appearance. It's a safe procedure done under local anesthesia.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100087
Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34285 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.

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.

85.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.95
Promoting Interoperability97
Improvement Activities40
Cost53.56

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
64%485 patients3/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 3

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

SHANNON BEDNARZ PA-C
Physician Assistant
1370 E VENICE AVE STE 205
VENICE, FL 34285
Sarasota County (941) 488-2020
JOSHUA M NEWMAN MD
Dermatology
1370 E VENICE AVE STE 205
VENICE, FL 34285
Sarasota County (941) 488-2020
KALIE KOSEK PA-C
Physician Assistant
1370 E VENICE AVE STE 205
VENICE, FL 34285
Sarasota County (941) 488-2020

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 Fezza's NPI number?

The NPI number for John Fezza is 1184715187. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is John Fezza located?

John Fezza practices at 1370 E Venice Ave Ste 205, Venice, FL 34285. The listed phone number is (941) 488-2020.

What is John Fezza's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery, with taxonomy code 207WX0200X.

Is John Fezza enrolled in Medicare?

Yes. John Fezza 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 John Fezza accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Providence Health Plan list John Fezza 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 John Fezza affiliated with any hospitals?

According to CMS data, John Fezza is affiliated with Sarasota Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Fezza was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.