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JOHN FULGINITI III MD
NPI 1235216888
Family Medicine in New Smyrna Beach, FL

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
80.96/100
CMS Quality Rating
807 E 7TH AVE, NEW SMYRNA BEACH, FL 32169(386) 259-8803(386) 281-9981 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Fulginiti Iii Md NPPES

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

JOHN FULGINITI III MD (NPI 1235216888) is an individual family medicine provider in New Smyrna Beach, Florida, licensed in Florida (ME95369) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miramar, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2023).

NPPES Registry Identity

NPI1235216888
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN FULGINITI IIICredential: MD
Location Address807 E 7TH AVENew Smyrna Beach, FL 32169-3109
Mailing AddressPo Box 1268New Smyrna Beach, FL 32170-1268 · (386) 259-8803 · Fax (386) 281-9981
Phone(386) 259-8803
Fax(386) 281-9981
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2023
Enumeration DateNovember 1, 2006
Last NPPES UpdateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
✔ NPI 1235216888 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME95369
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSurgeryTaxonomy 208600000X · License ME95369 (FL), 35072292 (OH)
Also ListedGeneral PracticeTaxonomy 208D00000X · License ME95369 (FL)
807 E 7TH AVE, New Smyrna Beach, FL 32169
Open in Google Maps ↗

Secondary Practice Location 1

Location 13601 SW 160th Ave, Suite 250Miramar, FL 33027-6308 · Phone (877) 866-7123

Other Identifiers 1

Medicaid102853300FL

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 Fulginiti Iii 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 ID143304733
PECOS Enrollment IDI20080220000562
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 3

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.

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
116 services115 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
33 services24 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
30 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32169 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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.

80.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.44
Promoting Interoperability100
Improvement Activities40
Cost24.77

Other Providers at the Same Location NPPES

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

WHATEVER IT TAKES MEDICAL, LLC
Internal Medicine
807 E 7TH AVE
NEW SMYRNA BEACH, FL 32169
Volusia County (386) 222-3932

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 Fulginiti's NPI number?

The NPI number for John Fulginiti is 1235216888. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is John Fulginiti located?

John Fulginiti practices at 807 E 7th Ave, New Smyrna Beach, FL 32169. The listed phone number is (386) 259-8803.

What is John Fulginiti's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Fulginiti enrolled in Medicare?

Yes. John Fulginiti 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.

When was this NPI record last updated?

The NPPES record for John Fulginiti was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.