DR. JEFFREY W. FIDONE M.D.
NPI 1316945694
Internal Medicine - Critical Care Medicine in Tyler, TX
About Dr. Jeffrey W. Fidone M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEFFREY W. FIDONE M.D. (NPI 1316945694) is an individual critical care medicine provider in Tyler, Texas, licensed in Indiana (01080093A) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Research Medical Center, and maintains a secondary practice location in Fort Wayne.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jeffrey W. Fidone M.d. 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.
Medicare Billing Reassignments
11Medicare enrollment records show Jeffrey Fidone reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Nacogdoches, TX 75961
- Reassigned Medicare billing, Texas enrollment
- 41 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Texas enrollment
- 1,208 clinicians in this Medicare group
Mansfield, TX 76063
- Reassigned Medicare billing, Texas enrollment
- 994 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Texas enrollment
- 2,009 clinicians in this Medicare group
Cedar Park, TX 78613
- Reassigned Medicare billing, Texas enrollment
- 828 clinicians in this Medicare group
Austin, TX 78735
- Reassigned Medicare billing, Texas enrollment
- 241 clinicians in this Medicare group
Kansas City, MO 64132
- Reassigned Medicare billing, Missouri enrollment
- 85 clinicians in this Medicare group
Kansas City, MO 64132
- Reassigned Medicare billing, Missouri enrollment
- 26 clinicians in this Medicare group
Scottsdale, AZ 85254
- Reassigned Medicare billing, Texas enrollment
- 163 clinicians in this Medicare group
Boca Raton, FL 33431
- Reassigned Medicare billing, Indiana enrollment
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Research Medical Center
Acute Care Hospitals · Kansas City, MOChi St Lukes Health Memorial Lufkin
Acute Care Hospitals · Lufkin, TXNacogdoches Medical Center
Acute Care Hospitals · Nacogdoches, TXLongview Regional Medical Center
Acute Care Hospitals · Longview, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
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 Jeffrey Fidone's NPI number?
The NPI number for Jeffrey Fidone is 1316945694. It was assigned to this individual provider in the NPPES registry on July 12, 2005.
Where is Jeffrey Fidone located?
Jeffrey Fidone practices at 15210 County Road 164, Tyler, TX 75703. The listed phone number is (903) 571-1985.
What is Jeffrey Fidone's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is Jeffrey Fidone enrolled in Medicare?
Yes. Jeffrey Fidone 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.
Which organizations bill Medicare for Jeffrey Fidone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Fidone reassigns Medicare benefits to 11 organizations: Lone Star Integrated Acute Care Of East Texas PLLC (Nacogdoches, TX), Cogent Healthcare Of Texas, PA (Dallas, TX), Lonestar Hospital Medicine Associates, PA (Mansfield, TX), Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Usacs Integrated Acute Care Services Of Texas, PLLC (Cedar Park, TX) and 6 more organizations, listed in the Medicare section above. Each 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 Jeffrey Fidone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeffrey Fidone accept?
Health plans from Blue Cross and Blue Shield of Texas, CareSource, Mending Health, Molina Healthcare and Paramount and 1 other insurer list Jeffrey Fidone 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 Jeffrey Fidone affiliated with any hospitals?
According to CMS data, Jeffrey Fidone is affiliated with Research Medical Center, Chi St Lukes Health Memorial Lufkin, Nacogdoches Medical Center and Longview Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Jeffrey Fidone was last updated on August 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Dr. Jeffrey W. Fidone, M.D. · NPI 1316945694
Critical Care Medicine physician in Tyler, Texas. Individual provider, active in the CMS NPPES registry since July 12, 2005.
## Identity
- **NPI:** 1316945694 (Entity type: Individual)
- **Enumerated:** July 12, 2005
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 01080093A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 15210 COUNTY ROAD 164, Tyler, TX 75703
- **Phone:** (903) 571-1985
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 11 organizations under Medicare reassignment (form CMS-855R): Lone Star Integrated Acute Care Of East Texas PLLC (NPI 1669306890, Nacogdoches, TX); Cogent Healthcare Of Texas, PA (NPI 1992722953, Dallas, TX); Lonestar Hospital Medicine Associates, PA (NPI 1518237429, Mansfield, TX); Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX); Usacs Integrated Acute Care Services Of Texas, PLLC (NPI 1801300322, Cedar Park, TX); and 6 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1988
## Record status
- **NPPES last updated:** August 1, 2019
- **Other identifiers:** Other 290005858 (TX); Medicaid 102165102 (TX)
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Source: [NPI Profile](https://npiprofile.com/npi/1316945694) · Data from the CMS NPPES public registry.