COURTNEY GORDON FETTO CAA
NPI 1417365560
Anesthesiologist Assistant in West Palm Beach, FL

Q: What is Courtney Fetto's NPI number?

The NPI number for Courtney Fetto is 1417365560. It was assigned to this individual provider in the NPPES registry on July 31, 2014. The provider is also known as Courtney Gordon.

Q: What is Courtney Fetto's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Courtney Fetto was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 31, 2014Accepts Medicare Assignment

1309 N FLAGLER DR, WEST PALM BEACH, FL 33401(561) 655-5511 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2026, Mar 26, 2026, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

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About Courtney Gordon Fetto Caa NPPES

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

COURTNEY GORDON FETTO CAA (NPI 1417365560) is an individual anesthesiologist assistant in West Palm Beach, Florida, licensed in Florida (AA219) and active in the NPI registry since July 2014. She maintains a secondary practice location in Tampa and is a graduate of Other (2014).

NPPES Registry Identity

NPI1417365560

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameCOURTNEY GORDON FETTOCredential: CAA

Location Address1309 N FLAGLER DRWest Palm Beach, FL 33401-3406

Mailing Address401 Mangrove PtJupiter, FL 33458-8354 · (229) 322-8497

Phone(561) 655-5511

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 31, 2014

Last NPPES UpdateApril 10, 20265 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1417365560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in FL · AA219

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1309 N FLAGLER DR, West Palm Beach, FL 33401

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Other Names 1

Other Name (5)Courtney Gordon

Secondary Practice Location 1

Location 14805 W Laurel StTampa, FL 33607-4552 · Phone (727) 230-1576

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

Courtney Gordon Fetto Caa 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 ID2769604842

PECOS Enrollment IDI20141104002444

Areas of Expertise CMS Part B claims 2

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.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

22 services22 patients

Anesthesia for procedure on small and large bowel using an endoscope 00813

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

14 services14 patients

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

Pre-operative OSA assessment

Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)

90%349 patients4/55-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 20

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

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