JOHN PAUL VIDOLIN MD
NPI 1427039569
Orthopaedic Surgery - Sports Medicine in Venice, FL

Active since November 07, 2005PECOS Enrolled
836 SUNSET LAKE BLVD, SUITE 102, VENICE, FL 34292(941) 497-1771(941) 497-1860 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Paul Vidolin Md NPPES

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

JOHN PAUL VIDOLIN MD (NPI 1427039569) is an individual sports medicine provider in Venice, Florida, licensed in Florida (ME0068375) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427039569
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameJOHN PAUL VIDOLINCredential: MD
Location Address836 SUNSET LAKE BLVD, SUITE 102Venice, FL 34292-7554
Mailing Address836 Sunset Lake Blvd, Suite 102Venice, FL 34292-7554 · (941) 497-1771 · Fax (941) 497-1860
Fax(941) 497-1860
Sole ProprietorYes
Enumeration DateNovember 7, 2005
Last NPPES UpdateNovember 16, 2007
NPI 1427039569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in FL · ME0068375
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License ME0068375 (FL)
836 SUNSET LAKE BLVD, Venice, FL 34292

Other Names 1

Other Name (5)John Paul Vidolin Md Pa

Other Identifiers 4

Other27192FL · Bcbs
Medicare UPINF75881
Other27192ZFL · Medicare Provider
Other3925180001Palmetto Gba

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

John Paul Vidolin Md 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.

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

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,024 patients5/55-star benchmark: 100%
Osteoarthritis (OA): Function and Pain Assessment
Percentage of patient visits for patients aged 21 years and older with a diagnosis of osteoarthritis (OA) with assessment for function and pain
100%319 patients5/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
70%657 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
0%462 patients1/55-star benchmark: 77%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers15 claims15 services$47.22 avg. paid by Medicare
Continuous passive motion exercise device for use on knee only E0935
DME-Other DME · category DE000N
1 supplier30 claims554 services$21.96 avg. paid by Medicare
Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf L3670
DME-Orthotic Devices · category DF000N
1 supplier17 claims17 services$108.86 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Physical Therapist
836 SUNSET LAKE BLVD, SUITE 201
VENICE, FL 34292
Internal Medicine (Medical Oncology)
836 SUNSET LAKE BLVD, SUITE #101
VENICE, FL 34292
Physical Therapist
836 SUNSET LAKE BLVD, SUITE 201
VENICE, FL 34292
Physical Therapist
836 SUNSET LAKE BLVD, SUITE 201
VENICE, FL 34292
Dentist (General Practice)
836 SUNSET LAKE BLVD, SUITE #204
VENICE, FL 34292
Dentist (General Practice)
836 SUNSET LAKE BLVD, SUITE 202
VENICE, FL 34292
Internal Medicine (Medical Oncology)
836 SUNSET LAKE BLVD, SUITE 101
VENICE, FL 34292
Orthopaedic Surgery
836 SUNSET LAKE BLVD, STE 102
VENICE, FL 34292

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 Paul Vidolin's NPI number?

The NPI number for John Paul Vidolin is 1427039569. It was assigned to this individual provider in the NPPES registry on November 7, 2005. The provider is also known as John Paul Vidolin MD PA.

Where is John Paul Vidolin located?

John Paul Vidolin practices at 836 Sunset Lake Blvd Suite 102, Venice, FL 34292. The listed phone number is (941) 497-1771.

What is John Paul Vidolin's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is John Paul Vidolin enrolled in Medicare?

Yes. John Paul Vidolin is registered in the Medicare PECOS enrollment system.

What insurance does John Paul Vidolin accept?

Health plans from Oscar Health Maintenance Organization of Florida list John Paul Vidolin 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.

When was this NPI record last updated?

The NPPES record for John Paul Vidolin was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.