JOHN DISTASIO M.D.
NPI 1457351611
Pediatrics in Fort Myers, FL
About John Distasio M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN DISTASIO M.D. (NPI 1457351611) is an individual pediatrics provider in Fort Myers, Florida, licensed in Florida (ME57595) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Miami, Lm Miller School Of Medicine (1985).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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 and accepts Medicare assignment
John Distasio 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33907 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FORT MYERS, FL 33907
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 Distasio's NPI number?
The NPI number for John Distasio is 1457351611. It was assigned to this individual provider in the NPPES registry on July 28, 2005.
Where is John Distasio located?
John Distasio practices at 4751 S Cleveland Ave, Fort Myers, FL 33907. The listed phone number is (239) 343-9888.
What is John Distasio's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is John Distasio enrolled in Medicare?
Yes. John Distasio 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 Distasio accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list John Distasio 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 Distasio was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# John Distasio, M.D. · NPI 1457351611
Pediatrics physician in Fort Myers, Florida. Individual provider, active in the CMS NPPES registry since July 28, 2005.
## Identity
- **NPI:** 1457351611 (Entity type: Individual)
- **Enumerated:** July 28, 2005
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** ME57595 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4751 S CLEVELAND AVE, Fort Myers, FL 33907
- **Phone:** (239) 343-9888 · **Fax:** (239) 343-9868
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Miami, Lm Miller School Of Medicine, class of 1985
## Record status
- **NPPES last updated:** March 25, 2021
- **Other identifiers:** Medicaid 063826900 (FL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1457351611) · Data from the CMS NPPES public registry.