DR. THOMAS ARTHUR FUSCO D.P.M.
NPI 1467687350
Podiatrist - Foot & Ankle Surgery in Fort Walton Beach, FL

Active since May 20, 2009PECOS EnrolledAccepts Medicare Assignment
75.07/100
CMS Quality Rating
1034 MAR WALT DR, SUITE 100, FORT WALTON BEACH, FL 32547(850) 863-2153(850) 863-8085 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thomas Arthur Fusco D.p.m. NPPES

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

DR. THOMAS ARTHUR FUSCO D.P.M. (NPI 1467687350) is an individual foot & ankle surgery provider in Fort Walton Beach, Florida, licensed in Florida (PO3553) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and is a graduate of Kent State University College Of Podiatric Medicine (2009).

NPPES Registry Identity

NPI1467687350
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. THOMAS ARTHUR FUSCOCredential: D.P.M.
Location Address1034 MAR WALT DR, SUITE 100Fort Walton Beach, FL 32547-6639
Mailing Address1034 Mar Walt Dr Unit 100Fort Walton Beach, FL 32547-6637 · (850) 863-2153 · Fax (850) 863-2153
Fax(850) 863-8085
Sole ProprietorNo
Medical School CMSKent State University College Of Podiatric MedicineGraduated 2009
Enumeration DateMay 20, 2009
Last NPPES UpdateMay 6, 2015
NPI 1467687350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses Licensed in FL · PO3553 Licensed in OH · 36.003605
1034 MAR WALT DR, Fort Walton Beach, FL 32547

Other Identifiers 2

Medicaid006303300FL
Medicare PIN6505YFL

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

Dr. Thomas Arthur Fusco D.p.m. 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 ID1557517257
PECOS Enrollment IDI20120813000511
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 24

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.

X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
616 services381 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
475 services296 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
265 services23 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
239 services23 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
229 services22 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
224 services19 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Hca Florida Twin Cities Hospital

Acute Care Hospitals · Niceville, FL
4/5 CMS rating
OwnershipProprietary
CMS Certification Number100054
Location2190 Hwy 85 NNiceville, FL 32578 · Okaloosa County
Emergency services

North Okaloosa Medical Center

Acute Care Hospitals · Crestview, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100122
Location151 Redstone Ave SECrestview, FL 32539 · Okaloosa County
Emergency services Birthing friendly

Hca Florida Fort Walton-Destin Hospital

Acute Care Hospitals · Fort Walton Beach, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100223
Location1000 Mar-Walt DrFort Walton Beach, FL 32547 · Okaloosa County
Emergency services Birthing friendly

Sacred Heart Hospital On The Emerald Coast

Acute Care Hospitals · Miramar Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100292
Location7800 Us Hwy 98 WMiramar Beach, FL 32550 · Walton County
Emergency services Birthing friendly

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.

75.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.7
Promoting Interoperability100
Improvement Activities40
Cost64.21

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%947 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
2 suppliers16 claims307 services$20.30 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier12 claims304 services$9.38 avg. paid by Medicare
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
4 suppliers16 claims17 services$61.24 avg. paid by Medicare
Ankle foot orthosis, plastic with ankle joint, custom fabricated L1970
DME-Orthotic Devices · category DF003N
2 suppliers15 claims17 services$638.64 avg. paid by Medicare
Addition to lower extremity, varus/valgus correction, plastic modification, padded/lined L2275
DME-Orthotic Devices · category DF000N
2 suppliers12 claims14 services$97.01 avg. paid by Medicare
Addition to lower extremity orthosis, soft interface for molded plastic, below knee section L2820
DME-Orthotic Devices · category DF000N
2 suppliers19 claims21 services$67.76 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 20

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

Physician Assistant
1034 MAR WALT DR
FORT WALTON BEACH, FL 32547
Physical Therapist
1034 MAR WALT DR
FORT WALTON BEACH, FL 32547
Psychiatry & Neurology (Neurology)
1034 MAR WALT DR, SUITE 100
FORT WALTON BEACH, FL 32547
Physician Assistant
1034 MAR WALT DR
FT WALTON BCH, FL 32547
Ophthalmology
1034 MAR WALT DR, STE 200
FORT WALTON BEACH, FL 32547
Physician Assistant
1034 MAR WALT DR
FORT WALTON BEACH, FL 32547
Orthopaedic Surgery
1034 MAR WALT DR, SUITE 100
FORT WALTON BEACH, FL 32547
Nurse Anesthetist, Certified Registered
1034 MAR WALT DR
FORT WALTON BEACH, FL 32547

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 Thomas Fusco's NPI number?

The NPI number for Thomas Fusco is 1467687350. It was assigned to this individual provider in the NPPES registry on May 20, 2009.

Where is Thomas Fusco located?

Thomas Fusco practices at 1034 Mar Walt Dr Suite 100, Fort Walton Beach, FL 32547. The listed phone number is (850) 863-2153.

What is Thomas Fusco's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Thomas Fusco enrolled in Medicare?

Yes. Thomas Fusco 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 Thomas Fusco accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Thomas Fusco 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 Thomas Fusco affiliated with any hospitals?

According to CMS data, Thomas Fusco is affiliated with Sacred Heart Hospital, Hca Florida Twin Cities Hospital, North Okaloosa Medical Center, Hca Florida Fort Walton-Destin Hospital and Sacred Heart Hospital On The Emerald Coast.

When was this NPI record last updated?

The NPPES record for Thomas Fusco was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.