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MARK BRAGANZA
NPI 1609537588
Physician Assistant in Fort Myers, FL

Active since January 04, 2022PECOS EnrolledAccepts Medicare Assignment
2776 CLEVELAND AVE, FORT MYERS, FL 33901(239) 343-1614(239) 343-3695 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2024, Nov 14, 2023, Jan 4, 2022 (3 updates tracked since 2022).

About Mark Braganza NPPES

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

MARK BRAGANZA (NPI 1609537588) is an individual physician assistant in Fort Myers, Florida, licensed in Florida (PA9118063) and active in the NPI registry since January 2022. He is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Davie.

NPPES Registry Identity

NPI1609537588
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMARK BRAGANZA
Location Address2776 CLEVELAND AVEFort Myers, FL 33901-5864
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-1614 · Fax (239) 343-3695
Phone(239) 343-1614
Fax(239) 343-3695
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 4, 2022
Last NPPES UpdateJanuary 5, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1609537588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9118063
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2776 CLEVELAND AVE, Fort Myers, FL 33901
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Secondary Practice Location 1

Location 13200 S University DrDavie, FL 33328-2018 · Phone (954) 262-1250

Other Identifiers 1

Medicaid120417700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Mark Braganza 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 ID8022466077
PECOS Enrollment IDI20231130003533
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
109 services109 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
49 services49 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
38 services38 patients

Hospital Affiliations CMS Care Compare

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

FELICIA NICOLE REEVES CAA
Anesthesiologist Assistant
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (954) 759-1985
DONALD BOUNDS PA
Physician Assistant
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-2606
DR. KARI BETH DUCKWORTH PHARM.D.
Pharmacist
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-3374
JOSEPH GULDE MD
Emergency Medicine
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 334-5606
CARRIE DUNN MD
Emergency Medicine
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-2606
MRS. EMILY JOY NAFTALI PA-C
Physician Assistant (Medical)
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-1614
JULIE MARSHA TEUBER MD
Emergency Medicine
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-1614
JEFFREY ST. FIRMIN PA-C
Physician Assistant
2776 CLEVELAND AVE
FORT MYERS, FL 33901
Lee County (239) 343-2606

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 Mark Braganza's NPI number?

The NPI number for Mark Braganza is 1609537588. It was assigned to this individual provider in the NPPES registry on January 4, 2022.

Where is Mark Braganza located?

Mark Braganza practices at 2776 Cleveland Ave, Fort Myers, FL 33901. The listed phone number is (239) 343-1614.

What is Mark Braganza's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mark Braganza enrolled in Medicare?

Yes. Mark Braganza 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 Mark Braganza accept?

Health plans from AvMed list Mark Braganza 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 Mark Braganza affiliated with any hospitals?

According to CMS data, Mark Braganza is affiliated with Lee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mark Braganza was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.