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MR. JESSE FODERO MD
NPI 1962935460
Emergency Medicine - Sports Medicine in Niagara Falls, NY

Active since April 11, 2017PECOS EnrolledAccepts Medicare Assignment
87.31/100
CMS Quality Rating
6934 WILLIAMS RD STE 600, NIAGARA FALLS, NY 14304(716) 204-3200 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 24, 2021, Nov 17, 2020, Jun 25, 2020 and 1 more (4 updates tracked since 2017).

About Mr. Jesse Fodero Md NPPES

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

MR. JESSE FODERO MD (NPI 1962935460) is an individual sports medicine provider in Niagara Falls, New York, licensed in New York (304141) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1962935460
Entity TypeIndividualMale
Primary Taxonomy207PS0010X
Provider Legal NameMR. JESSE FODEROCredential: MD
Location Address6934 WILLIAMS RD STE 600Niagara Falls, NY 14304-3081
Mailing Address4225 Genesee St Ste 400Cheektowaga, NY 14225-1994 · (716) 204-3200
Phone(716) 204-3200
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2017
Enumeration DateApril 11, 2017
Last NPPES UpdateAugust 24, 20214 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1962935460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License✔ Licensed in NY · 304141
Definition
An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 304141 (NY)
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 304141 (NY)
6934 WILLIAMS RD STE 600, Niagara Falls, NY 14304
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Secondary Practice Locations 3

Location 15959 Big Tree Rd Ste 108Orchard Park, NY 14127-2291 · Phone (716) 204-3200
Location 24949 Harlem RdAmherst, NY 14226-2500 · Phone (716) 204-3200
Location 3100 High StBuffalo, NY 14203-1126 · Phone (716) 859-1499 · Fax (716) 859-1555

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

Mr. Jesse Fodero Md 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 ID9133466550
PECOS Enrollment IDI20200608001517
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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
191 services23 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.
115 services114 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
85 services83 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
80 services30 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.
52 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Niagara Falls Memorial Medical Center

Acute Care Hospitals · Niagara Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330065
Location621 Tenth StreetNiagara Falls, NY 14302 · Niagara County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14304 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

87.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.9
Promoting Interoperability99
Improvement Activities40
Cost79.2

Other Providers at the Same Location NPPES

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

DR. CLAYTON LOUIS DEL PRINCE M.D.
Orthopaedic Surgery (Sports Medicine)
6934 WILLIAMS RD STE 600
NIAGARA FALLS, NY 14304
Niagara County (716) 204-3200

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 Jesse Fodero's NPI number?

The NPI number for Jesse Fodero is 1962935460. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Jesse Fodero located?

Jesse Fodero practices at 6934 Williams Rd Ste 600, Niagara Falls, NY 14304. The listed phone number is (716) 204-3200.

What is Jesse Fodero's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

Is Jesse Fodero enrolled in Medicare?

Yes. Jesse Fodero 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.

Is Jesse Fodero affiliated with any hospitals?

According to CMS data, Jesse Fodero is affiliated with Kaleida Health and Niagara Falls Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Jesse Fodero was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.