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JUSTIN P FEDOR DO
NPI 1982831483
Family Medicine in Cicero, NY

Active since June 11, 2009PECOS EnrolledAccepts Medicare Assignment
5586 LEGIONNAIRE DR STE 1, CICERO, NY 13039(315) 699-2837(315) 699-2734 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Justin P Fedor Do NPPES

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

JUSTIN P FEDOR DO (NPI 1982831483) is an individual family medicine provider in Cicero, New York, licensed in New York (265947) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Oswego Hospital, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2009).

NPPES Registry Identity

NPI1982831483
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTIN P FEDORCredential: DO
Location Address5586 LEGIONNAIRE DR STE 1Cicero, NY 13039-3504
Mailing Address5586 Legionnaire Dr Ste 1Cicero, NY 13039-3504 · (315) 699-2837 · Fax (315) 699-2734
Phone(315) 699-2837
Fax(315) 699-2734
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2009
Enumeration DateJune 11, 2009
Last NPPES UpdateSeptember 19, 2012
✔ NPI 1982831483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 265947
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5586 LEGIONNAIRE DR STE 1, Cicero, NY 13039
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Other Identifiers 1

Other265947NY · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justin P Fedor Do 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 ID6103075056
PECOS Enrollment IDI20121009000440
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 Billing Reassignments

3

Medicare enrollment records show Justin Fedor reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Josephs Medical PC
4.1 mi
Family Medicine
5100 W TAFT RD
Liverpool, NY 13088
  • Reassigned Medicare billing, New York enrollment
  • 625 clinicians in this Medicare group
NPI 1942501747 (315) 452-2828
Port City Emergency Physicians LLP
7.7 mi
Emergency Medicine
3045 EAST AVE
Central Square, NY 13036
  • Reassigned Medicare billing, New York enrollment
  • 129 clinicians in this Medicare group
NPI 1669721296 (866) 916-5259
Cma Medical Practice PLLC
53 mi
Emergency Medicine
101 DATES DR
Ithaca, NY 14850
  • Reassigned Medicare billing, New York enrollment
  • 59 clinicians in this Medicare group
NPI 1962985564 (607) 274-4011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Oswego Hospital

Acute Care Hospitals · Oswego, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330218
Location110 West Sixth StreetOswego, NY 13126 · Oswego County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13039 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.

Other Providers at the Same Location NPPES 6

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

JOY C COMMISSO MD
Family Medicine
5586 LEGIONNAIRE DR STE 1
CICERO, NY 13039
Onondaga County (315) 699-2837
SAMANTHA MAY STEVENS PA-C
Physician Assistant
5586 LEGIONNAIRE DR STE 1
CICERO, NY 13039
Onondaga County (315) 699-2837
JAMES D TELONIS MD
Family Medicine
5586 LEGIONNAIRE DR STE 1
CICERO, NY 13039
Onondaga County (315) 699-2837
JEHANZEB BUKHARI PA
Physician Assistant
5586 LEGIONNAIRE DR STE 1
CICERO, NY 13039
Onondaga County (315) 699-2837
FAMILY MEDICINE ASSOCIATES OF CENTRAL NEW YORK, P.C.
Family Medicine
5586 LEGIONNAIRE DR STE 1
CICERO, NY 13039
Onondaga County (315) 699-2837
ANDREW CALL M.D.
Family Medicine
5586 LEGIONNAIRE DR STE 1
CICERO, NY 13039
Onondaga County (315) 699-2837

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 Justin Fedor's NPI number?

The NPI number for Justin Fedor is 1982831483. It was assigned to this individual provider in the NPPES registry on June 11, 2009.

Where is Justin Fedor located?

Justin Fedor practices at 5586 Legionnaire Dr Ste 1, Cicero, NY 13039. The listed phone number is (315) 699-2837.

What is Justin Fedor's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Justin Fedor enrolled in Medicare?

Yes. Justin Fedor 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.

Which organizations bill Medicare for Justin Fedor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Fedor reassigns Medicare benefits to 3 organizations: St Josephs Medical PC (Liverpool, NY), Port City Emergency Physicians LLP (Central Square, NY) and Cma Medical Practice PLLC (Ithaca, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Fedor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Justin Fedor affiliated with any hospitals?

According to CMS data, Justin Fedor is affiliated with Oswego Hospital.

When was this NPI record last updated?

The NPPES record for Justin Fedor was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.