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: August 09, 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
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

Other Identifiers 1

Other265947NY · License

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

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.

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 7

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

Family Medicine
5586 LEGIONNAIRE DR STE 1
CICERO, NY 13039
Physician Assistant
5586 LEGIONNAIRE DR STE 1
CICERO, NY 13039
Family Medicine
5586 LEGIONNAIRE DR STE 1
CICERO, NY 13039
Family Medicine
5586 LEGIONNAIRE DR STE 1
CICERO, NY 13039
Physician Assistant
5586 LEGIONNAIRE DR STE 1
CICERO, NY 13039
Family Medicine
5586 LEGIONNAIRE DR STE 1
CICERO, NY 13039
Family Medicine
5586 LEGIONNAIRE DR STE 1
CICERO, NY 13039

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.

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 13 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.