PASQUALE JOHN DEFIORE (PA-C) – Physician Assistant, NPI 1063413458

PASQUALE JOHN DEFIORE (PA-C) is a healthcare provider. based in Fort myers, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9102992 (FL). The NPI Number for PASQUALE JOHN DEFIORE (PA-C) is 1063413458

Main info

Male
23 Years Of Experience
Accepts Medicare Assignment
Name
PASQUALE JOHN DEFIORE (PA-C)
NPI
1063413458
Phone
(239) 482-2663
Address
12670 Creekside Ln Ste 202
Enumeration Date
9 August 2005
Last Update Date
6 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2397722363
Graduation Year
2003 (23 years ago)
PAC ID
8527020163
Group Practice PAC ID
1951439660
Professional Enrollment ID
I20050602000914
Address ID
FL339903819CA1402XPLXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for PASQUALE JOHN DEFIORE (PA-C)

  • 12670 Creekside Ln Ste 202

    Fort Myers, FL 339193370

    Phone: (239) 482-2663

    Fax: (239) 482-7585

    Type: Location

  • 8350 RIVERWALK PARK BLVD STE 4

    FORT MYERS, FL 339198759

    Phone: (239) 482-5399

    Fax: (239) 482-4353

    Type: Location

  • 12670 CREEKSIDE LN STE 202

    FORT MYERS, FL 339193370

    Phone: (239) 482-5399

    Fax: (239) 482-4353

    Type: Mailing

  • 8350 RIVERWALK PARK BLVD

    SUITE 1

    FORT MYERS, FL 339198759

    Phone: (239) 482-5399

    Fax: (239) 482-4353

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $521.

Total Amount is formed as General ($521) + Research ($0) + Ownership ($0) = $521.

Last reported payment date: 2024-06-05 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($336).

Total Amount

$521

General + Research + Ownership

Payments

12

Total payment records

General Amount

$521

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-05

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-06-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050602000914IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
20610Aspiration and/or injection of fluid from large joint231138$0
99213Established patient office or other outpatient visit, 20-29 minutes153119$0
73562X-ray of knee, 3 views14396$0
J7321Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose14154$0
73030X-ray of shoulder, minimum of 2 views8055$0
View full utilization report →

Insurance plans in this area (ZIP 33919)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951439660View full group profile
NameSpecialtyState
N E U R O L O G YFL
P O D I A T R YFL
Orthopedic SurgeryFL
Orthopedic SurgeryFL
Family PracticeFL
Family PracticeFL
Nurse PractitionerMO
Physical Therapist In Private PracticeFL
Physician AssistantWI
N E U R O L O G YFL

Reviews

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Frequently asked questions

How is PASQUALE JOHN DEFIORE (PA-C) identified in CMS data?
CMS-hosted NPPES data lists PASQUALE JOHN DEFIORE (PA-C) with NPI 1063413458.
Does CMS list PASQUALE JOHN DEFIORE (PA-C) as active?
Yes — PASQUALE JOHN DEFIORE (PA-C) is active in the NPI listing used on this page.
What is PASQUALE JOHN DEFIORE (PA-C)'s primary classification?
Physician Assistant is the headline specialty for PASQUALE JOHN DEFIORE (PA-C) here. Clinical services aligned with this taxonomy classification.
Where is PASQUALE JOHN DEFIORE (PA-C) based?
PASQUALE JOHN DEFIORE (PA-C) is tied to Fort Myers, Florida in the data we show; additional addresses may exist on the full record.
Is the information about PASQUALE JOHN DEFIORE (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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