JOHN BRADFORD FASANO (M.D.) – Plastic Surgery Physician, NPI 1649281346

JOHN BRADFORD FASANO (M.D.) is a healthcare provider. based in Stuart, Florida. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials M.D.. They hold a License No. 61260 (FL). The NPI Number for JOHN BRADFORD FASANO (M.D.) is 1649281346

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
JOHN BRADFORD FASANO (M.D.)
NPI
1649281346
Phone
(772) 221-9111
Address
509 SE RIVERSIDE DR
Enumeration Date
10 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
GEISEL SCHOOL OF MEDICINE AT DARTMOUTH
Secondary Phone
7722219111
Graduation Year
1985 (41 years ago)
PAC ID
9931392750
Professional Enrollment ID
I20101025000541
Address ID
FL349942579ST509XXDRXX406
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

473 PLASTIC AND RECONSTRUCTIVE SURGERY in FL

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Provider Addresses for JOHN BRADFORD FASANO (M.D.)

  • John B Fasano MD, 509, Southeast Riverside Drive, Stuart, Martin County, Florida, 34994, United States

    SUITE 206

    STUART, FL 349942579

    Phone: (772) 221-9111

    Mailing address matches the actual address.

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 $489.

Total Amount is formed as General ($489) + Research ($0) + Ownership ($0) = $489.

Last reported payment date: 2024-05-30 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($166).

Total Amount

$489

General + Research + Ownership

Payments

12

Total payment records

General Amount

$489

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-30

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: 2010-10-25

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
I20101025000541IPlastic And Reconstructive SurgeryFLTBD

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
99204New patient office or other outpatient visit, 45-59 minutes1717$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 34994)

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Provider's Procedures

JOHN BRADFORD FASANO (M.D.) performs procedures in PLASTIC AND RECONSTRUCTIVE SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PLASTIC AND RECONSTRUCTIVE SURGERYFL14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips1212

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Frequently asked questions

What is the 10-digit NPI for JOHN BRADFORD FASANO (M.D.)?
JOHN BRADFORD FASANO (M.D.) — NPI 1649281346 — is the standard way to identify this listing.
Is JOHN BRADFORD FASANO (M.D.) still practicing?
JOHN BRADFORD FASANO (M.D.) is currently listed as active in the public NPI registry.
What is JOHN BRADFORD FASANO (M.D.)'s primary classification?
Plastic Surgery Physician is the headline specialty for JOHN BRADFORD FASANO (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does JOHN BRADFORD FASANO (M.D.) serve?
JOHN BRADFORD FASANO (M.D.)'s listing highlights Stuart, Florida; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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