DR. DOUGLAS M FETTERMAN (M.D.) – Anesthesiology Physician, NPI 1043339971
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,263 ANESTHESIOLOGY in NY
Provider Addresses for DR. DOUGLAS M FETTERMAN (M.D.)
301 PROSPECT AVENUE
SYRACUSE, NY 13203
Phone: (315) 448-5440
Fax: (315) 472-5010
Type: Mailing
301 PROSPECT AVE
SYRACUSE, NY 13203
Phone: (315) 448-5440
Fax: (315) 472-5010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $1,075.
Total Amount is formed as General ($1,075) + Research ($0) + Ownership ($0) = $1,075.
Last reported payment date: 2024-12-27 • Largest payer in this snapshot: ABIOMED ($552).
Total Amount
$1,075
General + Research + Ownership
Payments
48
Total payment records
General Amount
$1,075
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $552 |
| Edwards Lifesciences Corporation | $284 |
| Medtronic, Inc. | $213 |
| Abbott Laboratories | $25 |
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: 2009-09-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20090918000146 | I | Anesthesiology | NY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 113 | 33 | $0 |
| 36620 | Insertion of artery tube for blood sampling or infusion through skin | 36 | 35 | $0 |
| 00560 | Anesthesia for procedure on heart and large blood vessels | 20 | 20 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 16 | 16 | $0 |
| 00537 | Anesthesia for procedure to assess heart electrical activity | 12 | 11 | $0 |
Insurance plans in this area (ZIP 13203)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| Family Practice | NY | |
| Family Practice | NY | |
| Physician Assistant | NY | |
| - | NY | |
| Nurse Practitioner | NY | |
| Cardiovascular Disease (Cardiology) | NY | |
| - | NY | |
| Physician Assistant | FL | |
| Nurse Practitioner | NY |
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