GINA MARIE FASANO (PA-C) – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1255958138
Sports Medicine (Orthopaedic Surgery) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GINA MARIE FASANO (PA-C)
7649 DELANCEY DR
COLLEGE GROVE, TN 370462035
Phone: (708) 209-7275
Type: Mailing
369 LAKE DR
SUNRISE BEACH, MO 650795470
Phone: (708) 209-7275
Type: Mailing
54 HOSPITAL DR
OSAGE BEACH, MO 650653050
Phone: (573) 348-8000
Type: Location
PO BOX 9118
MINNEAPOLIS, MN 554809118
Phone: (865) 314-8114
Fax: (865) 692-2352
Type: Mailing
1800 MEDICAL CENTER PKWY
MURFREESBORO, TN 371292567
Phone: (615) 656-7411
Fax: (615) 895-8890
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $22.
Total Amount is formed as General ($22) + Research ($0) + Ownership ($0) = $22.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Hologic Sales and Service, LLC ($22).
Total Amount
$22
General + Research + Ownership
Payments
1
Total payment records
General Amount
$22
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Hologic Sales and Service, LLC | $22 |
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: 2022-08-16
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 |
|---|---|---|---|---|
| I20220816003848 | I | Physician Assistant | TN | 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 |
|---|---|---|---|---|
| 27447 | Replacement of knee joint, both sides of knee | 39 | 37 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 31 | 29 | $0 |
Insurance plans in this area (ZIP 37046)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | NC | |
| Neuropsychiatry, Neurology | MO | |
| - | MO | |
| - | MO | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | MO | |
| - | MO |
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