DR. JEFFREY W. FIDONE (M.D.) – Critical Care Medicine (Internal Medicine) Physician, NPI 1316945694

DR. JEFFREY W. FIDONE (M.D.) is a healthcare provider. based in Tyler, Texas. specializing in CRITICAL CARE (INTENSIVISTS), INTERNAL MEDICINE, PULMONARY DISEASE, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 31842 (OK). The NPI Number for DR. JEFFREY W. FIDONE (M.D.) is 1316945694

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
DR. JEFFREY W. FIDONE (M.D.)
NPI
1316945694
Phone
(903) 571-1985
Address
15210 COUNTY ROAD 164
Enumeration Date
12 July 2005
Last Update Date
1 August 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9365699481
Graduation Year
1988 (38 years ago)
PAC ID
0446164859
Group Practice PAC ID
7618237264
Professional Enrollment ID
I20041023000239
Address ID
TX759651254NA4920XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience77
Completeness75
Years active:20State licenses:3Digital endpointsOther names

1,360 CRITICAL CARE (INTENSIVISTS) in TX

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Provider Addresses for DR. JEFFREY W. FIDONE (M.D.)

  • County Road, Tyler County, Texas, United States

    TYLER, TX 75703

    Phone: (903) 571-1985

    Type: Mailing

  • 11104 Parkview Circle Dr Ste 410

    Fort Wayne, IN 468450025

    Phone: (260) 266-5260

    Fax: (260) 266-5279

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-09-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20041023000239ICritical Care (Intensivists)TXTBD
I20180604000634ICritical Care (Intensivists)INTBD
I20240921000473IInternal MedicineMOTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3225$0
99291Critical care, first 30-74 minutes3217$0
View full utilization report →

Insurance plans in this area (ZIP 75703)

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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: 7618237264View full group profile
NameSpecialtyState
Family PracticeTX
Hospitalist, Internal MedicineTX
Family Practice, HospitalistPA
Internal MedicineTX
Family PracticeNM
Internal Medicine, Hospitalist, Internal MedicineTX
Internal MedicineTX
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerLA

Reviews

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Frequently asked questions

How is DR. JEFFREY W. FIDONE (M.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. JEFFREY W. FIDONE (M.D.) with NPI 1316945694.
Is DR. JEFFREY W. FIDONE (M.D.) still practicing?
DR. JEFFREY W. FIDONE (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. JEFFREY W. FIDONE (M.D.)?
For research purposes, treat DR. JEFFREY W. FIDONE (M.D.) as Critical Care Medicine (Internal Medicine) Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JEFFREY W. FIDONE (M.D.) on a map?
Expect Tyler, Texas as a primary anchor for DR. JEFFREY W. FIDONE (M.D.) unless the record lists multiple sites.
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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