BRIAN THOMAS ZAFONTE (M.D., PH.D.) – Orthopaedic Surgery Physician, NPI 1003112947
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
628 ORTHOPEDIC SURGERY in WI
Provider Addresses for BRIAN THOMAS ZAFONTE (M.D., PH.D.)
3811 SPRING ST
SUITE 102
MOUNT PLEASANT, WI 534051667
Phone: (262) 687-5800
Type: Location
4 FULLER ST
ALEXANDRIA BAY, NY 136071391
Phone: (315) 482-1251
Fax: (315) 482-4847
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 28 Open Payments records for all available years, with a total value of $1,424.
Total Amount is formed as General ($1,424) + Research ($0) + Ownership ($0) = $1,424.
Last reported payment date: 2024-12-22 • Largest payer in this snapshot: Stryker Corporation ($1,200).
Total Amount
$1,424
General + Research + Ownership
Payments
28
Total payment records
General Amount
$1,424
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $1,200 |
| Skeletal Dynamics Inc | $81 |
| Medartis Inc. | $61 |
| VERTEX PHARMACEUTICALS INCORPORATED | $27 |
| Pacira Pharmaceuticals Incorporated | $23 |
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: 2024-08-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161017001170 | I | Hand Surgery | WI | TBD |
| I20220105002737 | I | Orthopedic Surgery | NY | TBD |
| I20240809003965 | I | Orthopedic Surgery | NC | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 72 | 62 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 60 | 48 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 59 | 59 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 48 | 48 | $0 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 23 | 16 | $0 |
Insurance plans in this area (ZIP 53405)
Loading plans...
Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| - | NY | |
| General Surgery, Thoracic Surgery | NY | |
| Nurse Practitioner | TX | |
| Physician Assistant | NY | |
| - | NY | |
| Clinical Social Worker | NY | |
| Physician Assistant | FL | |
| A N E S T H E S I O L O G Y | IN | |
| Physician Assistant | NY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.