Individual provider Active NPI

John Anthony Moss, D.O.

  • Vascular Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1063411841
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
OS9710 Issued in FL
Practice address
13731 Metropolis Ave
Fort Myers, FL 33912-7150
Phone
(239) 936-8555
Fax
(239) 936-5611
NPI assigned
Jul 14, 2005
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X OS9710 FL Primary

Addresses

Primary practice location

13731 Metropolis Ave
Fort Myers, FL 33912-7150

Mailing address

13731 Metropolis Ave
Fort Myers, FL 33912-7150
Phone (239) 936-8555

Other identifiers 1

IdentifierTypeStateIssuer
274607700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060213000670 FL Practitioner - Vascular SurgeryPractitioner - General Surgery 0244245272 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Specialists of Southwest Florida PAGroup PAC ID 7810958261, 7 clinicians

Practice addresses (Care Compare)

13731 Metropolis Ave
Fort Myers, FL 33912-7150
Phone (239) 936-8555

6821 Palisades Park CT
Suite 1
Fort Myers, FL 33912-7131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.3 of 100Reported as individual
Quality
82.6
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion37
Leg revascularization (restoring blood flow)14

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialists of Southwest Florida P.a. Vascular Surgery CurrentSince Nov 1, 2019 Accepting new patients
Axel Medical Group LLC CurrentSince Dec 24, 2025 Accepting new patients
Macomb Surgical Associates,P.C. Vascular Surgery PastSince May 1, 2006 Accepting new patients

Locations

13731 Metropolis Ave
Fort Myers, FL 33912
Phone (239) 333-2742

6811 Porto Fino Cir
Fort Myers, FL 33912
Phone (239) 225-1306

6821 Palisades Park Ct
Ste 1
Fort Myers, FL 33912
Phone (239) 936-8555

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jmoss@ssswf.pulsedirectmail.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1063411841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13731 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127150",
            "telephone_number": "239-936-8555",
            "fax_number": "239-936-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13731 METROPOLIS AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339127150",
            "telephone_number": "239-936-8555",
            "fax_number": "239-936-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-14",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "OS9710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274607700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.