Individual provider Active NPI

Peter J Ameglio, MD

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1104857747
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME131013 Issued in FL
Practice address
6839 Porto Fino Cir
Fort Myers, FL 33912-4361
Phone
(239) 990-8138
Fax
(238) 237-3180
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME131013 FL Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X ME131013 FL

Addresses

Primary practice location

6839 Porto Fino Cir
Fort Myers, FL 33912-4361

Mailing address

6839 Porto Fino Cir
Fort Myers, FL 33912-4361
Phone (239) 990-8138

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
I20170324002202 FL Practitioner - Orthopedic Surgery 5395750202 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Albert Einstein College of Medicine of Yeshiva University, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6839 Porto Fino Cir
Fort Myers, FL 33912-4361
Phone (239) 990-8138

Hospital & facility affiliations

  • Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement31
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Gardner Orthopedics, LLC CurrentSince Feb 1, 2017 Accepting new patients
Ameglio Orthopedics LLC Orthopaedic Surgery CurrentSince Jun 1, 2019 Accepting new patients
Gardner Orthopedics LLC Orthopaedic Surgery CurrentSince Feb 1, 2017 Accepting new patients
Southwest Florida Mobile Therapy, Inc. CurrentSince Jul 28, 2024 Accepting new patients
Coastal Orthopedics & Sports Medicine,P.a. Past Accepting new patients

Locations

6160 Winkler Rd
Fort Myers, FL 33919
Phone (239) 362-3005

6839 Porto Fino Cir
Fort Myers, FL 33912
Phone (239) 494-3147

3033 Winkler Ave
Unit 100
Fort Myers, FL 33916
Phone (239) 277-7070

Organizations & group practices 5

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

Hospital & facility affiliations 3

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1104857747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6839 PORTO FINO CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124361",
            "telephone_number": "239-990-8138",
            "fax_number": "239-237-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6839 PORTO FINO CIR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124361",
            "telephone_number": "239-990-8138",
            "fax_number": "238-237-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEGLIO",
        "first_name": "PETER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME131013",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "FL",
            "license": "ME131013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.