Individual provider Active NPI

Todd A Pezzi, MD

  • Radiation Oncology Physician
  • Bonita Springs, FL
National Provider Identifier
1336674431
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME153410 Issued in FL
Practice address
25243 Elementary Way
Bonita Springs, FL 34135-7898
Phone
(239) 317-2772
Fax
(239) 676-7637
NPI assigned
Apr 26, 2017
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME153410 FL Primary

Addresses

Primary practice location

25243 Elementary Way
Bonita Springs, FL 34135-7898

Mailing address

1860 Boy Scout Dr Ste 201
Fort Myers, FL 33907-2119
Phone (239) 215-1180

Other practice location 1

1775 Davis Blvd
Naples, FL 34102-3493
Phone (239) 372-2838

Other identifiers 3

IdentifierTypeStateIssuer
114722000MedicaidFL
A2YX3OtherFLFL BLUE
PJ770OtherMEDICARE

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
I20220714003069 FL Practitioner - Radiation Oncology 5799054821 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Baylor College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Precision Healthcare Specialists, LLCGroup PAC ID 6103284955, 129 clinicians
Advocate Radiation Oncology LLCGroup PAC ID 1658613096, 21 clinicians
Proton Fusion LLCGroup PAC ID 6002346715, 2 clinicians

Practice addresses (Care Compare)

15465 Tamiami TRL N
Naples, FL 34110-6216
Phone (239) 429-0400

25243 Elementary Way
Bonita Springs, FL 34135-7882
Phone (239) 317-2772

9961 Estero Oaks Dr
Unit 101a
Fort Myers, FL 33967-5453
Phone (239) 396-5162

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.72 of 100Reported as group
Quality
81.71
Improvement activities
40
Cost
88.22

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proton Fusion, LLC Radiation Oncology CurrentSince Jan 29, 2025 Accepting new patients
Precision Healthcare Specialists, LLC Radiation Oncology CurrentSince Dec 1, 2025 Accepting new patients
Advocate Radiation Oncology, LLC Radiation Oncology CurrentSince Aug 1, 2022 Accepting new patients

Locations

25243 Elementary Way
Bonita Springs, FL 34135
Phone (239) 204-4933

5325 E State Road 64
Bradenton, FL 34208
Phone (941) 220-6263

909 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 217-8070

15681 New Hampshire Ct
Fort Myers, FL 33908
Phone (239) 437-1977

1860 Boy Scout Dr
Ste 201
Fort Myers, FL 33907
Phone (239) 274-3269

6321 Daniels Pkwy
Ste 200
Fort Myers, FL 33912
Phone (855) 674-7400

9961 Estero Oaks Dr
Fort Myers, FL 33967
Phone (239) 396-5162

9961 Estero Oaks Dr
Unit 101A
Fort Myers, FL 33967
Phone (239) 396-5162

9961 Estero Oaks Dr
Unit 101B
Fort Myers, FL 33967
Phone (239) 516-0009

15465 Tamiami Trl N
Naples, FL 34110
Phone (239) 429-0200

1775 Davis Blvd
Naples, FL 34102
Phone (239) 372-2838

1775 Davis Blvd
Ste 201
Naples, FL 34102

3080 Harbor Blvd
Pt Charlotte, FL 33952
Phone (941) 625-0111

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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 6

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": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1336674431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 BOY SCOUT DR STE 201",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339072119",
            "telephone_number": "239-215-1180",
            "fax_number": "239-215-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25243 ELEMENTARY WAY",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341357898",
            "telephone_number": "239-317-2772",
            "fax_number": "239-676-7637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1775 Davis Blvd",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341023493",
            "country_code": "US",
            "telephone_number": "239-372-2838",
            "fax_number": "239-372-2839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEZZI",
        "first_name": "TODD",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-26",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME153410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114722000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL BLUE",
            "identifier": "A2YX3",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "PJ770",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

Verify at the official NPI Registry.