Individual provider Active NPI

Cory C Duffek, M.D.

  • Diagnostic Radiology Physician
  • Fort Myers, FL
National Provider Identifier
1356391908
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME 106216 Issued in FL
Practice address
8791 Conference Dr
Fort Myers, FL 33919-5822
Phone
(239) 938-3500
Fax
(239) 938-3555
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 1338 WI
Diagnostic Radiology Physician 2085R0202X ME 106216 FL Primary

Addresses

Primary practice location

8791 Conference Dr
Fort Myers, FL 33919-5822

Mailing address

8791 Conference Dr
Fort Myers, FL 33919-5822
Phone (239) 938-3500

Other identifiers 3

IdentifierTypeStateIssuer
148Z2OtherFLBCBS FL
002436400MedicaidFL
P00899482OtherFLRR MEDICARE

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
I20101012000541 FL Practitioner - Diagnostic Radiology 2062604820 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Florida Radiology Consultants P aGroup PAC ID 3678471943, 70 clinicians
Sunshine Radiology Contracting LLCGroup PAC ID 0941771307, 9 clinicians
Florida Radiology Leasing LLCGroup PAC ID 1759327356, 39 clinicians

Practice addresses (Care Compare)

13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 331-5566

15584 Caloosa Creek Cir
Fort Myers, FL 33908-6734
Phone (800) 475-3698

16281 Bass Rd
Fort Myers, FL 33908-9687
Phone (239) 343-7245

23450 Via Coconut PT
Estero, FL 34135-1877
Phone (239) 343-5123

2441 Surfside Blvd
Cape Coral, FL 33914-3861
Phone (239) 541-7543

2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 938-3571

3501 Health Ctr Blvd
Suite 1063
Estero, FL 34135-8127
Phone (239) 468-0265

6311 S Pointe Blvd
Fort Myers, FL 33919-4901

7331 College Pkwy
Suite 110
Fort Myers, FL 33907-5524
Phone (239) 343-3339

8192 College Pkwy
Suite 6
Fort Myers, FL 33919-5175
Phone (239) 481-8022

8960 Colonial Ctr Dr
Suite 100
Fort Myers, FL 33905-7810
Phone (239) 343-9400

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-6650

Hospital & facility affiliations

  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018

Merit-based Incentive Payment System (MIPS)

Final score
75.5 of 100Reported as group
Quality
80
Improvement activities
20

Merit-based Incentive Payment System (MIPS)

Final score
93.94 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 106216FLMDDiagnostic Radiology Physician

Practice roles (5 of 6)

OrganizationSpecialtyStatusNew patients
Florida Neurology Group P L CurrentSince Jul 28, 2010 Accepting new patients
Florida Radiology Leasing LLC Diagnostic Radiology CurrentSince Aug 2, 2010 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Lee Health System Inc CurrentSince Oct 1, 2024 Accepting new patients
Florida Radiology Consultants P a Diagnostic Radiology CurrentSince Aug 2, 2010 Accepting new patients

Locations

636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

3501 Health Center Blvd
Estero, FL 34135
Phone (239) 949-1050

63 Barkley Cir
Ste 101
Fort Myers, FL 33907
Phone (239) 245-7908

1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700

12670 Whitehall Dr
Fort Myers, FL 33907
Phone (239) 936-3554

6311 S Pointe Blvd
Ste 600
Fort Myers, FL 33919
Phone (239) 343-9150

8192 College Pkwy
Ste 6
Fort Myers, FL 33919
Phone (239) 481-8022

930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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 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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1356391908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8791 CONFERENCE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195822",
            "telephone_number": "239-938-3500",
            "fax_number": "239-938-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8791 CONFERENCE DR",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195822",
            "telephone_number": "239-938-3500",
            "fax_number": "239-938-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFEK",
        "first_name": "CORY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "1338",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME 106216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "148Z2",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002436400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00899482",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.