Individual provider Active NPI

Thomas Arthur Fusco, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Fort Walton Beach, FL
National Provider Identifier
1467687350
Registry record updated Sep 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3553 Issued in FL
Practice address
1326 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1139
Phone
(850) 855-4048
NPI assigned
May 20, 2009
Last updated
Sep 1, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO3553 FL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003605 OH

Addresses

Primary practice location

1326 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1139

Mailing address

917 Mar Walt Dr
Fort Walton Beach, FL 32547-6651
Phone (850) 862-3979

Other practice location 1

137 Crystal Beach Dr Ste 121
Destin, FL 32541-3573
Phone (850) 807-4388

Other practice location 2

917 Mar Walt Dr
Fort Walton Beach, FL 32547-6651
Phone (850) 862-3979

Other practice location 3

351 N Ferdon Blvd
Crestview, FL 32536-2727
Phone (850) 862-3979

Other identifiers 1

IdentifierTypeStateIssuer
006303300MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120813000511 FL Practitioner - Podiatry 1557517257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald Coast Infectious Diseases Medical Group, P.a.Group PAC ID 5092753772, 35 clinicians

Practice addresses (Care Compare)

1326 Lewis Turner Blvd
Fort Walton Beach, FL 32547-1139
Phone (850) 855-4048

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue253
Removal of nail tissue103
Removal or shaving of skin growth105
Skin biopsy15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3553FLMDFoot & Ankle Surgery Podiatrist
36.003605OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emerald Coast Infectious Diseases Medical Group, PA CurrentSince Sep 1, 2024 Accepting new patients
Emerald Coast Infectious Diseases Medical Group, P.a. Foot & Ankle Surgery CurrentSince Sep 1, 2024 Accepting new patients

Locations

351 N Ferdon Blvd
Crestview, FL 32536
Phone (850) 689-7844

137 Crystal Beach Dr
Ste 121
Destin, FL 32541
Phone (850) 424-7320

1326 Lewis Turner Blvd
Fort Walton Beach, FL 32547
Phone (850) 855-4048

917 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 862-3979

Interoperability endpoints

  • Direct secure messaging: tfusco@direct.orthoassociates.net

Organizations & group practices 2

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": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725148800000",
    "number": "1467687350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476651",
            "telephone_number": "850-862-3979",
            "fax_number": "850-620-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 LEWIS TURNER BLVD",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471139",
            "telephone_number": "850-855-4048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "137 Crystal Beach Dr Ste 121",
            "address_purpose": "LOCATION",
            "city": "Destin",
            "state": "FL",
            "postal_code": "325413573",
            "country_code": "US",
            "telephone_number": "850-807-4388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "917 Mar Walt Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Walton Beach",
            "state": "FL",
            "postal_code": "325476651",
            "country_code": "US",
            "telephone_number": "850-862-3979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 N Ferdon Blvd",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325362727",
            "country_code": "US",
            "telephone_number": "850-862-3979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUSCO",
        "first_name": "THOMAS",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-20",
        "last_updated": "2024-09-01",
        "certification_date": "2024-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3553",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003605",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006303300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.