Individual provider Active NPI

Creighton D Fiscina, MD

  • Surgery Physician
  • Mooresville, NC
National Provider Identifier
1487801957
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2022-02477 Issued in NC
Practice address
106 Alexander Bank Dr Ste 300
Mooresville, NC 28117-9624
Phone
(704) 660-4584
Fax
(704) 660-4967
NPI assigned
Aug 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME120170 FL
Surgery Physician 208600000X MD26213 ME
Surgery Physician 208600000X 2022-02477 NC Primary

Addresses

Primary practice location

106 Alexander Bank Dr Ste 300
Mooresville, NC 28117-9624

Mailing address

106 Alexander Bank Dr Ste 300
Mooresville, NC 28117-9624
Phone (704) 660-4584

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address creighton.fiscina.1@4693.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140812001141 FL Practitioner - General Surgery 1052556420 Reassigns benefits to 1 organization
I20241105003318 MT Practitioner - General Surgery 1052556420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holy Rosary HealthcareGroup PAC ID 8921045667, shared by 5 NPIs, 49 clinicians

Practice addresses (Care Compare)

2600 Wilson St
Miles City, MT 59301-5094
Phone (406) 233-2600

Hospital & facility affiliations

  • Holy Rosary Hospital Hospital, Miles City, MT, CCN 271347

Merit-based Incentive Payment System (MIPS)

Final score
88.07 of 100Reported as apm
Quality
73.89
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.59 of 100Reported as apm
Quality
92.87
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME120170FLMDSurgery Physician
MD26213MEMDSurgery Physician
2022-02477NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holy Rosary Healthcare CurrentSince Nov 1, 2024 Accepting new patients
Holy Rosary Healthcare CurrentSince Oct 12, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 14, 2014 Accepting new patients
Holy Rosary Healthcare Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Florida Hospital Medical Group Inc Family Medicine CurrentSince Jul 14, 2014 Accepting new patients
Holy Rosary Healthcare Past Accepting new patients

Locations

4106 W Lake Mary Blvd
Ste 330
Lake Mary, FL 32746
Phone (386) 775-2012

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

2600 Wilson St
Miles City, MT 59301
Phone (406) 233-2500

106 Alexander Bank Dr
Ste 300
Mooresville, NC 28117
Phone (704) 660-4584

Interoperability endpoints

  • Direct secure messaging: creighton.fiscina.1@4693.direct.athenahealth.com

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 1

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1487801957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ALEXANDER BANK DR STE 300",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179624",
            "telephone_number": "704-660-4584",
            "fax_number": "704-660-4967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ALEXANDER BANK DR STE 300",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179624",
            "telephone_number": "704-660-4584",
            "fax_number": "704-660-4967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCINA",
        "first_name": "CREIGHTON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME120170",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ME",
            "license": "MD26213",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2022-02477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "creighton.fiscina.1@4693.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "106 Alexander Bank Dr Ste 300",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281179624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.