NPIMap

Individual provider Active NPI

Jeffrey Ryan Engorn, D.O.

  • Orthopaedic Surgery Physician
  • Fort Myers, FL
National Provider Identifier
1609289099
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS14957 Issued in FL
Practice address
14601 Hope Center Loop
Fort Myers, FL 33912-4707
Phone
(239) 334-7000
Fax
(239) 334-7070
NPI assigned
Jun 3, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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 OS14957 FL Primary
Orthopaedic Trauma Physician 207XX0801X OS14957 FL

Addresses

Primary practice location

14601 Hope Center Loop
Fort Myers, FL 33912-4707

Mailing address

14601 Hope Center Loop
Fort Myers, FL 33912-4707
Phone (239) 334-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200617000945 FL Practitioner - Orthopedic Surgery 3274955406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopedic Specialists of SW Florida, P.a.Group PAC ID 2668442799, 47 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

14601 Hope Ctr Loop
Fort Myers, FL 33912-4707
Phone (239) 334-7000

1940 Tamiami TRL
Suite 104
Port Charlotte, FL 33948-2105
Phone (941) 883-0083

20009 Verdana Village Blvd
Unit 103
Estero, FL 33928-9826
Phone (419) 221-6717

4316 Lee Blvd
Unit 12B
Lehigh Acres, FL 33971-1735
Phone (239) 368-7744

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423
  • Aveanna Home Health Home health agency, Sarasota, FL, CCN 108480
  • Pinnacle Home Care Home health agency, Fort Myers, FL, CCN 683113
  • Patients First Home Care LLC Home health agency, Sarasota, FL, CCN 687176
  • Empath Home Health Home health agency, Fort Myers, FL, CCN 109786
  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
  • 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
93.2 of 100Reported as group
Promoting interoperability
92
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS14957FLMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Specialists of SW Florida, P.a. Orthopaedic Surgery CurrentSince Aug 1, 2020 Accepting new patients
Orthopedic Specialists of SW Florida, P.a. Orthopaedic Surgery PastSince Aug 1, 2020 Accepting new patients

Locations

2531 Cleveland Ave
Ste 1
Fort Myers, FL 33901
Phone (239) 334-7000

14601 Hope Center Loop
Fort Myers, FL 33912
Phone (239) 334-7000

Interoperability endpoints

  • FHIR API: https://osswf.mmi.prod.fhir.ema-api.com/fhir/r4
  • Direct secure messaging: jengorn@osswf.emadirect.md

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1401753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1609289099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 HOPE CENTER LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124707",
            "telephone_number": "239-334-7000",
            "fax_number": "239-334-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14601 HOPE CENTER LOOP",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339124707",
            "telephone_number": "239-334-7000",
            "fax_number": "239-334-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGORN",
        "first_name": "JEFFREY",
        "middle_name": "RYAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-03",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS14957",
            "primary": true
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": "FL",
            "license": "OS14957",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.