Walter B Flesner III, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS4407 Issued in FL

Practice address

1404 Del Prado Blvd S
Suite 110
Cape Coral, FL 33990-3774

Phone

(239) 772-3232

Fax

(239) 458-3272

NPI assigned

Apr 18, 2006

Last updated

Sep 14, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Midwestern University, Chicago College of Osteopathic Med, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Icpandr Associates, Inc.Group PAC ID 7113180985, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012

Merit-based Incentive Payment System (MIPS)

Final score

91.91 of 100Reported as individual

Quality

83.82

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Icp&R Associates, Inc.

  • Family Medicine Physician
  • Cape Coral, FL
  • NPI 1689839573
  Medicare reassignment Care Compare group NPD
• Island Coast Pain & Rehabilitation Associates, Inc.

  • Family Medicine Physician
  • Cape Coral, FL
  • NPI 1457316275
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lee Health System Inc

  dba Lee Memorial Hospital

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Lee Health System Inc

  dba Cape Coral Hospital

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315958400000",
    "number": "1922063742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 DEL PRADO BLVD S",
            "address_2": "SUITE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903774",
            "telephone_number": "239-772-3232",
            "fax_number": "239-458-3272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 DEL PRADO BLVD S",
            "address_2": "SUITE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903774",
            "telephone_number": "239-772-3232",
            "fax_number": "239-458-3272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLESNER",
        "first_name": "WALTER",
        "middle_name": "B",
        "name_suffix": "III",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS4407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066841900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• FL-I Medical Services LLC
• David Flecha, MD
• Rebecca A Fleetwood, RN
• Yacsa Fleites Valdes, BCBA 1-20-41752
• Emily Fleming
• Richard Fletcher
• Flexible Medical Supply Inc
• Greg Timothy Flinders, P.A
• Michael Flores, PA-C
• Florida Alf, Inc (Cape Coral Shores)

• Family Medicine Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.