Jesse Fodero, MD

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

304141 Issued in NY

Practice address

6934 Williams Rd Ste 600
Niagara Falls, NY 14304-3081

Phone

(716) 204-3200

NPI assigned

Apr 11, 2017

Last updated

Aug 24, 2021By 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 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Sports MedicineAlso: Emergency Medicine

Education

State University of New York at Buffalo School of Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Emergency Medical Services Inc.Group PAC ID 0749182665, 97 clinicians

University Orthopaedic Services Inc.Group PAC ID 7810983004, 115 clinicians

Niagara Falls Memorial Medical CenterGroup PAC ID 0244134484, shared by 2 NPIs, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kaleida Health Hospital, Buffalo, NY, CCN 330005
• Niagara Falls Memorial Medical Center Hospital, Niagara Falls, NY, CCN 330065

Merit-based Incentive Payment System (MIPS)

Final score

89 of 100Reported as group

Quality

76.13

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

88.69 of 100Reported as group

Quality

77.6

Promoting interoperability

100

Improvement activities

40

Cost

81.28

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
• Direct secure messaging: jfodero@ubortho.medentdirect.com

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.

• University Emergency Medical Services Inc.

  • Emergency Medicine Physician
  • Buffalo, NY
  • NPI 1972540482
  Medicare reassignment Care Compare group NPD
• University Orthopaedic Services, Inc

  • Orthopaedic Surgery Physician
  • Cheektowaga, NY
  • NPI 1578599866
  Medicare reassignment Care Compare group NPD
• Niagara Falls Memorial Medical Center

  • General Acute Care Hospital
  • Niagara Falls, NY
  • NPI 1285717298
  Medicare reassignment NPD
• Niagara Falls Memorial Medical Center

  • Obstetrics & Gynecology Physician
  • Niagara Falls, NY
  • NPI 1982659256
  Medicare reassignment NPD
• Niagara Falls Memorial Medical Center

  • Oncology Clinic/Center
  • Niagara Falls, NY
  • NPI 1144842816
  NPD
• Ub Family Medicine, Inc

  dba UBMD Primary Care

  • Family Medicine Physician
  • Williamsville, NY
  • NPI 1942294467
  NPD
• University Orthopaedic Services Inc.

  • Orthopaedic Surgery Physician
  • Amherst, NY
  • NPI 1528209962
  NPD

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

• Kaleida Health

  dba Millard Fillmore Suburban Hospital

  • General Acute Care Hospital
  • Williamsville, NY
  • NPI 1053441907
  Care Compare affiliation
• Kaleida Health

  dba Degraff Hospital

  • General Acute Care Hospital
  • North Tonawanda, NY
  • NPI 1104956358
  Care Compare affiliation
• Kaleida Health

  dba Golisano Children's Hospital of Buffalo

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1245365196
  Care Compare affiliation
• Kaleida Health

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1366473183
  Care Compare affiliation
• Kaleida Health

  dba Buffalo General Hospital

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1639209596
  Care Compare affiliation
• Kaleida Health

  dba Millard Fillmore Gates Hospital

  • General Acute Care Hospital
  • Buffalo, NY
  • NPI 1831229780
  Care Compare affiliation
• Niagara Falls Memorial Medical Center

  • General Acute Care Hospital
  • Niagara Falls, NY
  • NPI 1285717298
  Care Compare affiliation

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

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1962935460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 GENESEE ST STE 400",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251994",
            "telephone_number": "716-204-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6934 WILLIAMS RD STE 600",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043081",
            "telephone_number": "716-204-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5959 Big Tree Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Orchard Park",
            "state": "NY",
            "postal_code": "141272291",
            "country_code": "US",
            "telephone_number": "716-204-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 High St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142031126",
            "country_code": "US",
            "telephone_number": "716-859-1499",
            "fax_number": "716-859-1555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4949 Harlem Rd",
            "address_purpose": "LOCATION",
            "city": "Amherst",
            "state": "NY",
            "postal_code": "142262500",
            "country_code": "US",
            "telephone_number": "716-204-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FODERO",
        "first_name": "JESSE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "304141",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "304141",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "NY",
            "license": "304141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sue E. Fix, ATR
• Matthew Joseph Fleming, PHARMD
• Pamela L Fleming, AU.D.
• Rachelle Napi Fleming, FNP
• Brenda Ann Florio, RN
• Marcella M Ford, PT, DPT
• Tiffany N Ford, PTA
• Melissa S Forsey
• Michelle Forsey
• Muriel Forte

• Sports Medicine (Emergency Medicine) Physician in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Sports Medicine (Emergency Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.