MR. JESSE FODERO MD NPI 1962935460

NPI Information

  • NPI: 1962935460
  • Provider Name: MR. JESSE FODERO, MD
  • Classification: Emergency Medicine - 207PS0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6934 WILLIAMS RD STE 600
    NIAGARA FALLS, NY
    ZIP 14304
  • Phone: (716) 204-3200

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NPI Details

MR. Jesse Fodero, MD is a sports medicine emergency medicine in Niagara Falls, NY with 9 years of experience. The provider is an emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. MR. Jesse Fodero, MD NPI is 1962935460. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

6934 WILLIAMS RD STE 600
NIAGARA FALLS, NY
ZIP 14304-081
Phone: (716) 204-3200

The NPI 1962935460 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Emergency department visit for life threatening or functioning severity (HCPCS:99285)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Emergency department visit for problem of high severity (HCPCS:99284)
  • Aspiration and/or injection of fluid large joint using ultrasound guidance (HCPCS:20611)
  • Critical care, first 30-74 minutes (HCPCS:99291)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of knee, 4 or more views (HCPCS:73564)

The enumeration date for this NPI number is 4/11/2017 and was last updated on 8/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine304141NEW YORKNo
2207PS0010XEmergency MedicineSports Medicine304141NEW YORKYes
3207X00000XOrthopaedic Surgery304141NEW YORKNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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