Jesse Fodero, MD
Sports Medicine (Emergency Medicine) Physician · Niagara Falls, NY
Jesse Fodero, MD is a sports medicine (emergency medicine) physician with a practice address in Niagara Falls, New York, and NPI 1962935460, issued on Apr 11, 2017. Check the license (New York 304141, as entered in NPPES) on the NYS Education Department, Office of the Professions; the Medicare figures below come from public CMS files.
- Name
- Jesse Fodero
- Credential
- MD
- Primary taxonomy
- Sports Medicine (Emergency Medicine) Physician 207PS0010X
- License number
- 304141 NY
Self-reported in NPPES; status is on the state search - Practice location
- 6934 Williams RD Ste 600, Niagara Falls, NY 14304
- Phone
- (716) 204-3200
- Enumerated
- Apr 11, 2017
- Record last updated
- Aug 24, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20200608001517); accepts Medicare assignment
- Medical or professional school
- State University Of New York At Buffalo School Of Medicine, 2017
- Entity
- Type 1 · individual
Also registered at 6934 Williams RD Ste 600
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Clayton Del Prince, M.D.Sports Medicine (Orthopaedic Surgery) Physician1710411848
Verify Jesse Fodero in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNYS Education Department, Office of the Professions
Search for license 304141Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
73% fewer Medicare Part D claims than the average sports medicine (emergency medicine) physician in 2024
61 Medicare Part D claims for 51 beneficiaries, against an average of 227 among the 145 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 87.3 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
3 hospitals and group practices
- Niagara Falls Memorial Medical CenterNiagara Falls, NY · Acute Care Hospitals1 of 5 stars
- University Emergency Medical Services Inc.Buffalo, NY
- University Orthopaedic Services Inc.Orchard Park, NY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.
Sports Medicine (Emergency Medicine) Physician providers in New York
There are 22 sports medicine (emergency medicine) physician records in New York.
Other sports medicine (emergency medicine) physician records in New York
- Peter Christiano, MDSyracuse, NY1346747136
- Natasha Desai, M.D.New York, NY1326350810
- Jason Friedman, MDPoughkeepsie, NY1679519342
- Melissa Gerfin, DOAlbany, NY1104403344
- Jeannine Heitmann, DOValley Stream, NY1861444358
- Stephen Hongach, DOBrooklyn, NY1891435186
- Olivia Kelly, ATCNew York, NY1285558767
- Amie Kim, M.D.New York, NY1205128832
- Paul Klawitter, M.D.Cooperstown, NY1326104191
- Justine Ko, M.D.New York, NY1225569270
Common questions
What is Jesse Fodero, MD's NPI number?
Jesse Fodero, MD's National Provider Identifier (NPI) is 1962935460, issued on Apr 11, 2017. An NPI identifies a provider in billing; it is not a license.
Where is Jesse Fodero, MD located?
The NPPES record lists a practice address at 6934 Williams RD Ste 600, Niagara Falls, NY, 14304. Phone: (716) 204-3200. Providers update this record themselves, so call before visiting.
How can I verify Jesse Fodero, MD's license?
NPPES lists New York license number 304141, as entered by the provider. Search the NYS Education Department, Office of the Professions at https://www.op.nysed.gov/services/verifications/online-verification-searches. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Jesse Fodero, MD prescribe under Medicare Part D?
In 2024, Jesse Fodero, MD had 61 Medicare Part D claims for 51 beneficiaries; the average among sports medicine (emergency medicine) physician prescribers was 227. Part D covers Medicare prescriptions only.
What is Jesse Fodero, MD's MIPS final score?
The 2023 MIPS final score is 87.3 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.