2026 NPPES data Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician NPI 1760483101 M.D.
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PETER FONSECA, M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in BRIDGETON, Missouri. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
232
Medicare Part D claims · 86 beneficiaries · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician avg: 128
Industry payments
$129.28
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PETER FONSECA, M.D. is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician ([object Object]) practicing in BRIDGETON, Missouri with a Medicare Part D prescribing footprint of 232 claims across 86 beneficiaries . Industry payments of $129.28 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PETER FONSECA, M.D. filed 232 Medicare Part D claims in 2023 across BRIDGETON, Missouri. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PETER FONSECA, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

PETER FONSECA, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 08/09/2005

NPI 1760483101

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Mid-sized

5,062 US NPIs in this specialty

Medicare Part D claims

232 81% vs specialty avg

2023 prescription claims

Specialty avg: 128

Specialty distribution in Missouri

How Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician compares to other specialties among Missouri providers

Missouri providers

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician share within Missouri

1. Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician share within Missouri

Specialty board-certification context

Estimated specialty board-certified rate — Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician ABMS/AOA estimate

Est. board-certified rate (Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

PETER FONSECA, M.D. is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider practicing in BRIDGETON, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1760483101. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

PETER FONSECA, M.D. appears in the CMS NPPES registry as a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider holding M.D. credentials at 12266 DE PAUL DR STE 205, BRIDGETON, MO, 63044, with a listed phone of (314) 647-8269. NPI 1760483101 was issued on 08/09/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what FONSECA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 232 prescription claims written by this provider, covering 86 Medicare beneficiaries and totaling roughly $3K in drug spend, with an opioid prescribing rate of 42.7%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician is a mid-sized specialty nationwide, with 5,062 enrolled providers across 52 states and an average of 128 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

12266 DE PAUL DR STE 205
BRIDGETON, MO 63044

Provider Details

NPI 1760483101
Specialty Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Credentials M.D.
Gender Male
NPI Issued 08/09/2005

Hospital and facility affiliations

Facilities where PETER FONSECA, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

SSM MEDICAL GROUP INC
SAINT LOUIS, MO

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for PETER FONSECA, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$129

Largest payer

INTUITIVE SURGICAL, INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

232
Total Claims
$3K
Total Drug Cost
86
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
283
Total Day Supply
5,138
Generic Drug Cost
$3K
Opioid Claims
99 (42.7% rate)
Antibiotic Claims
16

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
1.76
Gender Split
45% female / 55% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
77
Gabapentin
28

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Overview

How PETER FONSECA, M.D. fits within the Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician landscape nationally.

5,062
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in US
52
States with Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
128
Avg Claims per Provider

PETER FONSECA, M.D.'s 232 claims are above the specialty average of 128.

Nearby Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Providers in Missouri

Other clinicians with the same primary specialty enrolled in Missouri, drawn from the same CMS NPPES roster as FONSECA.

Compare Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is PETER FONSECA, M.D.'s specialty?
PETER FONSECA, M.D. specializes in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician and practices in BRIDGETON, Missouri. Credentials: M.D..
How much does PETER FONSECA, M.D. prescribe under Medicare Part D?
In 2023, PETER FONSECA, M.D. wrote 232 Medicare Part D claims totaling $3K in drug costs for 86 beneficiaries.
Where is PETER FONSECA, M.D. located?
PETER FONSECA, M.D. is located at 12266 DE PAUL DR STE 205, BRIDGETON, MO, 63044. Phone: (314) 647-8269.
What is PETER FONSECA, M.D.'s NPI number?
PETER FONSECA, M.D.'s National Provider Identifier (NPI) is 1760483101, issued on 08/09/2005.
Does PETER FONSECA, M.D. prescribe opioids?
Yes, PETER FONSECA, M.D. had 99 opioid claims in 2023 with an opioid prescribing rate of 42.7%.
How many Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers are there in the US?
There are 5,062 Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician providers across 52 states in the US. The average Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician provider writes 128 Medicare Part D claims per year.
What drugs does PETER FONSECA, M.D. prescribe most often?
Based on 2023 Medicare Part D data, PETER FONSECA, M.D.'s most frequently prescribed drugs include Hydrocodone-Acetaminophen, Gabapentin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PETER FONSECA, M.D. accept Medicare?
PETER FONSECA, M.D. appears in CMS Medicare data with 232 Part D claims and 86 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PETER FONSECA, M.D.'s credentials?
PETER FONSECA, M.D.'s NPI is 1760483101 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology