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Active NPI 1528064086 Individual Practitioner Male Practitioner

Dr. Jack G. Beaulieu , MD

Orthopaedic Surgery • Cape Coral, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jack Beaulieu, MD is a registered healthcare professional specializing in Orthopaedic Surgery in Cape Coral, FL. Practice services are available at 657 DEL PRADO BLVD S under active NPI credentials.

Frequently performed procedures and clinical services include replacement of knee joint, both sides of knee, replacement of thigh bone and hip joint with prosthesis. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

657 Del Prado Blvd S

Cape Coral, FL 339902666

Telephone 2397724484
Fax 2397722903
Associated Practice Facility / Clinic
🏢 Deiorio Beaulieu & Fuller Facility NPI 1639184492

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Cape Coral, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.7 Yrs
State Avg: 27.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Cape Coral, FL (1597 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
27447 Replacement of knee joint, both sides of knee
41 41 $500.00 $247.02
27130 Replacement of thigh bone and hip joint with prosthesis
15 15 $500.00 $241.00

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License FL ME 0029197

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID B/c B/s Florida Insurance
79304 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Darrick Saunders , DO

Orthopaedic Surgery

NPI 1124007497

Doctor of Osteopathic Medicine (D.O.)

Dr. Donn Fuller , MD

Orthopaedic Surgery

NPI 1194721654

Doctor of Medicine (M.D.)

Dr. Richard Deiorio , MD

Orthopaedic Surgery

NPI 1548266000

Doctor of Medicine (M.D.)

Thanna Duerring , PA-C

Physician Assistant

NPI 1700482361

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 657 DEL PRADO BLVD S, CAPE CORAL, FL 339902666 (Tel: 2397724484)

📍
Updated Business Mailing Address July 08, 2007

Registered at 657 DEL PRADO BLVD S, CAPE CORAL, FL 339902666 (Tel: 2397724484)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK BEAULIEU, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #ME 0029197 in FL)

🟢
Initial NPI Registration & Enumeration June 21, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528064086
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

657 Del Prado Blvd S

Cape Coral, FL 339902666

Phone: 2397724484

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.