Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295089316 Individual Practitioner Female Practitioner

Krysta Jean Defty , PA-C

Physician Assistant • Fort Myers, FL

Professional Overview & Biography Verified Profile Summary

Krysta Defty, PA-C is a registered healthcare professional specializing in Physician Assistant in Fort Myers, FL. Practice services are available at 13770 PLANTATION RD under active NPI credentials.

Frequently performed procedures and clinical services include partial removal of large bowel and reattachment to rectum using an endoscope, partial removal of large bowel using an endoscope, partial release of large bowel and partial removal of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

13770 Plantation Rd
Suite 2

Fort Myers, FL 339124460

Telephone 2392750728
Fax 2392756947
Associated Practice Facility / Clinic
🏢 Vijay Ganatra, M.d., P.a. Facility NPI 1053434258

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fort Myers, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 11.1 Yrs
Regional Practice Density
392 Specialists

Practicing in Fort Myers, FL (10376 Statewide)

Telehealth Adoption Rate
11.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
73.0% 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 (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
44207 Partial removal of large bowel and reattachment to rectum using an endoscope
11 11 $1021.61 $275.94

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL PA9106963

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
007345500 (FL)
Commercial Insurance / Payer ID Wellcare
1249031 (FL)
Commercial Insurance / Payer ID Aetna
5296786 (FL)
Commercial Insurance / Payer ID Optimum
P951597 (FL)
Commercial Insurance / Payer ID Cigna
1720187 (FL)
Commercial Insurance / Payer ID Avmed
398581 (FL)
Commercial Insurance / Payer ID Rr Medicare
P01480233 (FL)
Commercial Insurance / Payer ID Freedom
P1004057 (FL)
Commercial Insurance / Payer ID Bcbs Fl Individual Provider Id #
Y0F3C (FL)

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Nagesh Ravipati , MD

Colon & Rectal Surgery

NPI 1093788879

Doctor of Medicine (M.D.)

Dr. Jeffrey Neale , MD

Colon & Rectal Surgery

NPI 1124253893

Doctor of Medicine (M.D.)

Dr. Janette Gaw , MD

Colon & Rectal Surgery

NPI 1255327342

Doctor of Medicine (M.D.)

Andrea Winters , PA-C

Physician Assistant

NPI 1477283299

Physician Assistant (Certified)

Victoria Vernon , APRN

Nurse Practitioner

NPI 1699301499

Advanced Practice Registered Nurse

Dr. Valerie Dyke , MD

Colon & Rectal Surgery

NPI 1740285287

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 14, 2016

Registered at 13770 PLANTATION RD, SUITE 2, FORT MYERS, FL 339124460 (Tel: 2392750728)

📍
Updated Business Mailing Address December 14, 2016

Registered at 2234 COLONIAL BLVD, FORT MYERS, FL 339071412 (Tel: 2399317342)

👤
Provider Name / Credentials Updated December 14, 2016

Recorded as KRYSTA DEFTY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2016

Physician Assistant (License #PA9106963 in FL)

🟢
Initial NPI Registration & Enumeration October 29, 2012

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: 1295089316
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2012
Last Update: December 14, 2016
Sole Proprietor: No

Mailing Address

2234 Colonial Blvd

Fort Myers, FL 339071412

Phone: 2399317342

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.