IndividualActive
Stephanie Ibus, CCP
NPI 1831037399 · Surgery Physician · Fort Myers, FL
Provider details
- NPI number
- 1831037399
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- CCP
- Sex
- Female
- Sole proprietor
- No
- License
- FPF02000007 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
9981 S Healthpark Dr
Fort Myers, FL 33908-3620
Phone: (586) 747-7536
Street-level locationGet directions
Mailing address
1399 Clearview Dr
Port Charlotte, FL 33953-2608
Registry dates
- Enumerated
- 2026-03-24
- Last updated
- 2026-03-30
- Certified
- 2026-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.