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THOMAS S FANNING M.D.
NPI 1013970581
Internal Medicine - Interventional Cardiology in Columbus, OH

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment
75.15/100
CMS Quality Rating
745 W STATE ST, SUITE 750, COLUMBUS, OH 43222(614) 224-2281(614) 221-8869 Get Directions Write a Review

NPPES record last updated: June 2, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thomas S Fanning M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS S FANNING M.D. (NPI 1013970581) is an individual interventional cardiology provider in Columbus, Ohio, licensed in Ohio (3506761F) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of Ohio State University College Of Medicine (1993).

NPPES Registry Identity

NPI1013970581
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameTHOMAS S FANNINGCredential: M.D.
Location Address745 W STATE ST, SUITE 750Columbus, OH 43222-1515
Mailing Address2786 Sandhurst DrLewis Center, OH 43035-9367 · (740) 657-3731
Phone(614) 224-2281
Fax(614) 221-8869
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 1993
Enumeration DateApril 7, 2006
Last NPPES UpdateJune 2, 2008
✔ NPI 1013970581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in OH · 3506761F
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
745 W STATE ST, Columbus, OH 43222
Open in Google Maps ↗

Other Identifiers 11

Other060060628OH · Railroad Medicare
Medicaid2207463OH
Other060060628Railroad Medicare
Other2847815300OH · Bureau Of Workers Com
Other2502117United Healthcare
Other00000000203679Anthem Bcbs
Medicare ID-Type UnspecifiedFA0778056
Medicare UPINF98353
Medicare UPINFA0778059
Other61238Nationwide
Other28478453001Medical Mutual Of Ohio

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Oscar Health Insurance.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas S Fanning M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42386112
PECOS Enrollment IDI20080915000207
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
68 services66 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
32 services32 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
31 services31 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services28 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360012
Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43222 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.24
Promoting Interoperability78
Improvement Activities40
Cost59.25

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN ALLEN FISHER M.D.
Internal Medicine (Cardiovascular Disease)
745 W STATE ST, SUITE 750
COLUMBUS, OH 43222
Franklin County (614) 224-2281
GINA NICOLE MOODY DO
Internal Medicine
745 W STATE ST, 510
COLUMBUS, OH 43222
Franklin County (614) 464-0788
MR. JAMES B FAGAN MD
Internal Medicine (Pulmonary Disease)
745 W STATE ST, STE 510
COLUMBUS, OH 43222
Franklin County (614) 464-0788
MOUNT CARMEL HEALTH PROVIDERS TWO LLC
Internal Medicine (Cardiovascular Disease)
745 W STATE ST, SUITE 750
COLUMBUS, OH 43222
Franklin County (614) 224-2281
EKG INTERPRETATIONS INC
Internal Medicine (Cardiovascular Disease)
745 W STATE ST, STE 600
COLUMBUS, OH 43222
Franklin County (614) 437-1515
FRANCES KEVIN HACKETT M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
745 W STATE ST, SUITE 750
COLUMBUS, OH 43222
Franklin County (614) 224-2281
ADAM JAMES MAHONEY MD
Internal Medicine
745 W STATE ST, STE 510
COLUMBUS, OH 43222
Franklin County (614) 464-0788
UROGYNECOLOGY & PELVIC FLOOR SPECIALISTS, INC.
Obstetrics & Gynecology (Gynecology)
745 W STATE ST, SUITE 550A
COLUMBUS, OH 43222
Franklin County (614) 224-7662

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Fanning's NPI number?

The NPI number for Thomas Fanning is 1013970581. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Where is Thomas Fanning located?

Thomas Fanning practices at 745 W State St Suite 750, Columbus, OH 43222. The listed phone number is (614) 224-2281.

What is Thomas Fanning's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Thomas Fanning enrolled in Medicare?

Yes. Thomas Fanning is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Thomas Fanning accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc. and Oscar Health Insurance list Thomas Fanning as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Thomas Fanning affiliated with any hospitals?

According to CMS data, Thomas Fanning is affiliated with Mount Carmel St Ann's and Mount Carmel East & West.

When was this NPI record last updated?

The NPPES record for Thomas Fanning was last updated on June 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.