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SUSAN M FEDERMAN MD
NPI 1063405033
Family Medicine in Toledo, OH

Active since August 25, 2005PECOS EnrolledAccepts Medicare Assignment
3425 EXECUTIVE PKWY STE 117, TOLEDO, OH 43606(419) 469-2102 Get Directions Write a Review

NPPES record last updated: March 26, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 26, 2020, Dec 14, 2018 (2 updates tracked since 2018).

About Susan M Federman Md NPPES

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

SUSAN M FEDERMAN MD (NPI 1063405033) is an individual family medicine provider in Toledo, Ohio, licensed in Ohio (35059184) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1063405033
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSAN M FEDERMANCredential: MD
Location Address3425 EXECUTIVE PKWY STE 117Toledo, OH 43606-1333
Mailing Address4235 Secor RdToledo, OH 43623-4231 · (419) 843-3627
Phone(419) 469-2102
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1988
Enumeration DateAugust 25, 2005
Last NPPES UpdateMarch 26, 20202 updates tracked since enumeration
NPPES CertifiedMarch 26, 2020
✔ NPI 1063405033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in OH · 35059184✔ Licensed in OH · 35.059184
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3425 EXECUTIVE PKWY STE 117, Toledo, OH 43606
Open in Google Maps ↗

Secondary Practice Location 1

Location 13909 Woodley Rd, Suite 500Toledo, OH 43606-1169 · Phone (419) 291-2670 · Fax (419) 479-6999

Other Identifiers 1

Medicaid0841405OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Susan M Federman Md 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 ID8628105624
PECOS Enrollment IDI20100422001152
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 10

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.

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.
327 services160 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
127 services127 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.
77 services63 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
33 services25 patients
Removal of impacted ear wax by washing 69209
Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.
28 services24 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
23 services23 patients

Hospital Affiliations CMS Care Compare 5

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

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360048
Location3000 Arlington AvenueToledo, OH 43699 · Lucas County
Emergency services

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Fulton County Health Center

Critical Access Hospitals · Wauseon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361333
Location725 South Shoop AvenueWauseon, OH 43567 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43606 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers15 claims35 services$5.84 avg. paid by Medicare
Hospital bed, fixed height, with any type side rails, with mattress E0250
DME-Hospital Beds · category DB000N
2 suppliers11 claims11 services$50.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

FEDERMAN WELLCARE, LLC
Family Medicine
3425 EXECUTIVE PKWY STE 117
TOLEDO, OH 43606
Lucas County (419) 469-2102

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 Susan Federman's NPI number?

The NPI number for Susan Federman is 1063405033. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Susan Federman located?

Susan Federman practices at 3425 Executive Pkwy Ste 117, Toledo, OH 43606. The listed phone number is (419) 469-2102.

What is Susan Federman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan Federman enrolled in Medicare?

Yes. Susan Federman 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 Susan Federman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Susan Federman 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 Susan Federman affiliated with any hospitals?

According to CMS data, Susan Federman is affiliated with University Of Toledo Medical Center, Promedica Toledo Hospital, Mercy St Vincent Medical Center, Bay Park Community Hospital and Fulton County Health Center.

When was this NPI record last updated?

The NPPES record for Susan Federman was last updated on March 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.