CARL JACK FICHTENBAUM M.D.
NPI 1073578951
Internal Medicine - Infectious Disease in Cincinnati, OH

Active since April 20, 2006PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
200 ALBERT SABIN WAY, # 405, CINCINNATI, OH 45267(513) 584-6977(513) 584-6040 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carl Jack Fichtenbaum M.d. NPPES

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

CARL JACK FICHTENBAUM M.D. (NPI 1073578951) is an individual infectious disease provider in Cincinnati, Ohio, licensed in Ohio (35-076757) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Cincinnati Medical Center, Llc, and is a graduate of University Of Missouri, Columbia School Of Medicine (1985).

NPPES Registry Identity

NPI1073578951
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameCARL JACK FICHTENBAUMCredential: M.D.
Location Address200 ALBERT SABIN WAY, # 405Cincinnati, OH 45267-2800
Mailing Address2830 Victory Pkwy, Ste 310Cincinnati, OH 45206-3700 · (513) 245-3444 · Fax (513) 245-3449
Fax(513) 584-6040
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1985
Enumeration DateApril 20, 2006
Last NPPES UpdateMarch 27, 2014
NPI 1073578951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in OH · 35-076757
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35-076757 (OH)
Also ListedPediatricsTaxonomy 208000000X · License 35-076757 (OH)
200 ALBERT SABIN WAY, Cincinnati, OH 45267

Other Identifiers 6

Medicaid200252570IN
Medicaid2147484OH
Medicare UPINE80503
Medicare PINFI4019342OH
Other010064796OH · Rail Road Medicare
Medicaid64005580KY

Accepted 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

Carl Jack Fichtenbaum 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 ID8123018330
PECOS Enrollment IDI20040518000360
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 4

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.
43 services25 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.
35 services20 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
18 services11 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

University Of Cincinnati Medical Center, LLC

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360003
Location3188 Bellevue AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45267 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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

Other Providers at the Same Location NPPES 11

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

Plastic Surgery
200 ALBERT SABIN WAY
CINCINNATI, OH 45267
Internal Medicine (Infectious Disease)
200 ALBERT SABIN WAY
CINCINNATI, OH 45267
Nurse Practitioner (Family)
200 ALBERT SABIN WAY
CINCINNATI, OH 45267
Internal Medicine (Pulmonary Disease)
200 ALBERT SABIN WAY
CINCINNATI, OH 45267
Pharmacy (Community/Retail Pharmacy)
200 ALBERT SABIN WAY
CINCINNATI, OH 45267
Dentist (Oral and Maxillofacial Surgery)
200 ALBERT SABIN WAY
CINCINNATI, OH 45267
Internal Medicine
200 ALBERT SABIN WAY
CINCINNATI, OH 45267
Oral & Maxillofacial Surgery
200 ALBERT SABIN WAY
CINCINNATI, OH 45267

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 Carl Fichtenbaum's NPI number?

The NPI number for Carl Fichtenbaum is 1073578951. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Where is Carl Fichtenbaum located?

Carl Fichtenbaum practices at 200 Albert Sabin Way # 405, Cincinnati, OH 45267. The listed phone number is (513) 584-6977.

What is Carl Fichtenbaum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Carl Fichtenbaum enrolled in Medicare?

Yes. Carl Fichtenbaum 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 Carl Fichtenbaum accept?

Health plans from CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Carl Fichtenbaum 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 Carl Fichtenbaum affiliated with any hospitals?

According to CMS data, Carl Fichtenbaum is affiliated with University Of Cincinnati Medical Center, LLC.

When was this NPI record last updated?

The NPPES record for Carl Fichtenbaum was last updated on March 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.