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KEVIN P FITZGERALD MD
NPI 1194784454
Obstetrics & Gynecology in Springfield, MA

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
3455 MAIN ST, SPRINGFIELD, MA 01107(413) 794-8484(413) 794-8477 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kevin P Fitzgerald Md NPPES

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

KEVIN P FITZGERALD MD (NPI 1194784454) is an individual obstetrics & gynecology provider in Springfield, Massachusetts, licensed in Massachusetts (76918) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Baystate Noble Hospital, and is a graduate of Hahnemann University College Of Medicine (1989).

NPPES Registry Identity

NPI1194784454
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameKEVIN P FITZGERALDCredential: MD
Location Address3455 MAIN STSpringfield, MA 01107-1187
Mailing Address354 Birnie AveSpringfield, MA 01107-1108 · (137) 948-4844 · Fax (413) 794-8477
Phone(413) 794-8484
Fax(413) 794-8477
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1989
Enumeration DateMarch 23, 2006
Last NPPES UpdateSeptember 16, 2020
NPPES CertifiedSeptember 16, 2020
✔ NPI 1194784454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MA · 76918
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3455 MAIN ST, Springfield, MA 01107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Kevin P Fitzgerald 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 ID3779772454
PECOS Enrollment IDI20110111000841
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
40 services40 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
17 services17 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.
14 services14 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220065
Location115 West Silver StreetWestfield, MA 01085 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01107 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

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

DR. AARON M FOX D.M.D.
Dentist (General Practice)
3455 MAIN ST
SPRINGFIELD, MA 01107
Hampden County (413) 733-9490
NEW ENGLAND DERMATOLOGY, P.C.
Dermatology
3455 MAIN ST, SUITE 5
SPRINGFIELD, MA 01107
Hampden County (413) 733-9600
MS. FARIHA MAHMOOD QUERESHY FNP-BC
Nurse Practitioner (Family)
3455 MAIN ST, SUITE 5
SPRINGFIELD, MA 01107
Hampden County (413) 733-9600
CAROLINE CRISTOFORO
Registered Nurse
3455 MAIN ST
SPRINGFIELD, MA 01107
Hampden County (413) 320-9737
ORTHOTICS WEST, INC
Prosthetic/Orthotic Supplier
3455 MAIN ST
SPRINGFIELD, MA 01107
Hampden County (413) 736-3000
DAVID WARTMAN
Dermatology
3455 MAIN ST, STE. # 5
SPRINGFIELD, MA 01107
Hampden County (413) 733-9600
MARK A BLUMBERG M.D.
Dermatology
3455 MAIN ST, SUITE 5
SPRINGFIELD, MA 01107
Hampden County (413) 733-9600
STANLEY F GLAZER M.D.
Dermatology
3455 MAIN ST, STE 5
SPRINGFIELD, MA 01107
Hampden County (413) 733-9600

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 Kevin Fitzgerald's NPI number?

The NPI number for Kevin Fitzgerald is 1194784454. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Kevin Fitzgerald located?

Kevin Fitzgerald practices at 3455 Main St, Springfield, MA 01107. The listed phone number is (413) 794-8484.

What is Kevin Fitzgerald's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kevin Fitzgerald enrolled in Medicare?

Yes. Kevin Fitzgerald 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 Kevin Fitzgerald accept?

Health plans from Anthem Blue Cross and Blue Shield list Kevin Fitzgerald 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 Kevin Fitzgerald affiliated with any hospitals?

According to CMS data, Kevin Fitzgerald is affiliated with Baystate Noble Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Fitzgerald was last updated on September 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.