DR. THOMAS D FITZSIMMONS MD
NPI 1275581365
Ophthalmology in Bend, OR

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1501 NE MEDICAL CENTER DR, BEND, OR 97701(541) 382-2811 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thomas D Fitzsimmons Md NPPES

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

DR. THOMAS D FITZSIMMONS MD (NPI 1275581365) is an individual ophthalmology provider in Bend, Oregon, licensed in Oregon (MD23998) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and is a graduate of University Of Michigan Medical School (1986).

NPPES Registry Identity

NPI1275581365
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. THOMAS D FITZSIMMONSCredential: MD
Location Address1501 NE MEDICAL CENTER DRBend, OR 97701-6051
Mailing Address1501 Ne Medical Center DrBend, OR 97701-6051 · (541) 382-2811
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1986
Enumeration DateMay 4, 2006
Last NPPES UpdateMarch 29, 2021
NPPES CertifiedMarch 29, 2021
NPI 1275581365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in OR · MD23998
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1501 NE MEDICAL CENTER DR, Bend, OR 97701

Other Identifiers 2

Other00479098OR · Medicare Railroad
Medicaid028117OR

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

Dr. Thomas D Fitzsimmons 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 ID3577574672
PECOS Enrollment IDI20060602000190
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 12

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.

Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
438 services389 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.
214 services179 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
187 services187 patients
Exam of visual field with limited testing 92081
An exam of the visual field with limited testing is a quick check of your peripheral vision. It involves identifying objects or movements at the edge of your sight, helping to detect any vision loss that isn't obvious, such as blind spots or areas of reduced vision.
151 services149 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.
144 services119 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
115 services115 patients

Hospital Affiliations CMS Care Compare

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97701 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
$126.25 typical visit price
range $54.96 – $166.64
Typical copayment $31.56 (range $13.74 – $41.66)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Nurse Practitioner (Family)
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Family Medicine
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Nurse Practitioner (Family)
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Ophthalmology
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Ophthalmology
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Internal Medicine
1501 NE MEDICAL CENTER DR
BEND, OR 97701
Nurse Practitioner (Family)
1501 NE MEDICAL CENTER DR
BEND, OR 97701

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 Fitzsimmons's NPI number?

The NPI number for Thomas Fitzsimmons is 1275581365. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Thomas Fitzsimmons located?

Thomas Fitzsimmons practices at 1501 NE Medical Center Dr, Bend, OR 97701. The listed phone number is (541) 382-2811.

What is Thomas Fitzsimmons's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Thomas Fitzsimmons enrolled in Medicare?

Yes. Thomas Fitzsimmons 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 Fitzsimmons accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Moda Health Plan, Inc. and 3 other insurers list Thomas Fitzsimmons 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 Fitzsimmons affiliated with any hospitals?

According to CMS data, Thomas Fitzsimmons is affiliated with St Charles Medical Center - Bend.

When was this NPI record last updated?

The NPPES record for Thomas Fitzsimmons was last updated on March 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.