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ADRIANA M. FITZSIMMONS MD
NPI 1285606921
Psychiatry & Neurology - Psychiatry in Neptune, NJ

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
3535 ROUTE 66, PARKWAY 100, NEPTUNE, NJ 07753(733) 264-3435(732) 643-4398 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Adriana M. Fitzsimmons Md NPPES

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

ADRIANA M. FITZSIMMONS MD (NPI 1285606921) is an individual psychiatry provider in Neptune, New Jersey, licensed in New Jersey (MA71513) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Jersey Shore University Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1285606921
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameADRIANA M. FITZSIMMONSCredential: MD
Location Address3535 ROUTE 66, PARKWAY 100Neptune, NJ 07753-2625
Mailing Address3535 Route 66, Parkway 100Neptune, NJ 07753-2625 · (732) 643-4350 · Fax (732) 643-4398
Phone(733) 264-3435
Fax(732) 643-4398
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateFebruary 6, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1285606921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NJ · MA71513
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
3535 ROUTE 66, Neptune, NJ 07753
Open in Google Maps ↗

Other Identifiers 1

Medicaid8706603NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Adriana M. 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 ID5991856858
PECOS Enrollment IDI20090706000593
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Adriana Fitzsimmons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hackensack Meridian Health Medical Group - Complex Care PC
7.6 mi
Internal Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 306 clinicians in this Medicare group
NPI 1154379626 (732) 807-0800
Hackensack Meridian Health Medical Group - Specialty Care PC
7.6 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
345 services129 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.
214 services204 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.
44 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.5
Promoting Interoperability100
Improvement Activities40
Cost60.9

Other Providers at the Same Location NPPES 4

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

NORA M ROAN APN
Registered Nurse (Psychiatric/Mental Health)
3535 ROUTE 66, PARKWAY 100
NEPTUNE, NJ 07753
Monmouth County (732) 643-4350
STACY J. DOUMAS M.D.
Psychiatry & Neurology (Psychiatry)
3535 ROUTE 66, BUILDING 5
NEPTUNE, NJ 07753
Monmouth County (732) 643-4350
MED-CARE, LLC
Durable Medical Equipment & Medical Supplies (Nursing Facility Supplies)
3535 ROUTE 66, BLDG 3
NEPTUNE, NJ 07753
Monmouth County (732) 918-7555
RACHEL MARKOWITZ MD
Psychiatry & Neurology (Psychiatry)
3535 ROUTE 66, PARKWAY 100
NEPTUNE, NJ 07753
Monmouth County (732) 643-4350

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 Adriana Fitzsimmons's NPI number?

The NPI number for Adriana Fitzsimmons is 1285606921. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Adriana Fitzsimmons located?

Adriana Fitzsimmons practices at 3535 Route 66 Parkway 100, Neptune, NJ 07753. The listed phone number is (733) 264-3435.

What is Adriana Fitzsimmons's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Adriana Fitzsimmons enrolled in Medicare?

Yes. Adriana 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.

Which organizations bill Medicare for Adriana Fitzsimmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adriana Fitzsimmons reassigns Medicare benefits to 2 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Adriana Fitzsimmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Adriana Fitzsimmons affiliated with any hospitals?

According to CMS data, Adriana Fitzsimmons is affiliated with Jersey Shore University Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Adriana Fitzsimmons was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.