DR. DARLENE S FAIRCHILD MD
NPI 1366419830
Family Medicine in Toledo, OH

Active since March 03, 2006PECOS EnrolledAccepts Medicare Assignment
6800 W CENTRAL AVE, UNIT K, TOLEDO, OH 43617(419) 841-1510(419) 841-1513 Get Directions Write a Review

NPPES record last updated: May 31, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Darlene S Fairchild Md NPPES

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

DR. DARLENE S FAIRCHILD MD (NPI 1366419830) is an individual family medicine provider in Toledo, Ohio, licensed in Ohio (35060627) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of State University Of New York At Buffalo School Of Medicine (1985).

NPPES Registry Identity

NPI1366419830
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DARLENE S FAIRCHILDCredential: MD
Location Address6800 W CENTRAL AVE, UNIT KToledo, OH 43617-1135
Mailing Address6800 W Central Ave, Unit KToledo, OH 43617-1135 · (419) 841-1510 · Fax (491) 841-1513
Fax(419) 841-1513
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1985
Enumeration DateMarch 3, 2006
Last NPPES UpdateMay 31, 2011
NPI 1366419830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35060627
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.
6800 W CENTRAL AVE, Toledo, OH 43617

Other Identifiers 4

Medicare UPINDO2288OH
Medicare PIN0887493OH
OtherP00163047OH · Rairroad Medicare
Medicaid0813267OH

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. Darlene S Fairchild 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 ID4981670791
PECOS Enrollment IDI20040902001229
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 13

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 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.
411 services172 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.
204 services130 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
203 services28 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.
161 services161 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
154 services23 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
63 services29 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43617 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 5

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
11 suppliers44 claims79 services$6.29 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers17 claims18 services$1.04 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
1 supplier14 claims4,125 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers22 claims22 services$172.97 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers17 claims17 services$23.05 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 11

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

Family Medicine
6800 W CENTRAL AVE, UNIT K
TOLEDO, OH 43617
Social Worker (Clinical)
6800 W CENTRAL AVE, D-3
TOLEDO, OH 43617
Counselor (Addiction (Substance Use Disorder))
6800 W CENTRAL AVE, STE B
TOLEDO, OH 43617
Family Medicine
6800 W CENTRAL AVE, UNIT K
TOLEDO, OH 43617
Psychiatry & Neurology (Psychiatry)
6800 W CENTRAL AVE, SUITE D-3
TOLEDO, OH 43617
Psychologist (Counseling)
6800 W CENTRAL AVE, #D-2
TOLEDO, OH 43617
Dentist (General Practice)
6800 W CENTRAL AVE, SUITE A - 1
TOLEDO, OH 43617
Family Medicine
6800 W CENTRAL AVE, UNIT K
TOLEDO, OH 43617

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 Darlene Fairchild's NPI number?

The NPI number for Darlene Fairchild is 1366419830. It was assigned to this individual provider in the NPPES registry on March 3, 2006.

Where is Darlene Fairchild located?

Darlene Fairchild practices at 6800 W Central Ave Unit K, Toledo, OH 43617. The listed phone number is (419) 841-1510.

What is Darlene Fairchild's specialty?

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

Is Darlene Fairchild enrolled in Medicare?

Yes. Darlene Fairchild 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 Darlene Fairchild accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, McLaren Health Plan Community, MedMutual and Priority Health and 1 other insurer list Darlene Fairchild 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 Darlene Fairchild affiliated with any hospitals?

According to CMS data, Darlene Fairchild is affiliated with Promedica Toledo Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Darlene Fairchild was last updated on May 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.