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TIMOTHY FETTERMAN MD
NPI 1427035583
Family Medicine in Cleveland, OH

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
18780 BAGLEY RD STE 104, CLEVELAND, OH 44130(440) 816-5950 Get Directions Write a Review

NPPES record last updated: June 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Timothy Fetterman Md NPPES

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

TIMOTHY FETTERMAN MD (NPI 1427035583) is an individual family medicine provider in Cleveland, Ohio, licensed in Ohio (35-071569) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Southwest General Health Center, and maintains a secondary practice location in Olmsted Township.

NPPES Registry Identity

NPI1427035583
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTIMOTHY FETTERMANCredential: MD
Location Address18780 BAGLEY RD STE 104Cleveland, OH 44130-3304
Mailing AddressPo Box 638269Cincinnati, OH 45263-6950 · (440) 816-5950
Phone(440) 816-5950
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 1995
Enumeration DateDecember 29, 2005
Last NPPES UpdateJune 3, 2022
NPPES CertifiedMay 24, 2022
✔ NPI 1427035583 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 · 35-071569
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.
18780 BAGLEY RD STE 104, Cleveland, OH 44130
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Secondary Practice Location 1

Location 127076 Bagley RoadOlmsted Township, OH 44138 · Phone (440) 816-8380

Other Identifiers 11

Medicaid2238199OH
OtherCG4860OH · Railroad Medicare Group
Other000000198967OH · Anthem
Other0005168421OH · Aetna
Other84779OH · Qual Choice
OtherP00701420OH · Railroad Care
Medicaid2001470OH
Other0105480OH · United Health Care
OtherP00478745OH · Railroad Care
Other080176792OH · Railroad Medicare Pin
Other0843940002OH · Dmerc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Timothy Fetterman 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 ID9335222975
PECOS Enrollment IDI20080206000111
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 Reassignment

Medicare enrollment records show Timothy Fetterman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest General Medical Group, Inc
Same address
Pain Medicine
18780 BAGLEY RD # 100
Cleveland, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 283 clinicians in this Medicare group
NPI 1205985967 (440) 816-2850

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 7

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.
514 services227 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
96 services22 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.
60 services60 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
38 services37 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
38 services37 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.
30 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Southwest General Health Center

Acute Care Hospitals · Middleburg Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360155
Location18697 Bagley RoadMiddleburg Heights, OH 44130 · Cuyahoga County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims30 services$35.86 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers31 claims64 services$6.21 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims11 services$0.92 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers31 claims31 services$66.06 avg. paid by Medicare
Injection, milrinone lactate, 5 mg J2260
Treatment-Injections and Infusions (nononcologic) · category RI026N
1 supplier13 claims612 services$1.29 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 2

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

MARY R KLEIN MD
Family Medicine
18780 BAGLEY RD STE 104
CLEVELAND, OH 44130
Cuyahoga County (440) 816-5950
LINDA FLORIAN
Nurse Practitioner (Family)
18780 BAGLEY RD STE 104
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 816-5950

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 Timothy Fetterman's NPI number?

The NPI number for Timothy Fetterman is 1427035583. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Timothy Fetterman located?

Timothy Fetterman practices at 18780 Bagley Rd Ste 104, Cleveland, OH 44130. The listed phone number is (440) 816-5950.

What is Timothy Fetterman's specialty?

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

Is Timothy Fetterman enrolled in Medicare?

Yes. Timothy Fetterman 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 organization bills Medicare for Timothy Fetterman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Timothy Fetterman reassigns Medicare benefits to Southwest General Medical Group, Inc (Cleveland, OH). The 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 Timothy Fetterman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Timothy Fetterman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 1 other insurer list Timothy Fetterman 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 Timothy Fetterman affiliated with any hospitals?

According to CMS data, Timothy Fetterman is affiliated with Southwest General Health Center and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Timothy Fetterman was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.