EMILY D FITZSIMMONS MD
NPI 1427626084
Family Medicine in Terre Haute, IN

Active since June 11, 2021PECOS EnrolledAccepts Medicare Assignment
1530 N 7TH ST STE 200, TERRE HAUTE, IN 47807(812) 238-4989 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2024, Jun 11, 2021 (2 updates tracked since 2021).

About Emily D Fitzsimmons Md NPPES

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

EMILY D FITZSIMMONS MD (NPI 1427626084) is an individual family medicine provider in Terre Haute, Indiana, licensed in Indiana (01092126A) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Union Hospital Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1427626084
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameEMILY D FITZSIMMONSCredential: MD
Location Address1530 N 7TH ST STE 200Terre Haute, IN 47807-1061
Mailing Address1530 N 7th St Ste 200Terre Haute, IN 47807-1061 · (812) 238-4989
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJune 11, 2021
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
NPI 1427626084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01092126A
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.
1530 N 7TH ST STE 200, Terre Haute, IN 47807

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

Emily 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 ID3870994205
PECOS Enrollment IDI20240717003812
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 6

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.
31 services28 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.
26 services26 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.
22 services19 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.
19 services19 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.
17 services17 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Union Hospital Inc

Acute Care Hospitals · Terre Haute, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150023
Location1606 N Seventh StTerre Haute, IN 47804 · Vigo County
Emergency services Birthing friendly

Union Hospital Clinton

Critical Access Hospitals · Clinton, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151326
Location801 S Main StClinton, IN 47842 · Vermillion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47807 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Student in an Organized Health Care Education/Training Program
1530 N 7TH ST STE 200
TERRE HAUTE, IN 47807
Hospitalist
1530 N 7TH ST STE 200
TERRE HAUTE, IN 47807
Student in an Organized Health Care Education/Training Program
1530 N 7TH ST STE 200
TERRE HAUTE, IN 47807
Family Medicine
1530 N 7TH ST STE 200
TERRE HAUTE, IN 47807
Student in an Organized Health Care Education/Training Program
1530 N 7TH ST STE 200
TERRE HAUTE, IN 47807
Hospitalist
1530 N 7TH ST STE 200
TERRE HAUTE, IN 47807
Student in an Organized Health Care Education/Training Program
1530 N 7TH ST STE 200
TERRE HAUTE, IN 47807
Student in an Organized Health Care Education/Training Program
1530 N 7TH ST STE 200
TERRE HAUTE, IN 47807

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 Emily Fitzsimmons's NPI number?

The NPI number for Emily Fitzsimmons is 1427626084. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Emily Fitzsimmons located?

Emily Fitzsimmons practices at 1530 N 7th St Ste 200, Terre Haute, IN 47807. The listed phone number is (812) 238-4989.

What is Emily Fitzsimmons's specialty?

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

Is Emily Fitzsimmons enrolled in Medicare?

Yes. Emily 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 Emily Fitzsimmons accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Emily 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 Emily Fitzsimmons affiliated with any hospitals?

According to CMS data, Emily Fitzsimmons is affiliated with Union Hospital Inc and Union Hospital Clinton.

When was this NPI record last updated?

The NPPES record for Emily Fitzsimmons was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.