IAN TIMOTHY FITZGERALD PA-C
NPI 1477132835
Physician Assistant in Modesto, CA

Active since April 05, 2021PECOS Enrolled
94.62/100
CMS Quality Rating
1700 COFFEE RD, MODESTO, CA 95355(209) 601-4054 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 2, 2024, Sep 10, 2021, Apr 5, 2021 (3 updates tracked since 2021).

About Ian Timothy Fitzgerald Pa-c NPPES

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

IAN TIMOTHY FITZGERALD PA-C (NPI 1477132835) is an individual physician assistant in Modesto, California, licensed in California (59623) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477132835
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameIAN TIMOTHY FITZGERALDCredential: PA-C
Location Address1700 COFFEE RDModesto, CA 95355-2803
Mailing Address1700 Coffee RdModesto, CA 95355-2803
Sole ProprietorNo
Enumeration DateApril 5, 2021
Last NPPES UpdateApril 2, 20243 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
NPI 1477132835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · 59623
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1700 COFFEE RD, Modesto, CA 95355

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ian Timothy Fitzgerald Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

Radiology (Radiation Oncology)
1700 COFFEE RD
MODESTO, CA 95355
Pharmacist
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Nurse Practitioner
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Nurse Practitioner (Acute Care)
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355

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 Ian Fitzgerald's NPI number?

The NPI number for Ian Fitzgerald is 1477132835. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Where is Ian Fitzgerald located?

Ian Fitzgerald practices at 1700 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 601-4054.

What is Ian Fitzgerald's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ian Fitzgerald enrolled in Medicare?

Yes. Ian Fitzgerald is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ian Fitzgerald was last updated on April 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.