DR. JAMES FRANCIS FITZGERALD MD
NPI 1528005261
Colon & Rectal Surgery in Washington, DC

Active since June 01, 2006PECOS Enrolled
80.17/100
CMS Quality Rating
110 IRVING ST NW, WASHINGTON, DC 20010(202) 877-7000 Get Directions Write a Review

NPPES record last updated: March 6, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James Francis Fitzgerald Md NPPES

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

DR. JAMES FRANCIS FITZGERALD MD (NPI 1528005261) is an individual colon & rectal surgery provider in Washington, District Of Columbia, licensed in District Of Columbia (MD036089) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528005261
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. JAMES FRANCIS FITZGERALDCredential: MD
Location Address110 IRVING ST NWWashington, DC 20010-2976
Mailing AddressPo Box 418498Boston, MA 02241-8498 · (703) 558-1544
Sole ProprietorNo
Enumeration DateJune 1, 2006
Last NPPES UpdateMarch 6, 2012
✔ NPI 1528005261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in DC · MD036089
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
110 IRVING ST NW, Washington, DC 20010

Other Identifiers 1

Medicare PIN020427G93DC

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Francis Fitzgerald Md 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.

Medicare Billing Reassignments

3

Medicare enrollment records show James Fitzgerald reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
110 IRVING ST NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
Nurse Practitioner
110 IRVING ST NW, MEDICAL AFFAIRS
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 264 clinicians in this Medicare group
Same address
Emergency Medical Services
110 IRVING ST NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Whc Physician Group LLC
  • 613 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Referred Medical Equipment & Supplies CMS DME claims 13

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

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers17 claims500 services$3.03 avg. paid by Medicare
Ostomy belt, each A4367
DME-Orthotic Devices · category DF010N
6 suppliers30 claims38 services$6.27 avg. paid by Medicare
Ostomy skin barrier, powder, per oz A4371
DME-Orthotic Devices · category DF010N
5 suppliers18 claims49 services$2.66 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
8 suppliers29 claims842 services$4.72 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
7 suppliers38 claims534 services$2.26 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
3 suppliers18 claims290 services$8.46 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 20

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

Nurse Practitioner (Acute Care)
110 IRVING ST NW, 4B42
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW
WASHINGTON, DC 20010
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
Nurse Anesthetist, Certified Registered
110 IRVING ST NW
WASHINGTON, DC 20010
Anesthesiology
110 IRVING ST NW
WASHINGTON, DC 20010
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW, DEPT. OF ORAL AND MAXILLOFACIAL SURGERY
WASHINGTON, DC 20010
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 IRVING ST NW
WASHINGTON, DC 20010

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 James Fitzgerald's NPI number?

The NPI number for James Fitzgerald is 1528005261. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is James Fitzgerald located?

James Fitzgerald practices at 110 Irving St NW, Washington, DC 20010. The listed phone number is (202) 877-7000.

What is James Fitzgerald's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is James Fitzgerald enrolled in Medicare?

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

Which organizations bill Medicare for James Fitzgerald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fitzgerald reassigns Medicare benefits to 3 organizations: Medstar Medical Group II LLC (Washington, DC), Washington Hospital Center Corp (Washington, DC) and Whc Emerg Phys (Washington, DC). 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 James Fitzgerald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for James Fitzgerald was last updated on March 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.