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NORMAN FISHMAN M.D.
NPI 1528086659
Internal Medicine - Endocrinology, Diabetes & Metabolism in Chesterfield, MO

Active since July 17, 2006PECOS EnrolledAccepts Medicare Assignment
222 S WOODS MILL RD, SUITE 410N, CHESTERFIELD, MO 63017(314) 469-6224(314) 469-0744 Get Directions Write a Review

NPPES record last updated: October 21, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Norman Fishman M.d. NPPES

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

NORMAN FISHMAN M.D. (NPI 1528086659) is an individual endocrinology, diabetes & metabolism provider in Chesterfield, Missouri, licensed in Missouri (R6249) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of University Of Missouri, Columbia School Of Medicine (1974).

NPPES Registry Identity

NPI1528086659
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameNORMAN FISHMANCredential: M.D.
Location Address222 S WOODS MILL RD, SUITE 410NChesterfield, MO 63017-3625
Mailing Address222 S Woods Mill Rd, Suite 410nChesterfield, MO 63017-3625 · (314) 469-6224 · Fax (314) 469-0744
Phone(314) 469-6224
Fax(314) 469-0744
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1974
Enumeration DateJuly 17, 2006
Last NPPES UpdateOctober 21, 2009
✔ NPI 1528086659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MO · R6249
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
222 S WOODS MILL RD, Chesterfield, MO 63017
Open in Google Maps ↗

Other Identifiers 5

Other22630MO · Bc/bs
Medicare ID-Type Unspecified040434580MO
Medicare UPINA13471
Medicaid31085MO
Other10850652Caqh

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Norman Fishman M.d. 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 ID8527001973
PECOS Enrollment IDI20050608000013
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 12

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.
270 services135 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.
118 services43 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
112 services84 patients
Thyroxine (thyroid chemical), free 84439
The Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.
107 services79 patients
Thyroid hormone, t3 measurement, total 84480
The T3 Total Test measures the amount of thyroid hormone T3 in your blood. This hormone, produced by the thyroid gland, is crucial for body's metabolism and energy production. Abnormal levels may indicate a thyroid disorder.
107 services79 patients
Hemoglobin analysis and measurement, chromatography 83021
Hemoglobin analysis using chromatography is a test that determines the amount and type of hemoglobin in your blood. It's helpful in diagnosing conditions like anemia or thalassemia. The process involves separating components of a blood sample for detailed study.
106 services75 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63017 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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.

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%206 patients5/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
81%615 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,062 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
77%2,852 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%685 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
60%712 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
88%338 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%349 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
79%712 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
99%142 patients5/55-star benchmark: 98%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
73%712 patients4/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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
32 suppliers66 claims243 services$6.33 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers22 claims44 services$1.16 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
8 suppliers111 claims118 services$188.62 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.

MS. KIMBERLY C GRUNZINGER MSN, RN, ACNS-BC
Clinical Nurse Specialist (Adult Health)
222 S WOODS MILL RD, SUITE 480 N
CHESTERFIELD, MO 63017
St. Louis County (314) 576-7343
RACHEL LYNN FISHMAN OIKNINE M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
222 S WOODS MILL RD, SUITE 410N
CHESTERFIELD, MO 63017
St. Louis County (314) 469-6224
MARYLAND MEDICAL GROUP LTD
Internal Medicine
222 S WOODS MILL RD, SUITE 350N
CHESTERFIELD, MO 63017
St. Louis County (314) 205-6557
MARIA THERESA WEIR
Nurse Practitioner (Adult Health)
222 S WOODS MILL RD, SUITE 410N
CHESTERFIELD, MO 63017
St. Louis County (314) 469-6224
JOHN BEST MD
Internal Medicine (Pulmonary Disease)
222 S WOODS MILL RD, SUITE 310 NORTH
CHESTERFIELD, MO 63017
St. Louis County (314) 576-6700
WEST COUNTY OPHTHALMOLOGY, INC
Ophthalmology
222 S WOODS MILL RD, SUITE 660N
CHESTERFIELD, MO 63017
St. Louis County (314) 878-9902
TARISAI SHARON NYAHODA MD
Internal Medicine (Geriatric Medicine)
222 S WOODS MILL RD
CHESTERFIELD, MO 63017
St. Louis County (314) 205-6050
ZOE LEYH DO
Internal Medicine (Infectious Disease)
222 S WOODS MILL RD
CHESTERFIELD, MO 63017
St. Louis County (314) 205-6050

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 Norman Fishman's NPI number?

The NPI number for Norman Fishman is 1528086659. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Norman Fishman located?

Norman Fishman practices at 222 S Woods Mill Rd Suite 410N, Chesterfield, MO 63017. The listed phone number is (314) 469-6224.

What is Norman Fishman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Norman Fishman enrolled in Medicare?

Yes. Norman Fishman 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 Norman Fishman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 3 other insurers list Norman Fishman 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 Norman Fishman affiliated with any hospitals?

According to CMS data, Norman Fishman is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Norman Fishman was last updated on October 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.