DR. BONNIE FITLEBERG MD
NPI 1568436426
Family Medicine in Frederick, MD

NPI Status: Active since February 15, 2006

Contact Information

3430 WORTHINGTON BLVD
SUITE 103
FREDERICK, MD
ZIP 21704
Phone: (240) 215-6900
Fax: (240) 436-6300

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  • Individual
  • Female
  • Family Medicine
  • PECOS Enrolled
  • Medicare Quality Reporting

About BONNIE FITLEBERG

This page provides the complete NPI Profile along with additional information for Bonnie Fitleberg, a primary care provider established in Frederick, Maryland with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1568436426 assigned on February 2006. The practitioner's primary taxonomy code is 207Q00000X with license number D0065201 (MD). The provider is registered as an individual and her NPI record was last updated 10 years ago.

NPI
1568436426
Provider Name
DR. BONNIE FITLEBERG MD
Gender
Female
Entity Type
Individual
Location Address
3430 WORTHINGTON BLVD SUITE 103 FREDERICK, MD 21704
Location Phone
(240) 215-6900
Location Fax
(240) 436-6300
Mailing Address
610 SOLAREX CT FREDERICK, MD 21703
Is Sole Proprietor?
No
Enumeration Date
02-15-2006
Last Update Date
08-02-2016
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A primary care provider (PCP) like Bonnie Fitleberg sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
D0065201
License State
MD
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
926580505MEDICAID (05)MD 
CD8143MEDICARE PIN (08)MD 
926580509MEDICAID (05)MD 
451LMEDICARE PIN (08)MD 
H50970MEDICARE UPIN (02)NJ 

Medicare Participation & PECOS Enrollment Status

Bonnie Fitleberg is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21704 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $89.75
  • Minimum New Patient Price $57.99
  • Maximum New Patient Price $175.57
  • Average New Patient Copayment $22.43
  • Minimum New Patient Copayment $14.49
  • Maximum New Patient Copayment $43.89

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $102.11
  • Minimum Established Patient Price $18.66
  • Maximum Established Patient Price $143.02
  • Average Established Patient Copayment $25.52
  • Minimum Established Patient Copayment $4.66
  • Maximum Established Patient Copayment $35.75

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Quality Reporting

The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
e-Prescribing 97% 3499
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Health Information Exchange 90% 516
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral.
Immunization Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.
Medication Reconciliation 98% 52
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.
Patient-Specific Education 45% 1467
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.
Provide Patient Access 98% 1401
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 certain information.
Secure Messaging 66% 1401
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 message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Specialized Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1568436426, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
8
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 2 + 8 + 8 + 3 + 1 + 2 + 4 + 4 + 24 = 64

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1568436426.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Family Medicine
3430 WORTHINGTON BLVD, SUITE 103
FREDERICK, MD 21704
Clinic/Center (Sleep Disorder Diagnostic)
3430 WORTHINGTON BLVD, SUITE 205
FREDERICK, MD 21704
Internal Medicine (Gastroenterology)
3430 WORTHINGTON BLVD, SUITE 206
URBANA, MD 21704
Family Medicine
3430 WORTHINGTON BLVD, SUITE 103
FREDERICK, MD 21704
Family Medicine
3430 WORTHINGTON BLVD, SUITE 103
FREDERICK, MD 21704
Family Medicine
3430 WORTHINGTON BLVD
FREDERICK, MD 21704
Clinic/Center (Urgent Care)
3430 WORTHINGTON BLVD
FREDERICK, MD 21704
Clinical Medical Laboratory
3430 WORTHINGTON BLVD, FREDERICK
FREDERICK, MD 21704
Family Medicine
3430 WORTHINGTON BLVD
FREDERICK, MD 21704
Physician Assistant
3430 WORTHINGTON BLVD
FREDERICK, MD 21704
Clinic/Center (Radiology)
3430 WORTHINGTON BLVD
FREDERICK, MD 21704
Physical Therapist
3430 WORTHINGTON BLVD, SUITE 102
FREDERICK, MD 21704
Clinic/Center (Rehabilitation)
3430 WORTHINGTON BLVD
FREDERICK, MD 21704
Family Medicine
3430 WORTHINGTON BLVD
FREDERICK, MD 21704

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568436426, enumerated as an "individual" on February 15, 2006.

The provider is located at 3430 WORTHINGTON BLVD SUITE 103 FREDERICK, MD 21704 and the phone number is (240) 215-6900.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.