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DR. DOUGLAS STEWART FITZWATER MD
NPI 1619967106
Pediatrics in Portageville, MO

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
204 E 3RD ST, PORTAGEVILLE, MO 63873(573) 379-5467(573) 379-5671 Get Directions Write a Review

NPPES record last updated: August 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 20, 2019, May 14, 2019, May 1, 2018 and 3 more (6 updates tracked since 2015).

About Dr. Douglas Stewart Fitzwater Md NPPES

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

DR. DOUGLAS STEWART FITZWATER MD (NPI 1619967106) is an individual pediatrics provider in Portageville, Missouri, licensed in Missouri (R8N02) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Southeast, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619967106
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DOUGLAS STEWART FITZWATERCredential: MD
Location Address204 E 3RD STPortageville, MO 63873-1402
Mailing Address1008 N Main StSikeston, MO 63801-5044 · (573) 472-7406 · Fax (573) 472-7475
Phone(573) 379-5467
Fax(573) 379-5671
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 1987
Enumeration DateOctober 26, 2005
Last NPPES UpdateAugust 20, 20196 updates tracked since enumeration
✔ NPI 1619967106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · R8N02
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License R8N02 (MO)
Also ListedHospitalistTaxonomy 208M00000X · License R8N02 (MO)
204 E 3RD ST, Portageville, MO 63873
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1615 Main StNew Madrid, MO 63869-1513 · Phone (573) 748-2546 · Fax (573) 748-2433
Location 21 Childrens PlSaint Louis, MO 63110-1002 · Phone (314) 454-2076 · Fax (314) 747-8953

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

Dr. Douglas Stewart Fitzwater 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 ID2365349768
PECOS Enrollment IDI20181005001337
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.

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260110
Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County
Emergency services Birthing friendly

Missouri Delta Medical Center

Acute Care Hospitals · Sikeston, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260113
Location1008 North Main StSikeston, MO 63801 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63873 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers16 claims16 services$50.91 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers22 claims22 services$105.58 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers14 claims14 services$29.02 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 2

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

MISSOURI DELTA MEDICAL CENTER
Clinic/Center (Rural Health)
204 E 3RD ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-5467
AMY KELLAMS STINNETT FNP
Nurse Practitioner (Family)
204 E 3RD ST
PORTAGEVILLE, MO 63873
New Madrid County (573) 379-5467

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 Douglas Fitzwater's NPI number?

The NPI number for Douglas Fitzwater is 1619967106. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Douglas Fitzwater located?

Douglas Fitzwater practices at 204 E 3rd St, Portageville, MO 63873. The listed phone number is (573) 379-5467.

What is Douglas Fitzwater's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Douglas Fitzwater enrolled in Medicare?

Yes. Douglas Fitzwater 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 Douglas Fitzwater 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 Douglas Fitzwater 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 Douglas Fitzwater affiliated with any hospitals?

According to CMS data, Douglas Fitzwater is affiliated with Mercy Hospital Southeast and Missouri Delta Medical Center.

When was this NPI record last updated?

The NPPES record for Douglas Fitzwater was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.