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DR. JAMES J FITZGIBBONS M.D.
NPI 1619974169
Orthopaedic Surgery in Fairfield, CT

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment
70.76/100
CMS Quality Rating
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825(203) 337-2600(203) 337-2666 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. James J Fitzgibbons M.d. NPPES

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

DR. JAMES J FITZGIBBONS M.D. (NPI 1619974169) is an individual orthopaedic surgery provider in Fairfield, Connecticut, licensed in Connecticut (037185) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1992).

NPPES Registry Identity

NPI1619974169
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES J FITZGIBBONSCredential: M.D.
Location Address305 BLACK ROCK TPKEFairfield, CT 06825-5508
Mailing Address305 Black Rock TpkeFairfield, CT 06825-5508 · (203) 337-2600 · Fax (203) 337-2666
Phone(203) 337-2600
Fax(203) 337-2666
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1992
Enumeration DateJune 30, 2005
Last NPPES UpdateMarch 29, 2017
✔ NPI 1619974169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in CT · 037185
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
305 BLACK ROCK TPKE, Fairfield, CT 06825
Open in Google Maps ↗

Other Identifiers 2

Medicaid001371856CT
Medicare UPING74991

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James J Fitzgibbons 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 ID8426108358
PECOS Enrollment IDI20090615000278
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

2

Medicare enrollment records show James Fitzgibbons reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Specialty Group, P.C.
Same address
Orthopaedic Surgery
305 BLACK ROCK TPKE
Fairfield, CT 06825
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Orthopaedic Specialty Group PC
  • 81 clinicians in this Medicare group
NPI 1558313767 (203) 337-2600
Orthoconnecticut, PLLC
9.8 mi
Physical Medicine & Rehabilitation
112 MAIN ST
Norwalk, CT 06851
  • Reassigned Medicare billing, Connecticut enrollment
  • 118 clinicians in this Medicare group
NPI 1356906515 (203) 847-4477

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

Areas of Expertise CMS Part B claims 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
296 services52 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
243 services136 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
131 services72 patients
Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose J7324
Orthovisc is a treatment involving injections of a substance called hyaluronan into your joints. Hyaluronan is a natural substance in your joint fluid that aids in movement and reduces pain. The Orthovisc injections help replenish this substance, relieving joint pain.
62 services17 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
56 services41 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
46 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06825 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
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.

70.76/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.21
Promoting Interoperability85
Improvement Activities40
Cost51.85

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.

DR. REGINA EUM MD
Physical Medicine & Rehabilitation
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 337-2600
LAURA M DELLADONNA RPT
Physical Therapist
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 337-2600
FIORE F SOVIERO PA
Physician Assistant
305 BLACK ROCK TPKE, ORTHOPAEDIC SPECIALTY GROUP
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 337-2600
RAMSEY SABA M.D.
Anesthesiology
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 337-2600
ORTHOPAEDIC SPECIALTY GROUP, P.C.
Radiology (Diagnostic Radiology)
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 337-2600
NOAH CHARLESTON LAT, ATC
Specialist/Technologist (Athletic Trainer)
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 337-2600
ORTHOCONNECTICUT, PLLC
Durable Medical Equipment & Medical Supplies
305 BLACK ROCK TPKE
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 337-2600
ROBERT V DAWE MD
Orthopaedic Surgery
305 BLACK ROCK TPKE, OSG
FAIRFIELD, CT 06825
Greater Bridgeport Planning Region (203) 337-2600

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 Fitzgibbons's NPI number?

The NPI number for James Fitzgibbons is 1619974169. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is James Fitzgibbons located?

James Fitzgibbons practices at 305 Black Rock Tpke, Fairfield, CT 06825. The listed phone number is (203) 337-2600.

What is James Fitzgibbons's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Fitzgibbons enrolled in Medicare?

Yes. James Fitzgibbons 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.

Which organizations bill Medicare for James Fitzgibbons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Fitzgibbons reassigns Medicare benefits to 2 organizations: Orthopaedic Specialty Group, P.C. (Fairfield, CT) and Orthoconnecticut, PLLC (Norwalk, CT). 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 Fitzgibbons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Fitzgibbons accept?

Health plans from Anthem Blue Cross and Blue Shield list James Fitzgibbons 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.

When was this NPI record last updated?

The NPPES record for James Fitzgibbons was last updated on March 29, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.