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DR. DANIEL JOSEPH FITZSIMMONS MD
NPI 1659380467
Pediatrics in Winchester, VA

Active since August 08, 2006PECOS Enrolled
1330 AMHERST ST, WINCHESTER, VA 22601(304) 263-4999(304) 263-0984 Get Directions Write a Review

NPPES record last updated: June 28, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Daniel Joseph Fitzsimmons Md NPPES

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

DR. DANIEL JOSEPH FITZSIMMONS MD (NPI 1659380467) is an individual pediatrics provider in Winchester, Virginia, licensed in Virginia (0101233636) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659380467
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. DANIEL JOSEPH FITZSIMMONSCredential: MD
Location Address1330 AMHERST STWinchester, VA 22601-3054
Mailing AddressPo Box 1146Martinsburg, WV 25402 · (540) 722-2369 · Fax (542) 722-6601
Phone(304) 263-4999
Fax(304) 263-0984
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateJune 28, 2019
✔ NPI 1659380467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in VA · 0101233636✔ Licensed in NC · 200400859
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.
1330 AMHERST ST, Winchester, VA 22601
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Other Identifiers 1

Medicaid010289203VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Daniel Joseph Fitzsimmons 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 Reassignment

Medicare enrollment records show Daniel Fitzsimmons reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Shenandoah Valley Medical System, Inc.
Same address
Federally Qualified Health Center (FQHC)
1330 AMHERST ST
Winchester, VA 22601
  • Reassigned Medicare billing, Virginia enrollment
  • 14 clinicians in this Medicare group
NPI 1023217452 (304) 263-4999

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 22601 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 9

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

SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1330 AMHERST ST
WINCHESTER, VA 22601
Winchester City (304) 263-4999
SHENANDOAH VALLEY MEDICAL SYSTEM, INC.
Pharmacy
1330 AMHERST ST
WINCHESTER, VA 22601
Winchester City (540) 722-2369
RICHARD L. FIEO MD PC
Obstetrics & Gynecology
1330 AMHERST ST
WINCHESTER, VA 22601
Winchester City (540) 662-0711
SHENANDOAH VALLEY IMPLANT INSTITUTE
Dentist (Periodontics)
1330 AMHERST ST, STE C
WINCHESTER, VA 22601
Winchester City (540) 662-6400
DR. RALPH ELLSWORTH RICKEL JR. M.D., FAAFM
Family Medicine
1330 AMHERST ST
WINCHESTER, VA 22601
Winchester City (540) 722-2369
STERLING G WILLIAMS JR DDS LTD
Clinic/Center (Dental)
1330 AMHERST ST, SUITE B
WINCHESTER, VA 22601
Winchester City (540) 667-2997
CANDY LAMAS RODRIGUEZ MD
Family Medicine
1330 AMHERST ST
WINCHESTER, VA 22601
Winchester City (540) 722-2369
MS. CARRIE ELIZABETH SMITH MA CCC-SLP CERT AVT
Speech-Language Pathologist
1330 AMHERST ST, SUITE D
WINCHESTER, VA 22601
Winchester City (540) 514-8486

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 Daniel Fitzsimmons's NPI number?

The NPI number for Daniel Fitzsimmons is 1659380467. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Daniel Fitzsimmons located?

Daniel Fitzsimmons practices at 1330 Amherst St, Winchester, VA 22601. The listed phone number is (304) 263-4999.

What is Daniel Fitzsimmons's specialty?

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

Is Daniel Fitzsimmons enrolled in Medicare?

Yes. Daniel Fitzsimmons is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Daniel Fitzsimmons's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Daniel Fitzsimmons reassigns Medicare benefits to Shenandoah Valley Medical System, Inc. (Winchester, VA). The 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 Daniel Fitzsimmons's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Daniel Fitzsimmons accept?

Health plans from Cigna Healthcare and Highmark Blue Cross Blue Shield West Virginia list Daniel Fitzsimmons 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 Daniel Fitzsimmons was last updated on June 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.