DR. LORI A FEDORCZYK DO
NPI 1659455699
Family Medicine in Jackson, OH
About Dr. Lori A Fedorczyk Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LORI A FEDORCZYK DO (NPI 1659455699) is an individual family medicine provider in Jackson, Ohio, licensed in Ohio (34.018053) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Holzer Medical Center, and is a graduate of West Virginia School Of Osteopathic Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Lori A Fedorczyk Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Lori Fedorczyk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gallipolis, OH 45631
- Reassigned Medicare billing, Ohio enrollment
- 321 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holzer Medical Center
Acute Care Hospitals · Gallipolis, OHHolzer Medical Center Jackson
Critical Access Hospitals · Jackson, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45640 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Lori Fedorczyk's NPI number?
The NPI number for Lori Fedorczyk is 1659455699. It was assigned to this individual provider in the NPPES registry on October 25, 2006.
Where is Lori Fedorczyk located?
Lori Fedorczyk practices at 280 Pattonsville Rd, Jackson, OH 45640. The listed phone number is (855) 446-5937.
What is Lori Fedorczyk's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lori Fedorczyk enrolled in Medicare?
Yes. Lori Fedorczyk 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 organization bills Medicare for Lori Fedorczyk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lori Fedorczyk reassigns Medicare benefits to Holzer Clinic, LLC (Gallipolis, OH). 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 Lori Fedorczyk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lori Fedorczyk accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Lori Fedorczyk 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 Lori Fedorczyk affiliated with any hospitals?
According to CMS data, Lori Fedorczyk is affiliated with Holzer Medical Center and Holzer Medical Center Jackson.
When was this NPI record last updated?
The NPPES record for Lori Fedorczyk was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Dr. Lori A Fedorczyk, DO · NPI 1659455699
Family Medicine physician in Jackson, Ohio. Individual provider, active in the CMS NPPES registry since October 25, 2006.
## Identity
- **NPI:** 1659455699 (Entity type: Individual)
- **Enumerated:** October 25, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 34.018053 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 280 PATTONSVILLE RD, Jackson, OH 45640-9452
- **Phone:** (855) 446-5937
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Holzer Clinic, LLC (NPI 1508817248, Gallipolis, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 2021
## Record status
- **NPPES last updated:** June 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659455699) · Data from the CMS NPPES public registry.