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PHILIP D FITZGERALD MD
NPI 1669437166
Internal Medicine in Louisville, KY

Active since April 18, 2006PECOS Enrolled
100/100
CMS Quality Rating
3 AUDUBON PLAZA DR, LL 2, LOUISVILLE, KY 40217(502) 636-8095(502) 636-8097 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2021, Jun 19, 2019, Jul 11, 2016 (3 updates tracked since 2016).

About Philip D Fitzgerald Md NPPES

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

PHILIP D FITZGERALD MD (NPI 1669437166) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (25883) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669437166
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePHILIP D FITZGERALDCredential: MD
Location Address3 AUDUBON PLAZA DR, LL 2Louisville, KY 40217-1319
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 636-8095
Fax(502) 636-8097
Sole ProprietorNo
Enumeration DateApril 18, 2006
Last NPPES UpdateJanuary 12, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1669437166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in KY · 25883
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3 AUDUBON PLAZA DR, Louisville, KY 40217
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Other Identifiers 8

Other000023029BKY · Humana / Ncma
Other00000050938KY · Anthem / Ncma
Medicaid200532240IN
Other2433726000Passport Advantage / Ncma
Medicaid64258833KY
Other1054792KY · Passport / Ncma
Other008894KY · Siho / Ncma
Other110132054KY · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Philip D Fitzgerald 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.

Areas of Expertise CMS Part B claims

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40217 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers44 claims123 services$6.23 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers35 claims35 services$13.42 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
3 suppliers36 claims36 services$58.42 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
3 suppliers12 claims930 services$0.10 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$15.41 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers25 claims25 services$184.75 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 20

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

JEANNE M THOMPSON M.D.
Internal Medicine
3 AUDUBON PLAZA DR, LL2
LOUISVILLE, KY 40217
Jefferson County (502) 636-8095
NEUROSCIENCE ASSOCIATES, PSC
Psychiatry & Neurology (Neurology)
3 AUDUBON PLAZA DR, SUITE 110
LOUISVILLE, KY 40217
Jefferson County (502) 634-3433
CARDIOVASCULAR ASSOCIATES, PSC
Internal Medicine (Cardiovascular Disease)
3 AUDUBON PLAZA DR, SUITE 350
LOUISVILLE, KY 40217
Jefferson County (502) 891-8300
BRYAN JESSOP ECKERLE
Psychiatry & Neurology (Neurology)
3 AUDUBON PLAZA DR, LL2
LOUISVILLE, KY 40217
Jefferson County (502) 636-4940
DR. NORMAN D RADTKE M.D.
Ophthalmology
3 AUDUBON PLAZA DR, SUITE 240
LOUISVILLE, KY 40217
Jefferson County (502) 636-2823
GARY F BLOEMER M.D.
Orthopaedic Surgery
3 AUDUBON PLAZA DR, SUITE 430
LOUISVILLE, KY 40217
Jefferson County (502) 588-9490
NORTON HOSPITALS INC
Clinic/Center (Rehabilitation)
3 AUDUBON PLAZA DR, STE L12
LOUISVILLE, KY 40217
Jefferson County (502) 629-8000
ALICE HOANG JOHNSON MD
Internal Medicine
3 AUDUBON PLAZA DR, LL-2
LOUISVILLE, KY 40217
Jefferson County (502) 636-8095

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 Philip Fitzgerald's NPI number?

The NPI number for Philip Fitzgerald is 1669437166. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Philip Fitzgerald located?

Philip Fitzgerald practices at 3 Audubon Plaza Dr Ll 2, Louisville, KY 40217. The listed phone number is (502) 636-8095.

What is Philip Fitzgerald's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Philip Fitzgerald enrolled in Medicare?

Yes. Philip Fitzgerald is registered in the Medicare PECOS enrollment system.

What insurance does Philip Fitzgerald accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Philip Fitzgerald 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 Philip Fitzgerald was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.