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KEVIN M FITZGERALD MD
NPI 1730179243
Family Medicine in Onalaska, WI

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
191 THEATRE RD, ONALASKA, WI 54650(608) 392-5001(608) 392-5790 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2020, May 20, 2019 (2 updates tracked since 2019).

About Kevin M Fitzgerald Md NPPES

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

KEVIN M FITZGERALD MD (NPI 1730179243) is an individual family medicine provider in Onalaska, Wisconsin, licensed in Wisconsin (37997) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System-franciscan Medical Center Inc, and is a graduate of Creighton University School Of Medicine (1995).

NPPES Registry Identity

NPI1730179243
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEVIN M FITZGERALDCredential: MD
Location Address191 THEATRE RDOnalaska, WI 54650-8679
Mailing AddressPo Box 1510Eau Claire, WI 54702-1510 · (608) 785-0940
Phone(608) 392-5001
Fax(608) 392-5790
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1995
Enumeration DateOctober 26, 2005
Last NPPES UpdateSeptember 16, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
✔ NPI 1730179243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 37997
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
191 THEATRE RD, Onalaska, WI 54650
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Security Health Plan.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

Kevin M Fitzgerald 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 ID5698753291
PECOS Enrollment IDI20040709001378
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 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
229 services134 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.
176 services137 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
110 services110 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.
38 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services20 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Mayo Clinic Health System-Franciscan Medical Center Inc

Acute Care Hospitals · La Crosse, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520004
Location700 West Avenue SouthLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta

Critical Access Hospitals · Sparta, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521305
Location310 W Main StSparta, WI 54656 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54650 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 2

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
8 suppliers31 claims86 services$5.68 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
1 supplier12 claims690 services$0.09 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 15

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

JUDITH A. AUFENTHIE RN, PHD
Clinical Nurse Specialist (Holistic)
191 THEATRE RD
ONALASKA, WI 54650
La Crosse County (608) 392-5005
MAYO CLINIC HOSPITAL-ROCHESTER
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
191 THEATRE RD
ONALASKA, WI 54650
La Crosse County (608) 392-5011
JENNIFER JOY SKIFTON PHARM.D.
Pharmacist
191 THEATRE RD, ONALASKA CLINIC PHARMACY
ONALASKA, WI 54650
La Crosse County (608) 392-5009
ALLEN F SCHAWE MD
Family Medicine
191 THEATRE RD
ONALASKA, WI 54650
La Crosse County (608) 392-5000
FUSHENG LAN M.S., L. AC.
Acupuncturist
191 THEATRE RD
ONALASKA, WI 54650
La Crosse County (608) 392-5000
RICHARD E PERRY MD
Family Medicine
191 THEATRE RD
ONALASKA, WI 54650
La Crosse County (608) 392-5000
BENJAMIN L HANAN PTA
Physical Therapy Assistant
191 THEATRE RD
ONALASKA, WI 54650
La Crosse County (608) 392-5004
RUSTAN J WIERSMA MD
Otolaryngology
191 THEATRE RD
ONALASKA, WI 54650
La Crosse County (608) 392-5000

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 Kevin Fitzgerald's NPI number?

The NPI number for Kevin Fitzgerald is 1730179243. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Kevin Fitzgerald located?

Kevin Fitzgerald practices at 191 Theatre Rd, Onalaska, WI 54650. The listed phone number is (608) 392-5001.

What is Kevin Fitzgerald's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Fitzgerald enrolled in Medicare?

Yes. Kevin Fitzgerald 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 Kevin Fitzgerald accept?

Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Kevin 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.

Is Kevin Fitzgerald affiliated with any hospitals?

According to CMS data, Kevin Fitzgerald is affiliated with Mayo Clinic Health System-Franciscan Medical Center Inc and Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta.

When was this NPI record last updated?

The NPPES record for Kevin Fitzgerald was last updated on September 16, 2020. 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.