KIM M FODOR MD
NPI 1811924533
Internal Medicine in Cincinnati, OH

Q: What is Kim Fodor's NPI number?

The NPI number for Kim Fodor is 1811924533. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Q: What is Kim Fodor's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kim Fodor was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment

7825 LAUREL AVE, CINCINNATI, OH 45243(513) 561-4811(513) 561-2730 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kim M Fodor Md NPPES

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

KIM M FODOR MD (NPI 1811924533) is an individual internal medicine provider in Cincinnati, Ohio, licensed in Ohio (35080924) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Berkshire Medical Center, and is a graduate of George Washington University School Of Medicine (1996).

NPPES Registry Identity

NPI1811924533

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameKIM M FODORCredential: MD

Location Address7825 LAUREL AVECincinnati, OH 45243-2608

Mailing Address7825 Laurel AveCincinnati, OH 45243-2608 · (513) 561-4811 · Fax (513) 561-2730

Phone(513) 561-4811

Fax(513) 561-2730

Sole ProprietorNo

Medical School CMSGeorge Washington University School Of MedicineGraduated 1996

Enumeration DateJune 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1811924533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 35080924

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.

7825 LAUREL AVE, Cincinnati, OH 45243

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Other Identifiers 3

Medicare ID-Type UnspecifiedFO4082353OH

Medicare UPINH31839OH

Medicaid2468913OH

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kim M Fodor 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 ID8022035138

PECOS Enrollment IDI20071103000135

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 4

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.

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.

222 services222 patients

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.

221 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.

137 services103 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220046

Location725 North StreetPittsfield, MA 01201 · Berkshire County

Emergency services Birthing friendly

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470005

Location160 Allen StRutland, VT 05701 · Rutland County

Emergency services Birthing friendly

Southwestern Vermont Medical Center

Acute Care Hospitals · Bennington, VT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470012

Location100 Hospital DriveBennington, VT 05201 · Bennington County

Emergency services Birthing friendly

Grace Cottage Hospital

Critical Access Hospitals · Townshend, VT

OwnershipVoluntary non-profit - Private

CMS Certification Number471300

LocationPO Box 216Townshend, VT 05353 · Windham County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45243 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 15

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

7 suppliers45 claims107 services$5.64 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers26 claims26 services$1.09 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

2 suppliers12 claims12 services$42.34 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers16 claims16 services$115.83 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

3 suppliers16 claims28 services$42.28 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers16 claims16 services$68.08 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 5

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

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Internal Medicine