DR. FRANK E FUMICH M.D.
NPI 1811977382
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Lima, OH

Active since January 19, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
801 MEDICAL DR, SUITE A, LIMA, OH 45804(419) 222-6622(419) 224-0015 Get Directions Write a Review

NPPES record last updated: April 1, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Frank E Fumich M.d. NPPES

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

DR. FRANK E FUMICH M.D. (NPI 1811977382) is an individual orthopaedic surgery of the spine provider in Lima, Ohio, licensed in Ohio (35085865) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and is a graduate of Jc Edwards School Of Medicine, Marshall University (1999).

NPPES Registry Identity

NPI1811977382
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. FRANK E FUMICHCredential: M.D.
Location Address801 MEDICAL DR, SUITE ALima, OH 45804-4099
Mailing Address801 Medical Dr, Suite ALima, OH 45804-4099 · (419) 222-6622 · Fax (419) 224-0015
Fax(419) 224-0015
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 1999
Enumeration DateJanuary 19, 2006
Last NPPES UpdateApril 1, 2010
NPI 1811977382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in OH · 35085865
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 35085865 (OH)
801 MEDICAL DR, Lima, OH 45804

Other Identifiers 4

Medicare PIN4159561OH
Medicaid2551304OH
Other000000358607OH · Anthem
Medicare UPINI30817

Accepted 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

Dr. Frank E Fumich M.d. 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 ID2264476373
PECOS Enrollment IDI20050618000149
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 25

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.

X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
389 services225 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
225 services218 patients
X-ray of upper spine, 2-3 views 72040
An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.
215 services130 patients
Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048
This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.
113 services44 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
91 services54 patients
Mri scan of lower spinal canal without contrast 72148
An MRI scan of the lower spinal canal without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to produce detailed images of your lower spine. This helps identify issues like disc problems, tumors, or nerve conditions. No dye is used.
83 services83 patients

Hospital Affiliations CMS Care Compare 5

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Wilson Memorial Hospital

Acute Care Hospitals · Sidney, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360013
Location915 West Michigan StreetSidney, OH 45365 · Shelby County
Emergency services Birthing friendly

Mercer County Joint Township Community Hospital

Acute Care Hospitals · Coldwater, OH
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number360058
Location800 West Main StreetColdwater, OH 45828 · Mercer County
Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Institute For Orthopaedic Surgery

Acute Care Hospitals · Lima, OH
OwnershipProprietary
CMS Certification Number360263
Location801 Medical Drive, Suite BLima, OH 45804 · Allen County

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 3

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers17 claims17 services$61.89 avg. paid by Medicare
Osteogenesis stimulator, electrical, non-invasive, spinal applications E0748
DME-Other DME · category DE000N
1 supplier45 claims45 services$3,760.63 avg. paid by Medicare
Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf L0642
DME-Orthotic Devices · category DF007N
1 supplier29 claims29 services$272.66 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.

Orthopaedic Surgery
801 MEDICAL DR, SUITE A
LIMA, OH 45804
Orthopaedic Surgery (Orthopaedic Trauma)
801 MEDICAL DR, SUITE A
LIMA, OH 45804
Physician Assistant (Surgical)
801 MEDICAL DR, SUITE A
LIMA, OH 45804
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
801 MEDICAL DR, SUITE A
LIMA, OH 45804
Physician Assistant (Surgical)
801 MEDICAL DR, SUITE A
LIMA, OH 45804
Anesthesiology
801 MEDICAL DR, SUITE A
LIMA, OH 45804
Orthopaedic Surgery (Sports Medicine)
801 MEDICAL DR, SUITE A
LIMA, OH 45804
Orthopaedic Surgery (Pediatric Orthopaedic Surgery)
801 MEDICAL DR, SUITE A
LIMA, OH 45804

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 Frank Fumich's NPI number?

The NPI number for Frank Fumich is 1811977382. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is Frank Fumich located?

Frank Fumich practices at 801 Medical Dr Suite A, Lima, OH 45804. The listed phone number is (419) 222-6622.

What is Frank Fumich's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Frank Fumich enrolled in Medicare?

Yes. Frank Fumich 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 Frank Fumich accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Frank Fumich 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 Frank Fumich affiliated with any hospitals?

According to CMS data, Frank Fumich is affiliated with Lima Memorial Health System, Wilson Memorial Hospital, Mercer County Joint Township Community Hospital, Mercy Health-St Rita's Medical Center and Institute For Orthopaedic Surgery.

When was this NPI record last updated?

The NPPES record for Frank Fumich was last updated on April 1, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.