TERRENCE THOMAS FITZGERALD M.D. - NPI 1881683522 - Internal Medicine in Baltimore, MD

Q: What is Terrence Fitzgerald's NPI number?

The NPI number for Terrence Fitzgerald is 1881683522. It was assigned to this individual provider in the NPPES registry on October 16, 2005.

Q: What is Terrence Fitzgerald's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

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About Terrence Thomas Fitzgerald M.d. NPPES

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

TERRENCE THOMAS FITZGERALD M.D. (NPI 1881683522) is an individual addiction medicine provider in Baltimore, Maryland, licensed in Maryland (D31064) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881683522

Entity TypeIndividualMale

Primary Taxonomy207RA0401X

Provider Legal NameTERRENCE THOMAS FITZGERALDCredential: M.D.

Location Address516 GLENWOOD AVEBaltimore, MD 21212-4230

Mailing AddressPo Box 10445Baltimore, MD 21209-0445 · (410) 925-1220 · Fax (410) 601-0290

Phone(410) 925-1220

Sole ProprietorNo

Enumeration DateOctober 16, 2005

Last NPPES UpdateMarch 21, 2013

✔ NPI 1881683522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in MD · D31064

Definition

An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

Also ListedEmergency MedicineTaxonomy 207P00000X · License D31064 (MD)

Also ListedInternal MedicineTaxonomy 207R00000X · License D31064 (MD)

516 GLENWOOD AVE, Baltimore, MD 21212

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Other Identifiers 3

Medicare UPIND76190

Medicaid0497570DC

Medicaid465611300MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terrence Thomas Fitzgerald M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21212 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

Other Providers at the Same Location NPPES 8

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

GLENWOOD LIFE COUNSELING CENTER, INC.

Community/Behavioral Health