PATRICK JAMES FITZGIBBON DO
NPI 1902025760
Family Medicine in Byron Center, MI
About Patrick James Fitzgibbon Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICK JAMES FITZGIBBON DO (NPI 1902025760) is an individual family medicine provider in Byron Center, Michigan, licensed in Michigan (5101017026) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Patrick James Fitzgibbon Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Patrick Fitzgibbon reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Byron Center, MI 49315
- Reassigned Medicare billing, Michigan enrollment
- 737 clinicians in this Medicare group
Grand Rapids, MI 49503
- Reassigned Medicare billing, Michigan enrollment
- 42 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49315 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GRAND RAPIDS, MI 49315
BYRON CENTER, MI 49315
BYRON CENTER, MI 49315
BYRON CENTER, MI 49315
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 Patrick Fitzgibbon's NPI number?
The NPI number for Patrick Fitzgibbon is 1902025760. It was assigned to this individual provider in the NPPES registry on April 24, 2007.
Where is Patrick Fitzgibbon located?
Patrick Fitzgibbon practices at 2373 64th St SW Ste 1200, Byron Center, MI 49315. The listed phone number is (616) 685-3910.
What is Patrick Fitzgibbon's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Patrick Fitzgibbon enrolled in Medicare?
Yes. Patrick Fitzgibbon is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Patrick Fitzgibbon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Fitzgibbon reassigns Medicare benefits to 2 organizations: Advantage Health Saint Mary's Medical Group (Byron Center, MI) and Saint Mary's Health Services (Grand Rapids, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Fitzgibbon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Patrick Fitzgibbon accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Patrick Fitzgibbon 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 Patrick Fitzgibbon was last updated on September 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Patrick James Fitzgibbon, DO · NPI 1902025760
Family Medicine physician in Byron Center, Michigan. Individual provider, active in the CMS NPPES registry since April 24, 2007.
## Identity
- **NPI:** 1902025760 (Entity type: Individual)
- **Enumerated:** April 24, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 5101017026 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2373 64TH ST SW, STE 1200, Byron Center, MI 49315
- **Phone:** (616) 685-3910 · **Fax:** (616) 249-0736
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Advantage Health Saint Mary's Medical Group (NPI 1003515008, Byron Center, MI); Saint Mary's Health Services (NPI 1063917425, Grand Rapids, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 1, 2009
- **Other identifiers:** Medicare PIN P32930313 (MI); Medicare PIN M02830191 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1902025760) · Data from the CMS NPPES public registry.