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SUSIE FITZGERALD DO
NPI 1902867179
Family Medicine in Clinton, NC

Active since March 29, 2006PECOS EnrolledAccepts Medicare Assignment
72.5/100
CMS Quality Rating
607 BEAMAN ST, CLINTON, NC 28328(910) 596-5421(910) 596-5432 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2021, Mar 8, 2019 (2 updates tracked since 2019).

About Susie Fitzgerald Do NPPES

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

SUSIE FITZGERALD DO (NPI 1902867179) is an individual family medicine provider in Clinton, North Carolina, licensed in North Carolina (2021-00367) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Sampson Regional Medical Center, and is a graduate of Campbell Univ School Of Osteopathic Medicine (2019).

NPPES Registry Identity

NPI1902867179
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSIE FITZGERALDCredential: DO
Location Address607 BEAMAN STClinton, NC 28328-2603
Mailing AddressPo Box 260Clinton, NC 28329-0260 · (910) 596-5421 · Fax (910) 596-5432
Phone(910) 596-5421
Fax(910) 596-5432
Sole ProprietorNo
Medical School CMSCampbell Univ School Of Osteopathic MedicineGraduated 2019
Enumeration DateMarch 29, 2006
Last NPPES UpdateJune 30, 20222 updates tracked since enumeration
NPPES CertifiedJune 30, 2022
✔ NPI 1902867179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 2021-00367
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
607 BEAMAN ST, Clinton, NC 28328
Open in Google Maps ↗

Other Identifiers 2

Medicaid7412455NC
Other141J6NC · Ncbcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.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

Susie Fitzgerald Do 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 ID5294117776
PECOS Enrollment IDI20220730000090
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 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.
125 services48 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
103 services55 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.
100 services50 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
47 services36 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.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Sampson Regional Medical Center

Acute Care Hospitals · Clinton, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340024
Location607 Beaman StClinton, NC 28328 · Sampson County
Emergency services Birthing friendly

Betsy Johnson Regional Hospital

Acute Care Hospitals · Dunn, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340071
Location800 Tilghman DrDunn, NC 28334 · Harnett County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28328 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

72.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.02
Improvement Activities40
Cost64.48

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.

SAVANNAH GRIFFIN DO
Student in an Organized Health Care Education/Training Program
607 BEAMAN ST
CLINTON, NC 28328
Sampson County (540) 383-2601
ARKA CHAUDHURY DO
Family Medicine
607 BEAMAN ST
CLINTON, NC 28328
Sampson County (910) 596-5421
YASMIN HADIAN
Student in an Organized Health Care Education/Training Program
607 BEAMAN ST
CLINTON, NC 28328
Sampson County (910) 596-5409
MRS. ANITA VANN ROYAL CRNA
Nurse Anesthetist, Certified Registered
607 BEAMAN ST
CLINTON, NC 28328
Sampson County (910) 592-8511
DR. KENDALL LAUREN HENNARD D.O.
Student in an Organized Health Care Education/Training Program
607 BEAMAN ST
CLINTON, NC 28328
Sampson County (910) 596-5421
LUKE MAXFIELD D.O.
Dermatology
607 BEAMAN ST
CLINTON, NC 28328
Sampson County (910) 596-5421
SHELBY MONROE BOOCK DO
Student in an Organized Health Care Education/Training Program
607 BEAMAN ST
CLINTON, NC 28328
Sampson County (910) 596-5421
PHILLIP HENRY WARREN IV P.T.
Physical Therapist
607 BEAMAN ST
CLINTON, NC 28328
Sampson County (910) 596-4244

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 Susie Fitzgerald's NPI number?

The NPI number for Susie Fitzgerald is 1902867179. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Where is Susie Fitzgerald located?

Susie Fitzgerald practices at 607 Beaman St, Clinton, NC 28328. The listed phone number is (910) 596-5421.

What is Susie Fitzgerald's specialty?

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

Is Susie Fitzgerald enrolled in Medicare?

Yes. Susie 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 Susie Fitzgerald accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Susie 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 Susie Fitzgerald affiliated with any hospitals?

According to CMS data, Susie Fitzgerald is affiliated with Sampson Regional Medical Center and Betsy Johnson Regional Hospital.

When was this NPI record last updated?

The NPPES record for Susie Fitzgerald was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.