JOHN P. FITZGERALD MD
NPI 1912131749
Urology in East Setauket, NY

Active since May 07, 2009PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
24 RESEARCH WAY, SUITE 500, EAST SETAUKET, NY 11733(631) 444-6270(631) 444-6256 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About John P. Fitzgerald Md NPPES

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

JOHN P. FITZGERALD MD (NPI 1912131749) is an individual urology provider in East Setauket, New York, licensed in New York (262035-1) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Long Island Community Hospital, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1912131749
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJOHN P. FITZGERALDCredential: MD
Location Address24 RESEARCH WAY, SUITE 500East Setauket, NY 11733-3487
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-0650 · Fax (631) 638-4170
Fax(631) 444-6256
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 7, 2009
Last NPPES UpdateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
NPI 1912131749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in NY · 262035-1 Licensed in CT · 71159
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
24 RESEARCH WAY, East Setauket, NY 11733

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

John P. Fitzgerald 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 ID6709936636
PECOS Enrollment IDI20110927000542
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 10

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.
291 services240 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.
113 services113 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.
94 services82 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
59 services54 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
33 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Long Island Community Hospital

Acute Care Hospitals · Patchogue, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330141
Location101 Hospital RoadPatchogue, NY 11772 · Suffolk County
Emergency services

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers30 claims7,180 services$1.44 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), each A4393
DME-Orthotic Devices · category DF010N
2 suppliers14 claims190 services$7.30 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers11 claims950 services$0.22 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers20 claims805 services$0.20 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.

Urology
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Surgery (Plastic and Reconstructive Surgery)
24 RESEARCH WAY
SETAUKET, NY 11733
Physician Assistant (Surgical)
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Radiology (Diagnostic Radiology)
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Physician Assistant
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Urology
24 RESEARCH WAY
EAST SETAUKET, NY 11733
Urology
24 RESEARCH WAY, SUITE 500
SETAUKET, NY 11733
Plastic Surgery
24 RESEARCH WAY
EAST SETAUKET, NY 11733

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 John Fitzgerald's NPI number?

The NPI number for John Fitzgerald is 1912131749. It was assigned to this individual provider in the NPPES registry on May 7, 2009.

Where is John Fitzgerald located?

John Fitzgerald practices at 24 Research Way Suite 500, East Setauket, NY 11733. The listed phone number is (631) 444-6270.

What is John Fitzgerald's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is John Fitzgerald enrolled in Medicare?

Yes. John 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.

Is John Fitzgerald affiliated with any hospitals?

According to CMS data, John Fitzgerald is affiliated with Long Island Community Hospital, St Charles Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for John Fitzgerald was last updated on January 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.