Active NPI 1063459246 Individual Practitioner Male Practitioner

Dr. James E Fitzpatrick , MD

Surgery • Fairfield, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Fitzpatrick, MD is a certified Surgery practicing in Fairfield, OH. With approximately 31 years of clinical experience since graduating from Ohio State University College Of Medicine in 1995, Dr. Fitzpatrick delivers high-quality medical care to the local community at 3050 MACK RD STE 310.

Dr. Fitzpatrick is affiliated with Mercy Health Physicians Cincinnati Specialty Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, established patient outpatient office visit, removal of skin and tissue, 20.0 sq cm or less. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3050 Mack Rd Ste 310

Fairfield, OH 450145376

Telephone 5139248895

Fax 5139248909

Medicare Profile & Education

Medical School

Ohio State University College Of Medicine

Graduation Year

1995

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Fairfield, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

31 Yrs +8.8 yrs vs City Avg

City Avg: 22.2 Yrs

State Avg: 24.9 Yrs

Regional Practice Density

8 Specialists

Practicing in Fairfield, OH (1313 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

39.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fitzpatrick (31 Years) 31 Yrs

Fairfield Specialty Average (22.2 Years) 22.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	80	35	$60.00	$47.00
99213 Established patient office or other outpatient visit, typically 15 minutes	67	31	$98.93	$62.08
11042 Removal of skin and tissue, 20.0 sq cm or less	50	17	$101.00	$57.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$166.76	$105.11
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$136.43	$85.65
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$198.00	$124.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$291.00	$161.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	14	$144.76	$92.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	15	$104.00	$74.57
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$112.73	$67.88
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	11	11	$1183.00	$695.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	84	29	$101.00	$56.88
99231 Follow-up hospital inpatient care per day, typically 15 minutes	73	41	$60.00	$48.18
99213 Established patient office or other outpatient visit, typically 15 minutes	58	23	$98.00	$63.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	20	$104.00	$76.60
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	27	27	$291.00	$167.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$165.00	$104.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$198.00	$126.04
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$134.00	$85.82
49650 Repair of groin hernia using an endoscope	13	13	$985.85	$505.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	101	44	$104.00	$68.30
11042 Removal of skin and tissue, 20.0 sq cm or less	87	25	$101.00	$58.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$164.93	$107.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$291.00	$188.63
99213 Established patient office or other outpatient visit, typically 15 minutes	34	19	$98.00	$65.05
99213 Established patient office or other outpatient visit, typically 15 minutes	25	24	$134.00	$87.50
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	15	$149.00	$99.47
49650 Repair of groin hernia using an endoscope	15	15	$901.47	$466.87
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$112.00	$70.33
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1183.00	$676.29
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	13	12	$504.00	$279.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	89	28	$101.00	$56.60
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	84	50	$104.00	$70.48
99213 Established patient office or other outpatient visit, typically 15 minutes	58	24	$98.00	$66.70
99213 Established patient office or other outpatient visit, typically 15 minutes	45	38	$131.78	$89.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$163.86	$109.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$291.00	$196.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	15	$84.00	$54.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	11	$53.00	$35.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$198.00	$133.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	11	11	$149.00	$101.25
49650 Repair of groin hernia using an endoscope	11	11	$837.91	$476.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	89	55	$103.00	$71.06
11042 Removal of skin and tissue, 20.0 sq cm or less	71	21	$101.00	$58.13
99213 Established patient office or other outpatient visit, typically 15 minutes	57	19	$96.00	$50.39
99213 Established patient office or other outpatient visit, typically 15 minutes	38	33	$109.00	$72.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$198.00	$133.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$291.00	$201.33
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$112.00	$73.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$161.00	$104.88
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	13	13	$1163.00	$696.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$159.00	$105.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	94	58	$103.00	$71.08
11042 Removal of skin and tissue, 20.0 sq cm or less	93	29	$101.00	$59.61
99213 Established patient office or other outpatient visit, typically 15 minutes	76	31	$96.00	$49.90
99221 Initial hospital inpatient care per day, typically 30 minutes	42	42	$146.00	$99.30
99213 Established patient office or other outpatient visit, typically 15 minutes	41	36	$109.00	$71.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$161.00	$104.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	14	$37.00	$24.97
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$112.00	$71.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$198.00	$133.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	12	$66.00	$42.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$149.00	$101.72
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	12	12	$1163.00	$717.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	123	59	$103.00	$70.19
11042 Removal of skin and tissue, 20.0 sq cm or less	86	28	$101.00	$58.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	28	$37.00	$24.94
99213 Established patient office or other outpatient visit, typically 15 minutes	50	38	$109.00	$68.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$161.00	$104.03
99213 Established patient office or other outpatient visit, typically 15 minutes	35	16	$96.00	$49.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	34	26	$56.00	$38.49
99221 Initial hospital inpatient care per day, typically 30 minutes	32	32	$146.00	$97.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$66.00	$41.85
99201 New patient office or other outpatient visit, typically 10 minutes	15	15	$66.00	$42.55
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$112.00	$71.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$198.00	$125.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	80	19	$101.00	$60.66
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	69	48	$103.00	$70.41
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	19	$37.00	$24.87
99221 Initial hospital inpatient care per day, typically 30 minutes	51	51	$146.00	$99.24
99231 Follow-up hospital inpatient care per day, typically 15 minutes	49	38	$56.00	$38.41
99213 Established patient office or other outpatient visit, typically 15 minutes	46	18	$96.00	$49.71
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$161.00	$101.91
99213 Established patient office or other outpatient visit, typically 15 minutes	30	26	$109.00	$69.91
99202 New patient office or other outpatient visit, typically 20 minutes	25	25	$112.00	$71.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$66.00	$41.54
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	17	17	$1163.00	$681.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$159.00	$102.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	11	$149.00	$101.82

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License OH 35077754F

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64099229 (KY)

Medicaid State Provider ID

2191579 (OH)

Hospital & Practice Group Affiliations

Mercy Health Physicians Cincinnati Specialty Care Llc

3050 Mack Rd, Fairfield, OH 450145376

Phone: 5139248895

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Christopher Juergens , MD

Surgery

NPI 1225026412

Doctor of Medicine (M.D.)

Erin Schmidt , CNP

Nurse Practitioner - Gerontology

NPI 1275021131

Certified Nurse Practitioner

Dr. Douglas Berg , MD

Surgery

NPI 1437444981

Doctor of Medicine (M.D.)

Dr. Michael Caparelli , MD

Surgery

NPI 1689051252

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location May 29, 2019

Registered at 3050 MACK RD STE 310, FAIRFIELD, OH 450145376 (Tel: 5139248895)

📍

Updated Business Mailing Address May 29, 2019

Registered at 3050 MACK RD STE 310, FAIRFIELD, OH 450145376 (Tel: 5139248895)

✅

NPI Profile Active May 23, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location May 23, 2014

Registered at 2960 MACK RD, SUITE 205, FAIRFIELD, OH 450145373 (Tel: 5139248895)

📍

Updated Business Mailing Address May 23, 2014

Registered at 2960 MACK RD, SUITE 205, FAIRFIELD, OH 450145373 (Tel: 5139248895)

👤

Provider Name / Credentials Updated May 23, 2014

Recorded as JAMES FITZPATRICK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2014

Surgery (License #35077754F in OH)

🟢

Initial NPI Registration & Enumeration May 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063459246

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 31, 2006

Last Update: May 29, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3050 Mack Rd Ste 310

Fairfield, OH 450145376

Phone: 5139248895

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.