MARY M FITZGIBBON (MD) – Obstetrics & Gynecology Physician, NPI 1629002464
Obstetrics & Gynecology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,925 OBSTETRICS/GYNECOLOGY in IL
Provider Addresses for MARY M FITZGIBBON (MD)
725 SCHOOL ST STE A
MORRIS, IL 604501207
Phone: (815) 941-9124
Fax: (815) 941-4363
Type: Mailing
27240 W Saxony Dr Ste 202
Channahon, IL 604101417
Phone: (815) 521-4600
Fax: (815) 467-9460
Type: Location
237 W WAVERLY ST
MORRIS, IL 604501334
Phone: (815) 941-0441
Fax: (815) 941-0472
Type: Location
201, Hammes Avenue, Joliet, Will County, Illinois, 60436, United States
JOLIET, IL 60435
Phone: (815) 725-2699
Fax: (815) 725-2120
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $8.
Total Amount is formed as General ($8) + Research ($0) + Ownership ($0) = $8.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Monaghan Medical Corporation ($8).
Total Amount
$8
General + Research + Ownership
Payments
1
Total payment records
General Amount
$8
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Monaghan Medical Corporation | $8 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-11-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041102000295 | I | Obstetrics/Gynecology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 37 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 27 | 26 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 12 | 12 | $0 |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 11 | 11 | $0 |
Insurance plans in this area (ZIP 60450)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine, Pediatric Medicine | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Orthopedic Surgery | NY | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Allergy/Immunology, Internal Medicine | IL |
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