DR. JOHN PETER FITZSIMONS (M.D.) – Vascular & Interventional Radiology Physician, NPI 1780613240
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
Provider Addresses for DR. JOHN PETER FITZSIMONS (M.D.)
304 Wainwright Dr
Northbrook, IL 600621900
Phone: (224) 318-0118
Type: Location
12610 E Northwest Hwy
Dallas, TX 752288010
Phone: (469) 436-3650
Fax: (844) 846-8853
Type: Location
4820 OVERTON HOLLOW ST
FT WORTH, TX 761092417
Phone: (817) 657-1062
Type: Mailing
530 CLARA BARTON BLVD STE 250
GARLAND, TX 750425781
Phone: (469) 436-3650
Fax: (844) 846-8853
Type: Location
Regional Medical Center, 877, Jefferson Avenue, Medical District, Dixie Homes, Memphis, Shelby County, Tennessee, 38103, United States
ATTN: PROVIDER ENROLLMENT
MEMPHIS, TN 381032807
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 16 Open Payments records for all available years, with a total value of $75,154.
Total Amount is formed as General ($75,154) + Research ($0) + Ownership ($0) = $75,154.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: AngioDynamics, Inc. ($75,086).
Total Amount
$75,154
General + Research + Ownership
Payments
16
Total payment records
General Amount
$75,154
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AngioDynamics, Inc. | $75,086 |
| Nevro Corp. | $68 |
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: 2025-09-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040622000100 | I | Diagnostic Radiology | TX | TBD |
| I20250924000759 | I | Diagnostic Radiology | NM | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NM | |
| Certified Registered Nurse Anesthetist (Crna) | NV | |
| Internal Medicine, Gastroenterology | NM | |
| General Surgery | NM | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NM | |
| Nurse Practitioner | TX | |
| Family Practice | NM | |
| General Surgery | MI | |
| - | NM | |
| Cardiovascular Disease (Cardiology), Internal Medicine, Peripheral Vascular Disease | NM |
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