ALEXANDER DANE FITZTHUM (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1205221876

ALEXANDER DANE FITZTHUM (M.D.) is a healthcare provider. based in Columbus, Ohio. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 35135641 (OH). The NPI Number for ALEXANDER DANE FITZTHUM (M.D.) is 1205221876

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDER DANE FITZTHUM (M.D.)
NPI
1205221876
Phone
(614) 293-5905
Address
700 ACKERMAN RD STE 2120
Enumeration Date
1 April 2015
Last Update Date
18 May 2020

Doctor Profile

Medical School Name
UNIVERSITY OF TOLEDO COLLEGE OF MEDICINE
Secondary Phone
2173471234
Graduation Year
2015 (11 years ago)
PAC ID
2668772559
Group Practice PAC ID
0345212866
Professional Enrollment ID
I20240201003499
Address ID
IL624012006EF503XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

749 PATHOLOGY in OH

Provider Addresses for ALEXANDER DANE FITZTHUM (M.D.)

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-5905

    Fax: (614) 293-4715

    Type: Mailing

  • 410 W 10TH AVE

    COLUMBUS, OH 432101240

    Phone: (614) 293-5905

    Fax: (614) 293-4715

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-02-01

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240201003499IPathologyILTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88341Special stained specimen slides to examine tissue, each additional procedure23843$0
88305Pathology examination of tissue using a microscope, intermediate complexity15661$0
88189Flow cytometry technique for dna or cell analysis, 16 or more markers8685$0
88108Cell examination of specimen, concentration technique7974$0
88313Special stained specimen slides to examine tissue including interpretation and report7639$0
View full utilization report →

Insurance plans in this area (ZIP 43202)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345212866View full group profile
NameSpecialtyState
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YIL
P A T H O L O G YMA
P A T H O L O G YMN
-IL
P A T H O L O G YIL
P A T H O L O G YIA
P A T H O L O G YIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify ALEXANDER DANE FITZTHUM (M.D.) for billing?
Administrative and clinical systems typically use NPI 1205221876 for ALEXANDER DANE FITZTHUM (M.D.).
Is ALEXANDER DANE FITZTHUM (M.D.)'s NPI status active today?
Active status means ALEXANDER DANE FITZTHUM (M.D.)'s NPI record is not deactivated in the public file.
What services align with ALEXANDER DANE FITZTHUM (M.D.)'s listing?
ALEXANDER DANE FITZTHUM (M.D.)'s public classification highlights Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ALEXANDER DANE FITZTHUM (M.D.)?
ALEXANDER DANE FITZTHUM (M.D.) is associated with Columbus, Ohio in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

DR. SYED KHALID MOHSIN (M.D.)

Anatomic Pathology & Clinical Pathology Physician
Riverside Methodist Hospital, 3535, Olentangy River Road, Riverview, Columbus, Sharon, Franklin County, Ohio, 43214, United States
NPI: 1124023460

DOUGLAS CHARNEY (MD)

Anatomic Pathology & Clinical Pathology Physician
North Midland Avenue, Upper Nyack, Town of Clarkstown, Rockland County, New York, 10960, United States
NPI: 1639178742

PETER A ACCETTA (M.D.)

Anatomic Pathology & Clinical Pathology Physician
Riverside Methodist Hospital, 3535, Olentangy River Road, Riverview, Columbus, Sharon, Franklin, Ohio, 43214, United States
NPI: 1972504827

SUSAN J BONA (M. D.)

Anatomic Pathology & Clinical Pathology Physician
PO BOX 20452
NPI: 1164423430

PETER K BAUER (MD)

Anatomic Pathology & Clinical Pathology Physician
980, Washington Street, Pickerington, Fairfield County, Ohio, 43147, United States
NPI: 1548261761

LYNETTE S BORNMAN (MD)

Anatomic Pathology & Clinical Pathology Physician
Riverside Methodist Hospital, 3535, Olentangy River Road, Riverview, Columbus, Sharon, Franklin, Ohio, 43214, United States
NPI: 1275534331

MELINDA C DOLOR (MD)

Anatomic Pathology & Clinical Pathology Physician
Riverside Methodist Hospital, 3535, Olentangy River Road, Riverview, Columbus, Sharon, Franklin, Ohio, 43214, United States
NPI: 1215938311

SUSAN A. FUHRMAN (MD)

Anatomic Pathology & Clinical Pathology Physician
PO BOX 20452
NPI: 1376545350

KEVIN F FORSTHOEFEL (MD)

Anatomic Pathology & Clinical Pathology Physician
PO BOX 20452
NPI: 1982605010