DOUGLAS C FINEFROCK (D.O.) – Emergency Medicine Physician, NPI 1801847264
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,673 EMERGENCY MEDICINE in OH
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Provider Addresses for DOUGLAS C FINEFROCK (D.O.)
Hempstead Station Drive, Oakdale, Kettering, Montgomery County, Ohio, 45429, United States
KETTERING, OH 454295164
Phone: (800) 875-0136
Fax: (937) 619-4231
Type: Mailing
Mercy Health – Fairfield Hospital, 3000, Mack Road, Fairfield, Butler County, Ohio, 45014, United States
FAIRFIELD, OH 450145335
Phone: (513) 870-7001
Fax: (513) 603-8174
Type: Location
30 PROSPECT AVE
HACKENSACK, NJ 076011915
Phone: (551) 996-3547
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 $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2023-09-07 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $15 |
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: 2021-06-10
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 |
|---|---|---|---|---|
| I20120509000331 | I | Emergency Medicine | NJ | TBD |
| I20210610002844 | I | Emergency Medicine | CT | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 111 | 106 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 45 | 42 | $0 |
| 99291 | Critical care, first 30-74 minutes | 34 | 33 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 32 | 27 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 22 | 21 | $0 |
Insurance plans in this area (ZIP 45429)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | MA | |
| Emergency Medicine | CT | |
| - | NY | |
| Emergency Medicine | ME | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| - | CT | |
| Emergency Medicine | MI | |
| Emergency Medicine | CT | |
| Internal Medicine | PA |
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