KEVIN M FITZGERALD (MD) – Family Medicine Physician, NPI 1730179243
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,047 FAMILY PRACTICE in WI
Provider Addresses for KEVIN M FITZGERALD (MD)
Eau Claire Post Office, Orchard Street, Pipestone Township, Berrien County, Michigan, 49102, United States
EAU CLAIRE, WI 547021510
Phone: (608) 785-0940
Type: Mailing
191 THEATRE RD
ONALASKA, WI 546508679
Phone: (608) 392-5001
Fax: (608) 392-5790
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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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: 2004-07-09
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 |
|---|---|---|---|---|
| I20040709001378 | I | Family Practice | WI | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 243 | 132 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 196 | 143 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 128 | 128 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 35 | 17 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 28 | 25 | $0 |
Insurance plans in this area (ZIP 54702)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WI | 20610 | Aspiration and/or injection of large joint or joint capsule | 21 | 16 |
Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| P S Y C H I A T R Y | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| - | WI | |
| - | MN | |
| - | MN | |
| U R O L O G Y | WI | |
| Physician Assistant | MN |
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