JOHN E FITZGERALD MD
NPI 1245334580
Internal Medicine - Pulmonary Disease in Dallas, TX

NPI Status: Active since September 08, 2006

Contact Information

5323 HARRY HINES BLVD
DALLAS, TX
ZIP 75390
Phone: (214) 645-2867
Fax: (214) 648-2575

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  • Individual
  • Male
  • Years of Experience 37
  • Internal Medicine
  • Pulmonary Disease
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JOHN FITZGERALD

This page provides the complete NPI Profile along with additional information for John Fitzgerald, an internist established in Dallas, Texas with a medical specialization in Internal Medicine, focusing in pulmonary disease and more than 37 years of experience. He graduated from Washington University School Of Medicine in 1989. The healthcare provider is registered in the NPI registry with number 1245334580 assigned on September 2006. The practitioner's primary taxonomy code is 207RP1001X with license number H8040 (TX). The provider is registered as an individual and his NPI record was last updated 17 years ago.

NPI
1245334580
Provider Name
JOHN E FITZGERALD MD
Gender
Male
Entity Type
Individual
Location Address
5323 HARRY HINES BLVD DALLAS, TX 75390
Location Phone
(214) 645-2867
Location Fax
(214) 648-2575
Mailing Address
PO BOX 845347 DALLAS, TX 75284
Mailing Phone
(214) 645-2867
Mailing Fax
(214) 648-2575
Medical School Name
WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
1989
Is Sole Proprietor?
No
Enumeration Date
09-08-2006
Last Update Date
01-31-2008
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An internist like John Fitzgerald is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Pulmonary Disease

Taxonomy Code
207RP1001X
Type
Allopathic & Osteopathic Physicians
License No.
H8040
License State
TX
Taxonomy Description
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze HMO? 204 - HMO
  • Blue Advantage Bronze HMO? 301 - HMO
  • Blue Advantage Bronze HMO? Standard - HMO
  • Blue Advantage Gold HMO? 206 - HMO
  • Blue Advantage Gold HMO? 603 - HMO
  • Blue Advantage Gold HMO? Standard - HMO
  • Blue Advantage Plus Bronze? 303 - POS
  • Blue Advantage Plus Bronze? 305 - POS
  • Blue Advantage Plus Bronze? Standard - POS
  • Blue Advantage Plus Gold? 203 - POS
  • Blue Advantage Plus Gold? 803 - POS
  • Blue Advantage Plus Gold? Standard - POS
  • Blue Advantage Plus Silver? 202 - POS
  • Blue Advantage Plus Silver? 605 - POS
  • Blue Advantage Plus Silver? Standard - POS
  • Blue Advantage Security HMO? 200 - HMO
  • Blue Advantage Silver HMO? 205 - HMO
  • Blue Advantage Silver HMO? 801 - HMO
  • Blue Advantage Silver HMO? Standard - HMO
  • MyBlue Health Bronze? 402 - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G13810MEDICARE UPIN (02) 
88G075MEDICARE ID-TYPE UNSPECIFIED (04) 

Medicare Participation & PECOS Enrollment Status

John Fitzgerald is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

John Fitzgerald is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 345429965

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110127000629

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Oxygen and Supplies (DC000N)

    Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)

    5 DME suppliers used 23 Medicare Claims 23 Services Paid

  • DME-Other DME (DE005N)

    Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) (HCPCS:E0466)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

  • DME-Other DME (DE000N)

    Nebulizer, with compressor (HCPCS:E0570)

    3 DME suppliers used 13 Medicare Claims 18 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)

    14 DME suppliers used 160 Medicare Claims 162 Services Paid

  • DME-Oxygen and Supplies (DC002N)

    Portable oxygen concentrator, rental (HCPCS:E1392)

    4 DME suppliers used 78 Medicare Claims 78 Services Paid

  • DME-Other DME (DE000N)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    5 DME suppliers used 19 Medicare Claims 19 Services Paid

Drugs Administered Through DME

  • DME-Drugs Administered Through DME (DG006N)

    Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms (HCPCS:J7605)

    1 DME suppliers used 12 Medicare Claims 720 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 13 times for 13 patients

Critical care, first 30-74 minutes

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

This service was performed 103 times for 38 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 106 times for 98 patients

Established patient office or other outpatient visit, 40-54 minutes

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

This service was performed 35 times for 33 patients

Extended patient service without direct patient contact, first hour

Extended patient service without direct contact refers to a healthcare service where professionals spend time reviewing your health records, consulting with other providers, or planning your care without you being present, for the first hour.

This service was performed 11 times for 11 patients

Follow-up hospital inpatient care per day, typically 35 minutes

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

This service was performed 106 times for 44 patients

Influenza vaccine split virus, preservative free

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

This service was performed 13 times for 13 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 12 times for 12 patients

Initial hospital inpatient care per day, typically 70 minutes

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

This service was performed 11 times for 11 patients

New patient office or other outpatient visit, 60-74 minutes

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

This service was performed 42 times for 42 patients

Test to determine lung volumes using sensors

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

This service was performed 95 times for 95 patients

Test to examine how well the lungs exchange gases

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

This service was performed 210 times for 204 patients

Test to measure expiratory airflow and volume

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

This service was performed 145 times for 138 patients

Test to measure expiratory airflow and volume changes before and after medication administration

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

This service was performed 84 times for 83 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.75 for a new patient copayment and $25.2 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 75390 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $131.01
  • Minimum New Patient Price $57.18
  • Maximum New Patient Price $172.86
  • Average New Patient Copayment $32.75
  • Minimum New Patient Copayment $14.29
  • Maximum New Patient Copayment $43.21

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.8
  • Minimum Established Patient Price $18.48
  • Maximum Established Patient Price $141.2
  • Average Established Patient Copayment $25.2
  • Minimum Established Patient Copayment $4.62
  • Maximum Established Patient Copayment $35.3

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Fitzgerald is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
PARKLAND HEALTH & HOSPITAL SYSTEM5200 HARRY HINES BLVD
DALLAS, TX 75235
(214) 590-8000Acute Care Hospitals
UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR.6201 HARRY HINES BLVD
DALLAS, TX 75390
(214) 633-5555Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245334580
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285638516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 3 + 8 + 5 + 1 + 6 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1245334580 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1104813088 KEVIN GINGRICH M.D.
Individual
Anesthesiology5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-7833
1265423560DR. BRUCE A MEYER M.D.
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-9794
1063497378 GREGORY A MILLNAMOW MD
Individual
Radiology (Diagnostic Radiology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-8018
1598742223 SUNATI SAHOO MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 590-8607
1578541967MS. PIA BANERJI M.S., C.G.C
Individual
Genetic Counselor, MS5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-1998
1659342616 YISHENG V FANG MD
Individual
Pathology (Immunopathology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 590-8651
1679545164DR. IMRAN R. KHAWAJA MD
Individual
Internal Medicine5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-5777
1649244302DR. SARA ANTOINETTE MONAGHAN MD
Individual
Pathology (Hematology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-6312
1972578755DR. ALLEN FRANK MOREY MD
Individual
Urology5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8765
1093782781DR. MICHAEL F ZIDE DMD
Individual
Dentist5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-3034
1619946191 ORSON W MOE MD
Individual
Internal Medicine (Nephrology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8600
1528037009 WILLIS CROCKER MADDREY MD
Individual
Internal Medicine (Hepatology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-0624
1245209725 ROBERT DANIEL TOTO MD
Individual
Internal Medicine (Nephrology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-2888
1154390631 CYNTHIA JEAN RUTHERFORD MD
Individual
Internal Medicine (Hematology & Oncology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8600
1326017807 JOSEPH ERRICK RAVENELL MD
Individual
Internal Medicine5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-2888
1134198617 JOHN DOUGLAS RUTHERFORD MD
Individual
Internal Medicine (Cardiovascular Disease)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8000
1497724983 JONATHAN EDWARDS DOWELL MD
Individual
Internal Medicine (Hematology & Oncology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8600
1518936087 BARBARA JEAN HALEY MD
Individual
Internal Medicine (Hematology & Oncology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-8600
1487623963 CHRISTOPHER YU-HUA LU MD
Individual
Internal Medicine (Nephrology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 648-3959
1023087517 REBECCA SUE GRUCHALLA MD PHD
Individual
Internal Medicine (Allergy & Immunology)5323 HARRY HINES BLVD
DALLAS, TX 75390
(214) 645-2866

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245334580, enumerated in the NPI registry as an "individual" on September 08, 2006

The provider is located at 5323 Harry Hines Blvd Dallas, Tx 75390 and the phone number is (214) 645-2867

The provider's speciality is Internal Medicine with taxonomy code 207RP1001X with a focus in Pulmonary Disease

The provider has more than 37 years of experience. He graduated from Washington University School Of Medicine in 1989.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $131.01 with an average copayment of $32.75 for new patient appointments. Established patients should expect a typical charge of $100.8 and an average copayment of 25.2. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Administration of influenza virus vaccine, Critical care, first 30-74 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Extended patient service without direct patient contact, first hour, Follow-up hospital inpatient care per day, typically 35 minutes, Influenza vaccine split virus, preservative free, Initial hospital inpatient care per day, typically 50 minutes, Initial hospital inpatient care per day, typically 70 minutes, New patient office or other outpatient visit, 60-74 minutes, Test to determine lung volumes using sensors, Test to examine how well the lungs exchange gases, Test to measure expiratory airflow and volume and Test to measure expiratory airflow and volume changes before and after medication administration.

The practitioner is affiliated to the following hospital(s): PARKLAND HEALTH & HOSPITAL SYSTEM and UT SOUTHWESTERN UNIVERSITY HOSPITAL - WILLIAM P. CLEMENTS JR.. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on September 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.