Active NPI
Thomas Michael Fitzgibbon Jr., MD, MSC
- Pediatric Urology Physician
- Hershey, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- MD477150
- Practice address
- 500 University Dr
Hershey, PA 17033-2360 - Phone
- (800) 243-1455
- NPI assigned
- Mar 27, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD477150 | PA | |
| Pediatric Urology Physician | 2088P0231X | MD477150 | PA | Primary |
Addresses
Primary practice location
500 University Dr
Hershey, PA 17033-2360
Mailing address
500 University Dr # H055
Hershey, PA 17033-2360
Phone (717) 531-8848
Other practice location 1
1430 Harrisburg Pike
Lancaster, PA 17601-2615
Phone (717) 327-4680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Rutgers New Jersey Medical School, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Universidy Dr
A410
Hershey, PA 17033-2360
Phone (717) 531-8848
Hospital & facility affiliations
- Milton S Hershey Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 56.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physicians Group | Urology | Current | Accepting new patients |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| The Milton S. Hershey Medical Center Physicians Group | Past | Accepting new patients | |
| Phoenixville Specialty Clinics, LLC | Urology | Past | Accepting new patients |
Locations
500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159
500 University Dr
#A4
Hershey, PA 17033
Phone (717) 531-6261
500 University Dr
#H55
Hershey, PA 17033
Phone (717) 531-8848
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
1430 Harrisburg Pike
Lancaster, PA 17601
Phone (717) 327-4680
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
PA
-
- Body Imaging Physician
- Hershey, PA
- NPI 1346215928
-
- Urology Physician
- Hershey, PA
- NPI 1710952445
Urology
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Hershey, PA
- NPI 1255482089
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1487048484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR # H055",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "717-531-8848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "800-243-1455"
}
],
"practiceLocations": [
{
"address_1": "1430 Harrisburg Pike",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "PA",
"postal_code": "176012615",
"country_code": "US",
"telephone_number": "717-327-4680",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITZGIBBON",
"first_name": "THOMAS",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD, MSC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-27",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD477150",
"primary": false
},
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "PA",
"license": "MD477150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.