Jon Richard Fackler, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

35.056413 Issued in OH

Practice address

11135 Montgomery Rd
Cincinnati, OH 45249-2338

Phone

(513) 793-2220

Fax

(513) 793-5933

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Medical College of Ohio, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bethesda North Hospital, Cincinnati, OH, CCN 360179
• The Jewish Hospital-Mercy Health Hospital, Cincinnati, OH, CCN 360016
• Christ Hospital Hospital, Cincinnati, OH, CCN 360163
• Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jfackler33890@direct.trihealth.com

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.

• Trihealth H LLC

  • Obstetrics Physician
  • Cincinnati, OH
  • NPI 1811215742
  Medicare reassignment Care Compare group NPD
• Trihealth G LLC

  • Internal Medicine Physician
  • Cincinnati, OH
  • NPI 1295862944
  Medicare reassignment NPD
• Trihealth G, LLC

  • Community/Retail Pharmacy
  • Cincinnati, OH
  • NPI 1184023640
  NPD
• Trihealth Physician Institute

  • Nurse Practitioner
  • Cincinnati, OH
  • NPI 1922051697
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bethesda Hospital Inc

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1396714663
  Care Compare affiliation
• Christ Hospital

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1780633289
  Care Compare affiliation
• Jewish Hospital LLC

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1336478163
  Care Compare affiliation
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1457964041
  Care Compare affiliation
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Montgomery, OH
  • NPI 1477166064
  Care Compare affiliation
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1508835828
  Care Compare affiliation
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1740893320
  Care Compare affiliation
• The Good Samaritan Hospital of Cincinnati, Ohio

  • General Acute Care Hospital
  • Cincinnati, OH
  • NPI 1851904445
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1497784722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11135 MONTGOMERY ROAD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45249",
            "telephone_number": "513-793-2220",
            "fax_number": "513-793-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11135 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452492338",
            "telephone_number": "513-793-2220",
            "fax_number": "513-793-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACKLER",
        "first_name": "JON",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35.056413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01272689030",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corrie Noelle Fabelo
• Ann L. Faber, MSW, LISW
• Edward Anthony Faber Jr., D.O., M.S.
• David C Fabrey, M.D.
• Joel Cameron Facer
• Lisa Fackler, M.A. LPCC
• Jamie L Fadely, LISW-S
• Kaitlyn Fadely
• Fadi Bailony
• Angela Fadil

• Gynecology Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.

Verify at the official NPI Registry.