Gregory Bernard Fitzgerald, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301070156 Issued in MI

Practice address

600 S Adams Rd
Ste 200
Birmingham, MI 48009-6863

Phone

(248) 646-3733

Fax

(248) 642-2566

NPI assigned

Jun 21, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 8

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Ophthalmology

Education

Wayne State University School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Michigan Ophthalmology Specialists PLLCGroup PAC ID 3577557131, 26 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.83 of 100Reported as group

Quality

96.82

Promoting interoperability

99

Improvement activities

40

Cost

60.09

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregoryfitzgeraldmd@clavennavision.direct.eyemdemr.com
• Direct secure messaging: gfitzgerald1459038@epic00.shdirect.org

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.

• Michigan Ophthalmology Specialists, PLLC

  • Ophthalmology Physician
  • Livonia, MI
  • NPI 1942272364
  Medicare reassignment Care Compare group NPD
• Beaumont Medical Group- Specialty Services

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1578072906
  Medicare reassignment NPD
• Michigan Ophthalmology Specialists, PLLC

  • Ophthalmology Physician
  • Northville, MI
  • NPI 1699486191
  NPD
• Charles G.Colombo, M.D., P.C.

  • Specialist
  • Rochester Hills, MI
  • NPI 1598761827
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1992701452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S ADAMS RD",
            "address_2": "STE 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096863",
            "telephone_number": "248-646-3733",
            "fax_number": "248-642-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S ADAMS RD",
            "address_2": "STE 200",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096863",
            "telephone_number": "248-646-3733",
            "fax_number": "248-642-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "GREGORY",
        "middle_name": "BERNARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301070156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7532354",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPOM UPIN",
            "identifier": "H54083",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "14377",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK GROUP #",
            "identifier": "G5031F",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP",
            "identifier": "180F321870",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "H50483",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES ID #",
            "identifier": "135378",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP UPIN",
            "identifier": "H50483",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "GregoryFitzgeraldMD@clavennavision.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "EYEMD emr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "600 S Adams Rd",
            "address_2": "Ste 200",
            "city": "Birmingham",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480096863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Steven Douglas Fideler, MT-BC
• Sophie Jo Fierro-Share, L.M.S.W.
• Mark E. Finn, MSW
• Stacie Fiori
• Nancy Fishman, PH.D.
• Kaitlen Virginia Flynn, MTBC
• Laura Fogleman, R.D.N.
• Peyton Fowler
• Kathleen Sue Francies, MS, LLP, LPC
• James M Fraser II, DDS MS

• Ophthalmology Physician in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.