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Tiffany A Fishbaugh , LISW-S

Social Worker โ€ข Celina, OH

Active NPI 1104177575 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

7095 Emerson Rd
Celina, OH 458222946

Call 5676442028 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7095 Emerson Rd

Celina, OH 458222946

Telephone 5676442028
Organization at the Same NPPES Address or Phone
Shaped By Grace, Llc Facility NPI 1336007475

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Momentum Counseling And Consultation, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1998

Medicare-allowed amount

About $13,721 in 2023

The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Paid by Medicare

About $9,507 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Years since graduation

28 years (graduated 1998)

CMS Doctors and Clinicians data list 1998 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tiffany Fishbaugh has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Tiffany Fishbaugh as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Celina and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Tiffany Fishbaugh are from 2023.

40 active clinicians are listed under Social Worker with a practice address in Celina, OH (11,336 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Celina

2.5% of these 40 clinicians have the CMS telehealth indicator.

5% of these 40 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ€“2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2019โ€“2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 1 hour
112 18 $190.00 $105.47
90791 Psychiatric diagnostic evaluation
15 15 $190.00 $127.25

Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-03-24
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH I0009286 SUPV

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - CLINICAL SOCIAL WORKER

Medicare Enrollment ID

I20150814013727

Enrollment State Jurisdiction

OH

PECOS Control ID

8527373885

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Momentum Counseling And Consultation, Llc

112 /2 N Main St, Celina, OH 458221729

Phone: 4195845123

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

14 Historical Events
๐Ÿ“
Updated Practice Location March 24, 2024

Registered at 7095 EMERSON RD, CELINA, OH 458222946 (Tel: 5676442028)

๐Ÿ“
Updated Business Mailing Address March 24, 2024

Registered at 7095 EMERSON RD, CELINA, OH 458222946 (Tel: 5676442028)

๐Ÿ‘ค
Provider Name / Credentials Updated March 24, 2024

Recorded as TIFFANY FISHBAUGH, LISW-S

โœ…
NPI Profile Active January 03, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location January 03, 2018

Registered at 5740 FAST RD, CELINA, OH 458229420 (Tel: 5676442028)

๐Ÿ“
Updated Business Mailing Address January 03, 2018

Registered at 5740 FAST RD, CELINA, OH 458229420 (Tel: 5676442028)

๐Ÿ‘ค
Provider Name / Credentials Updated January 03, 2018

Recorded as TIFFANY HAMILTON, LISW-S

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2018

Social Worker (license number reported to NPPES: OH I0009286 SUPV)

โœ…
NPI Profile Active November 23, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) November 23, 2015

Registered at 1700E MARKET ST 305, CELINA, OH 458221984 (Tel: 5676442028)

๐Ÿ“
Business Mailing Address (Initial Record) November 23, 2015

Registered at 1700E MARKET ST 305, CELINA, OH 458221984 (Tel: 5676442028)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) November 23, 2015

Recorded as TIFFANY BURDEN, LISW-S

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2015

Social Worker (license number reported to NPPES: OH I0009286 SUPV)

๐ŸŸข
Initial NPI Registration & Enumeration September 26, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1104177575
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 26, 2012
Last Update: March 24, 2024
Sole Proprietor: Yes

Mailing Address

7095 Emerson Rd

Celina, OH 458222946

Phone: 5676442028

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.