Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578660445 Individual Practitioner Male Practitioner

Dr. Michael Niel Fenner , MD

Surgery • Jacksonville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Michael Fenner, MD is a registered healthcare professional specializing in Surgery in Jacksonville, IL. Practice services are available at 1600 W WALNUT ST under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, removal of polyps or growths of large bowel using an endoscope with mechanical snare. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1600 W Walnut St

Jacksonville, IL 626501136

Telephone 2175287541
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Jacksonville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 19.5 Yrs
State Avg: 27.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Jacksonville, IL (1624 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
85.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
169 149 $294.00 $73.52
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
96 92 $1638.00 $87.43
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare
73 72 $2189.00 $260.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
39 38 $828.00 $204.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
39 37 $197.00 $44.62
99202 New patient office or other outpatient visit, typically 20 minutes
35 35 $302.00 $75.04
45378 Diagnostic exam of large bowel using a flexible endoscope
33 32 $1597.00 $189.67
45380 Biopsy of large bowel using an endoscope
17 17 $1826.00 $140.62
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope
11 11 $3868.00 $759.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $409.00 $106.56
G0105 Colorectal cancer screening; colonoscopy on individual at high risk
11 11 $1597.00 $172.74

Medical Specialties & State Licenses

CMS Verified: 2021-02-04
Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IL 036080188

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License AK 5616

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
MD3077 (AK)
Commercial Insurance / Payer ID Medicare Ptan
R01571 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Kaitlin Henry , MD

Family Medicine

NPI 1003136276

Doctor of Medicine (M.D.)

Sydney Lynch

Physician Assistant - Surgical

NPI 1003404864
Jeremy Elliott

Nurse Practitioner - Family

NPI 1003416546
Jessica Lee , APN

Nurse Practitioner - Family

NPI 1003461831

Advanced Practice Nurse

Julie Hart , PA-C

Physician Assistant

NPI 1003867342

Physician Assistant (Certified)

NPI 1003900739

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2020

Surgery (License #036080188 in IL)

NPI Profile Active November 02, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2012

Registered at 1600 W WALNUT ST, JACKSONVILLE, IL 626501136 (Tel: 2175287541)

📍
Updated Business Mailing Address November 02, 2012

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)

👤
Provider Name / Credentials Updated November 02, 2012

Recorded as MICHAEL FENNER, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2012

Surgery (License #036080188 in IL)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578660445
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: February 04, 2021
Sole Proprietor: No

Mailing Address

1025 S 6th St

Springfield, IL 627032403

Phone: 2175287541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.