Active NPI 1316926769 Individual Practitioner Male Practitioner

Dr. James Adam Fenwick , MD

Orthopaedic Surgery • Hanover, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Fenwick, MD is a certified Orthopaedic Surgery practicing in Hanover, PA. With approximately 29 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 1997, Dr. Fenwick delivers high-quality medical care to the local community at 207 BLOOMING GROVE RD.

Dr. Fenwick maintains professional affiliations with Lancaster General Medical Group, Fchr Pa, Phoenix Rehabilitation And Health Services Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

207 Blooming Grove Rd

Hanover, PA 173317917

Telephone 7178127559

Fax 7176322422

Associated Practice Facility / Clinic

🏢 Hanover Orthopaedic Associates,inc Facility NPI 1033114301

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Hanover, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs -0.6 yrs vs City Avg

City Avg: 29.6 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Hanover, PA (1345 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

56.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Fenwick (29 Years) 29 Yrs

Hanover Specialty Average (29.6 Years) 29.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	200	37	$4.12	$0.96
99213 Established patient office or other outpatient visit, typically 15 minutes	101	76	$171.99	$84.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$211.06	$105.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	53	$142.95	$52.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$326.73	$154.65
20610 Aspiration and/or injection of fluid from large joint	38	33	$199.70	$66.97
73560 X-ray of knee, 1-2 views	36	31	$64.00	$24.00
73502 X-ray of hip, 2-3 views	34	29	$74.29	$33.65
73562 X-ray of knee, 3 views	33	28	$79.33	$29.09
73030 X-ray of shoulder, minimum of 2 views	31	25	$60.87	$23.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$244.20	$115.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	720	11	$38.00	$9.62
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	236	33	$8.61	$1.06
99213 Established patient office or other outpatient visit, typically 15 minutes	106	97	$119.45	$86.21
20610 Aspiration and/or injection of fluid from large joint	45	40	$196.47	$73.38
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	33	$80.11	$54.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	30	$189.50	$121.41
27447 Replacement of knee joint, both sides of knee	19	19	$4399.00	$1251.18
27130 Replacement of thigh bone and hip joint with prosthesis	18	18	$3765.50	$1252.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$324.00	$161.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$195.00	$108.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,688	44	$38.00	$10.31
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	480	11	$31.00	$17.16
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	429	75	$9.00	$1.14
99213 Established patient office or other outpatient visit, typically 15 minutes	279	223	$119.00	$88.61
20610 Aspiration and/or injection of fluid from large joint	106	85	$187.85	$71.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	103	$180.00	$124.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	96	78	$78.00	$55.36
27447 Replacement of knee joint, both sides of knee	73	71	$4459.26	$1276.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$195.00	$108.20
27130 Replacement of thigh bone and hip joint with prosthesis	25	25	$3843.00	$1268.58
73562 X-ray of knee, 3 views	15	12	$53.00	$30.66
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$131.00	$71.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	3,264	53	$38.00	$10.85
J3304 Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg	992	26	$31.00	$17.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	380	68	$9.00	$1.26
99213 Established patient office or other outpatient visit, typically 15 minutes	351	276	$119.00	$90.21
20610 Aspiration and/or injection of fluid from large joint	117	86	$179.28	$71.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	78	$78.00	$55.36
27447 Replacement of knee joint, both sides of knee	38	38	$4514.76	$1306.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$195.00	$111.08
99202 New patient office or other outpatient visit, typically 20 minutes	26	26	$131.00	$71.00
27130 Replacement of thigh bone and hip joint with prosthesis	20	20	$3843.00	$1290.86
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$201.00	$99.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	3,408	54	$38.00	$10.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	527	79	$9.00	$1.46
99213 Established patient office or other outpatient visit, typically 15 minutes	358	263	$119.00	$73.42
20610 Aspiration and/or injection of fluid from large joint	105	79	$195.43	$71.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	65	$78.00	$44.75
27447 Replacement of knee joint, both sides of knee	45	45	$4399.00	$1388.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$195.00	$106.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	23	23	$180.00	$107.98
27130 Replacement of thigh bone and hip joint with prosthesis	17	16	$3843.00	$1390.93
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$201.00	$102.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	3,984	55	$38.00	$11.26
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	585	91	$9.00	$1.58
99213 Established patient office or other outpatient visit, typically 15 minutes	423	321	$119.00	$72.20
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	139	107	$78.00	$43.91
20610 Aspiration and/or injection of fluid from large joint	131	96	$184.49	$65.72
27447 Replacement of knee joint, both sides of knee	53	50	$4482.00	$1386.96
27130 Replacement of thigh bone and hip joint with prosthesis	32	31	$3843.00	$1360.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$195.00	$104.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$180.00	$106.62
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$201.00	$101.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,880	42	$38.00	$11.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	666	97	$9.00	$1.80
99213 Established patient office or other outpatient visit, typically 15 minutes	453	337	$119.00	$70.43
20610 Aspiration and/or injection of fluid from large joint	167	107	$180.22	$63.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	155	119	$78.00	$42.40
27447 Replacement of knee joint, both sides of knee	54	51	$4399.00	$1351.94
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$195.00	$105.05
27130 Replacement of thigh bone and hip joint with prosthesis	32	32	$3843.00	$1359.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	15	13	$143.00	$71.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	2,160	29	$31.67	$12.40
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	489	110	$8.21	$1.79
99213 Established patient office or other outpatient visit, typically 15 minutes	455	333	$119.00	$70.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	209	160	$78.00	$41.67
20610 Aspiration and/or injection of fluid from large joint	177	129	$167.34	$65.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$195.00	$104.52
27447 Replacement of knee joint, both sides of knee	54	52	$4399.00	$1308.08
27130 Replacement of thigh bone and hip joint with prosthesis	30	30	$3874.90	$1348.59
99221 Initial hospital inpatient care per day, typically 30 minutes	13	13	$201.00	$99.87
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	11	$2360.00	$1187.19

Medical Specialties & State Licenses

CMS Verified: 2022-06-01

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License PA MD069752L

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001882443 (PA)

Commercial Insurance / Payer ID Amerihealth Mercy - Wmg

30120301 (PA)

Commercial Insurance / Payer ID Gateway

1578277 (PA)

Commercial Insurance / Payer ID Highmark Blue Shield

1376033 (PA)

Hospital & Practice Group Affiliations

Fchr Pa

627 8th St, Clermont, FL 347112159

Phone: 3522434472

Phoenix Rehabilitation And Health Services Inc

2000 Westinghouse Dr, Cranberry Township, PA 160665238

Phoenix Rehabilitation And Health Services Inc

2000 Westinghouse Dr, Cranberry Twp, PA 160665238

Lancaster General Medical Group

2106 Harrisburg Pike, Lancaster, PA 176012644

Phone: 7173931900

Practice Associates & Co-Workers

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

15 Associated Practitioners

Alex Despines , PA-C

Physician Assistant - Medical

NPI 1104377167

Physician Assistant (Certified)

Theresa Evelius , ATC

Specialist/Technologist - Athletic Trainer

NPI 1134987977

Certified Athletic Trainer

Dr. Matthew Posner , MD

Orthopaedic Surgery - Sports Medicine

NPI 1194870766

Doctor of Medicine (M.D.)

Dr. Francis Kilkelly , MD

Orthopaedic Surgery

NPI 1215936372

Doctor of Medicine (M.D.)

Cortlin Dell

Physician Assistant - Medical

NPI 1255979316

Dr. James Ellison , MD

Orthopaedic Surgery

NPI 1306845466

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 13, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location June 13, 2016

Registered at 207 BLOOMING GROVE RD, HANOVER, PA 173317917 (Tel: 7178127559)

📍

Updated Business Mailing Address June 13, 2016

Registered at 3421 CONCORD RD, YORK, PA 174029001 (Tel: 7178127559)

👤

Provider Name / Credentials Updated June 13, 2016

Recorded as JAMES FENWICK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2016

Orthopaedic Surgery (License #MD069752L in PA)

🟢

Initial NPI Registration & Enumeration January 13, 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: 1316926769

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 13, 2006

Last Update: June 01, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3421 Concord Rd

York, PA 174029001

Phone: 7178124090

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.