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MR. MICHAEL JAMES FENNELL II PA-C
NPI 1023765708
Physician Assistant in Orchard Park, NY

Active since March 03, 2022PECOS EnrolledAccepts Medicare Assignment
99.24/100
CMS Quality Rating
3055 SOUTHWESTERN BLVD STE 100, ORCHARD PARK, NY 14127(716) 675-2500 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Michael James Fennell Ii Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. MICHAEL JAMES FENNELL II PA-C (NPI 1023765708) is an individual physician assistant in Orchard Park, New York, licensed in New York (028057-01) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Kaleida Health, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1023765708
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. MICHAEL JAMES FENNELL IICredential: PA-C
Location Address3055 SOUTHWESTERN BLVD STE 100Orchard Park, NY 14127-1231
Mailing Address9673 Garden WalkClarence Center, NY 14032-9411
Phone(716) 675-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 3, 2022
NPPES CertifiedMarch 3, 2022
✔ NPI 1023765708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 028057-01
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3055 SOUTHWESTERN BLVD STE 100, Orchard Park, NY 14127
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Michael James Fennell Ii Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517354004
PECOS Enrollment IDI20220502002203
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
146 services119 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
30 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Kaleida Health

Acute Care Hospitals · Buffalo, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330005
Location100 High StreetBuffalo, NY 14210 · Erie County
Emergency services Birthing friendly

Brooks-Tlc Hospital System, Inc

Acute Care Hospitals · Dunkirk, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330229
Location529 Central AvenueDunkirk, NY 14048 · Chautauqua County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.48
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOAH C BOURNE DNP, AGPCNP-BC
Nurse Practitioner (Adult Health)
3055 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 675-2500
DR. LINDA M BURNS D.O.
Internal Medicine
3055 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 675-2500
AMAR OZA M.D.
Internal Medicine (Rheumatology)
3055 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 675-2500
DR. CHATHURA SANKALPA WIJEWARDENA M.D
Internal Medicine (Rheumatology)
3055 SOUTHWESTERN BLVD STE 100
ORCHARD PARK, NY 14127
Erie County (716) 675-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Fennell's NPI number?

The NPI number for Michael Fennell is 1023765708. It was assigned to this individual provider in the NPPES registry on March 3, 2022.

Where is Michael Fennell located?

Michael Fennell practices at 3055 Southwestern Blvd Ste 100, Orchard Park, NY 14127. The listed phone number is (716) 675-2500.

What is Michael Fennell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Fennell enrolled in Medicare?

Yes. Michael Fennell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Michael Fennell affiliated with any hospitals?

According to CMS data, Michael Fennell is affiliated with Kaleida Health and Brooks-Tlc Hospital System, Inc.

When was this NPI record last updated?

The NPPES record for Michael Fennell was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.