DR. GREGORY LUCIEN FENTON M.D.
NPI 1114136959
Ophthalmology in Wheaton, IL

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
2015 N MAIN ST, WHEATON, IL 60187(630) 668-8250(630) 668-8916 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Gregory Lucien Fenton M.d. NPPES

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

DR. GREGORY LUCIEN FENTON M.D. (NPI 1114136959) is an individual ophthalmology provider in Wheaton, Illinois, licensed in Illinois (036124435) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of University Of Michigan Medical School (2004).

NPPES Registry Identity

NPI1114136959
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. GREGORY LUCIEN FENTONCredential: M.D.
Location Address2015 N MAIN STWheaton, IL 60187-3190
Mailing Address2015 N Main StWheaton, IL 60187-3190 · (630) 668-8252 · Fax (630) 668-8916
Fax(630) 668-8916
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2004
Enumeration DateMay 21, 2007
Last NPPES UpdateOctober 5, 2022
NPPES CertifiedOctober 5, 2022
NPI 1114136959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in IL · 036124435 Licensed in PA · MT185909
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2015 N MAIN ST, Wheaton, IL 60187

Other Identifiers 2

Other313130004IL · Medicare
Medicaid036124435IL

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

Dr. Gregory Lucien Fenton M.d. 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 ID6002989845
PECOS Enrollment IDI20101008000966
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 16

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
47,580 services145 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
3,519 services1,318 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
1,880 services392 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
1,542 services184 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
1,486 services1,145 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.
812 services389 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60187 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%66 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Ophthalmology
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology
2015 N MAIN ST
WHEATON, IL 60187
Ophthalmology
2015 N MAIN ST
WHEATON, IL 60187
Optometrist
2015 N MAIN ST
WHEATON, IL 60187
Optometrist
2015 N MAIN ST
WHEATON, IL 60187

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 Gregory Fenton's NPI number?

The NPI number for Gregory Fenton is 1114136959. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Gregory Fenton located?

Gregory Fenton practices at 2015 N Main St, Wheaton, IL 60187. The listed phone number is (630) 668-8250.

What is Gregory Fenton's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Gregory Fenton enrolled in Medicare?

Yes. Gregory Fenton 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 Gregory Fenton affiliated with any hospitals?

According to CMS data, Gregory Fenton is affiliated with Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Gregory Fenton was last updated on October 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.