DR. PATRICK J. FERNICOLA M.D.
NPI 1134161995
Orthopaedic Surgery in Columbus, GA

Q: What is Patrick Fernicola's NPI number?

The NPI number for Patrick Fernicola is 1134161995. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Patrick Fernicola's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Patrick Fernicola was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment

63.36/100

CMS Quality Rating

6262 VETERANS PKWY, COLUMBUS, GA 31909(706) 324-6661(706) 327-6701 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2020, Jun 4, 2020 (2 updates tracked since 2020).

On this page

About Dr. Patrick J. Fernicola M.d. NPPES

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

DR. PATRICK J. FERNICOLA M.D. (NPI 1134161995) is an individual orthopaedic surgery provider in Columbus, Georgia, licensed in Georgia (043367) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Jackson Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1134161995

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. PATRICK J. FERNICOLACredential: M.D.

Location Address6262 VETERANS PKWYColumbus, GA 31909-3540

Mailing AddressPo Box 370Fortson, GA 31808-0370 · Fax (706) 494-3008

Phone(706) 324-6661

Fax(706) 327-6701

Sole ProprietorNo

Medical School CMSGeorgetown University School Of MedicineGraduated 1989

Enumeration DateJune 12, 2006

Last NPPES UpdateNovember 20, 20202 updates tracked since enumeration

NPPES CertifiedNovember 20, 2020

✔ NPI 1134161995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in GA · 043367

Definition

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.

6262 VETERANS PKWY, Columbus, GA 31909

Open in Google Maps ↗

Secondary Practice Locations 3

Location 1512 N Shady LnDothan, AL 36303-2991 · Phone (334) 699-5747 · Fax (334) 699-5750

Location 2117 Oakland PkwyLeesburg, GA 31763-7201 · Phone (229) 420-1839 · Fax (229) 483-0601

Location 3107 Calumet Center RdLaGrange, GA 30241-6705 · Phone (706) 884-3274 · Fax (706) 882-2940

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Patrick J. Fernicola 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 ID4688694573

PECOS Enrollment IDI20061006000205, I20130412000049

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 21

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.

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325

Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.

1,488 services16 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.

538 services395 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.

467 services359 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

376 services84 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

355 services270 patients

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.

231 services200 patients

X-ray of knee, 4 or more views 73564

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

216 services169 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

187 services187 patients

X-ray of knee, 3 views 73562

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

100 services83 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

92 services67 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

55 services53 patients

X-ray of joints, multiple 77077

An X-ray of multiple joints is a non-invasive imaging test that helps visualize the condition of your joints. This procedure uses a small amount of radiation to produce images of bones and joints, assisting in diagnosing conditions like arthritis or injury.

51 services49 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

40 services39 patients

Musculoskeletal surgical navigational orthopedic operation using imaging guidance 0055T

This is a precise orthopedic surgery using advanced imaging technology. It helps the surgeon navigate through your musculoskeletal system (bones, muscles, and joints) accurately. This method reduces the risk of damage to nearby areas and aids in a more successful operation.

28 services28 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

27 services27 patients

Mri scan of leg joint without contrast 73721

An MRI scan of your leg joint is a non-invasive procedure that uses magnetic fields and radio waves to create detailed images of the structures within your leg. This helps doctors diagnose or monitor conditions without using contrast dye.

19 services19 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

15 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

15 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Repair of shoulder rotator cuff using an endoscope 29827

This procedure, known as arthroscopic rotator cuff repair, helps fix tears in the shoulder's rotator cuff. An endoscope, a small camera, is used to view the shoulder inside. Using small tools, the surgeon repairs the torn tissue. This minimally invasive approach often leads to a quicker recovery.

13 services13 patients

X-ray of upper spine, 2-3 views 72040

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Jackson Hospital

Acute Care Hospitals · Marianna, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100142

Location4250 Hospital DrMarianna, FL 32446 · Jackson County

Emergency services Birthing friendly

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110129

Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County

Emergency services Birthing friendly

Piedmont Columbus Regional Northside

Acute Care Hospitals · Columbus, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110200

Location100 Frist CourtColumbus, GA 31909 · Muscogee County

Lifebrite Community Hospital Of Early

Critical Access Hospitals · Blakely, GA

OwnershipVoluntary non-profit - Private

CMS Certification Number111314

Location11740 Columbia StreetBlakely, GA 39823 · Early County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31909 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$66.89 typical visit price

range $16.68 – $133.24

Typical copayment $16.72 (range $4.17 – $33.31)

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.

63.36/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

37.2

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Chlamydia Screening for Women

0%20 patients

Closing the Referral Loop: Receipt of Specialist Report

7%919 patients1/55-star benchmark: 87%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

100%34 patients1/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

55%4,239 patients2/55-star benchmark: 100%

e-Prescribing

98%387 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

13%2,330 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

11%3,249 patients1/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 0% · 1,674 patients

0%1,674 patients

Provide Patients Electronic Access to Their Health Information

76%999 patients3/55-star benchmark: 100%

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.03%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

83%170 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,186 patients

Patients totalRate: 2% · 1,186 patients

2%1,186 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous passive motion exercise device for use on knee only E0935

DME-Other DME · category DE000N

1 supplier43 claims802 services$18.58 avg. paid by Medicare

Knee orthosis, elastic with joints, prefabricated, off-the-shelf L1812

DME-Orthotic Devices · category DF011N

5 suppliers18 claims18 services$77.75 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOLENE STEWART FONDRK PA-C

Physician Assistant (Surgical)