THOMAS FESSLER
NPI 1205890407
Orthopaedic Surgery in Erie, PA

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
100 PEACH ST, SUITE 400, ERIE, PA 16507(814) 454-8287 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 25, 2021, Nov 2, 2018 (2 updates tracked since 2018).

About Thomas Fessler NPPES

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

THOMAS FESSLER (NPI 1205890407) is an individual orthopaedic surgery provider in Erie, Pennsylvania, licensed in Pennsylvania (MD040025E) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Georgetown University School Of Medicine (1981).

NPPES Registry Identity

NPI1205890407
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTHOMAS FESSLER
Location Address100 PEACH ST, SUITE 400Erie, PA 16507-1423
Mailing Address333 State St Ste 103, Suite 101Erie, PA 16507-1450
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1981
Enumeration DateApril 14, 2006
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPI 1205890407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in PA · MD040025E
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.

100 PEACH ST, Erie, PA 16507

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

Thomas Fessler 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 ID4284605908
PECOS Enrollment IDI20100504000787
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 7

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.
992 services15 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
198 services36 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.
103 services75 patients
Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose J7323
Hyaluronan or Euflexxa is a substance similar to a natural substance in your joints. It's injected into the joint space to treat pain from osteoarthritis, especially in the knee. It helps to lubricate the joint, reducing pain and improving mobility.
58 services25 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.
39 services33 patients
X-ray of knee, 1-2 views 73560
An X-ray of the knee with 1-2 views is a quick, painless test that produces images of the knee bones. It helps identify fractures, infections, or changes in the knee joint. During the procedure, you'll be asked to stay still while the X-ray machine captures the images.
17 services13 patients

Hospital Affiliations CMS Care Compare

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

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16507 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.36
Promoting Interoperability100
Improvement Activities40
Cost67.48

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.

Midwife
100 PEACH ST, SUITE 300
ERIE, PA 16507
Internal Medicine (Gastroenterology)
100 PEACH ST, SUITE 200
ERIE, PA 16507
Obstetrics & Gynecology
100 PEACH ST, SUITE 300
ERIE, PA 16507
Physician Assistant
100 PEACH ST, SUITE 300
ERIE, PA 16507
Orthopaedic Surgery (Sports Medicine)
100 PEACH ST, SUITE 101
ERIE, PA 16507
Physician Assistant
100 PEACH ST, SUITE 200
ERIE, PA 16507
Advanced Practice Midwife
100 PEACH ST
ERIE, PA 16507
Obstetrics & Gynecology
100 PEACH ST, SUITE 300
ERIE, PA 16507

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 Thomas Fessler's NPI number?

The NPI number for Thomas Fessler is 1205890407. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Thomas Fessler located?

Thomas Fessler practices at 100 Peach St Suite 400, Erie, PA 16507. The listed phone number is (814) 454-8287.

What is Thomas Fessler's specialty?

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

Is Thomas Fessler enrolled in Medicare?

Yes. Thomas Fessler 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 Thomas Fessler affiliated with any hospitals?

According to CMS data, Thomas Fessler is affiliated with Upmc Hamot.

When was this NPI record last updated?

The NPPES record for Thomas Fessler was last updated on March 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.