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DR. ERIC RICHMOND FENN M.D.
NPI 1215386966
Family Medicine in Wheeling, WV

Active since June 03, 2016PECOS EnrolledAccepts Medicare Assignment
40 MEDICAL PARK, SUITE 401, WHEELING, WV 26003(304) 243-3330 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2022, Jan 11, 2021, Oct 20, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Eric Richmond Fenn M.d. NPPES

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

DR. ERIC RICHMOND FENN M.D. (NPI 1215386966) is an individual family medicine provider in Wheeling, West Virginia, licensed in West Virginia (28661) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Kona Community Hospital, and maintains a secondary practice location in Wheeling.

NPPES Registry Identity

NPI1215386966
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ERIC RICHMOND FENNCredential: M.D.
Location Address40 MEDICAL PARK, SUITE 401Wheeling, WV 26003-6392
Mailing Address40 Medical Park, Suite 401Wheeling, WV 26003-6392 · (304) 243-3330
Phone(304) 243-3330
Sole ProprietorYes
Medical School CMSWest Virginia University School Of MedicineGraduated 2014
Enumeration DateJune 3, 2016
Last NPPES UpdateSeptember 19, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2022
✔ NPI 1215386966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 28661
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedHospitalistTaxonomy 208M00000X · License 28661 (WV)
40 MEDICAL PARK, Wheeling, WV 26003
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Medical ParkWheeling, WV 26003-6300 · Phone (304) 243-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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. Eric Richmond Fenn 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 ID5597050146
PECOS Enrollment IDI20200825001232
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
208 services70 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
110 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
59 services58 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
44 services44 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
44 services38 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
41 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Kona Community Hospital

Acute Care Hospitals · Kealakekua, HI
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120019
Location79-1019 Haukapila StreetKealakekua, HI 96750 · Hawaii County
Emergency services Birthing friendly

North Hawaii Community Hospital, Inc

Acute Care Hospitals · Kamuela, HI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120028
Location67 1125 Mamalahoa HighwayKamuela, HI 96743 · Hawaii County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26003 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SRINI GOVINDAN MD
Specialist
40 MEDICAL PARK, SUITE 500
WHEELING, WV 26003
Ohio County (304) 242-2503
DR. BRENDEN COOPER M.D.
Family Medicine
40 MEDICAL PARK
WHEELING, WV 26003
Ohio County (304) 243-3880
COLON & RECTAL CLINIC LLC
Colon & Rectal Surgery
40 MEDICAL PARK
WHEELING, WV 26003
Ohio County (000) 000-0000
VICTORIA SUSAN DAWSON MD
Student in an Organized Health Care Education/Training Program
40 MEDICAL PARK, SUITE 401
WHEELING, WV 26003
Ohio County (304) 243-3880
DR. DAVID A KAPPEL M.D.
Surgery (Plastic and Reconstructive Surgery)
40 MEDICAL PARK, SUITE 200
WHEELING, WV 26003
Ohio County (304) 242-0590
WHEELING HOSPITAL INC
Obstetrics & Gynecology (Gynecology)
40 MEDICAL PARK, SUITE 504
WHEELING, WV 26003
Ohio County (304) 242-0588
JOHN W. KLAY M.D., INC.
Surgery (Vascular Surgery)
40 MEDICAL PARK, SUITE 301
WHEELING, WV 26003
Ohio County (304) 243-8005
RICHARD E RYNCARZ MD
Internal Medicine (Pulmonary Disease)
40 MEDICAL PARK, SUITE 302
WHEELING, WV 26003
Ohio County (304) 905-9706

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 Eric Fenn's NPI number?

The NPI number for Eric Fenn is 1215386966. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Eric Fenn located?

Eric Fenn practices at 40 Medical Park Suite 401, Wheeling, WV 26003. The listed phone number is (304) 243-3330.

What is Eric Fenn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Eric Fenn enrolled in Medicare?

Yes. Eric Fenn 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.

What insurance does Eric Fenn accept?

Health plans from CareSource list Eric Fenn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Eric Fenn affiliated with any hospitals?

According to CMS data, Eric Fenn is affiliated with Kona Community Hospital and North Hawaii Community Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Eric Fenn was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.