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DONALD FAHLER
NPI 1225290711
Pediatrics in West Lafayette, IN

Active since June 26, 2008PECOS Enrolled
253 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906(765) 448-8000(765) 448-7606 Get Directions Write a Review

NPPES record last updated: February 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 2, 2021, Dec 30, 2020 (2 updates tracked since 2020).

About Donald Fahler NPPES

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

DONALD FAHLER (NPI 1225290711) is an individual pediatrics provider in West Lafayette, Indiana, licensed in Indiana (01067769A) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1225290711
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDONALD FAHLER
Location Address253 SAGAMORE PKWY WWest Lafayette, IN 47906-1501
Mailing Address1200 W White River BlvdMuncie, IN 47303-4988 · (877) 668-5621
Phone(765) 448-8000
Fax(765) 448-7606
Sole ProprietorNo
Enumeration DateJune 26, 2008
Last NPPES UpdateFebruary 2, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2021
✔ NPI 1225290711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in IN · 01067769A✔ Licensed in OH · 57.013903
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
253 SAGAMORE PKWY W, West Lafayette, IN 47906
Open in Google Maps ↗

Other Identifiers 2

Medicaid200980950IN
Other000000670768IN · Anthem Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Donald Fahler is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Donald Fahler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Arnett Clinic, LLC
2.6 mi
Clinical Medical Laboratory
2600 GREENBUSH ST
Lafayette, IN 47904
  • Reassigned Medicare billing, Indiana enrollment
  • 671 clinicians in this Medicare group
NPI 1881655090 (765) 448-8000
Iu Health Medical Group, LLC
60 mi
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
NPI 1326893777 (317) 962-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47906 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

MARCIA ANN STROUP CRNP
Nurse Practitioner (Pediatrics)
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 448-8000
CEDRIC LAVAR MAYFIELD JR. PA-C
Physician Assistant
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 448-8000
PAUL E TIMPERMAN MD
Radiology (Vascular & Interventional Radiology)
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 448-8000
ROBIN OBRIEN
Registered Nurse
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 448-8000
PHYLLIS MARTIN-SIMMERMAN MD
Radiology (Diagnostic Radiology)
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 448-8000
DR. LUKE GERGES D.O.
Radiology (Diagnostic Radiology)
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 448-8000
ANDREW KEITH EDWARDS MD
Family Medicine
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 448-8000
STACEY MELISSA MELS NP
Nurse Practitioner (Pediatrics)
253 SAGAMORE PKWY W
WEST LAFAYETTE, IN 47906
Tippecanoe County (765) 448-8000

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 Donald Fahler's NPI number?

The NPI number for Donald Fahler is 1225290711. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Donald Fahler located?

Donald Fahler practices at 253 Sagamore Pkwy W, West Lafayette, IN 47906. The listed phone number is (765) 448-8000.

What is Donald Fahler's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Donald Fahler enrolled in Medicare?

Yes. Donald Fahler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Donald Fahler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Donald Fahler reassigns Medicare benefits to 2 organizations: Arnett Clinic, LLC (Lafayette, IN) and Iu Health Medical Group, LLC (Indianapolis, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Donald Fahler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Donald Fahler accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Donald Fahler 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.

When was this NPI record last updated?

The NPPES record for Donald Fahler was last updated on February 2, 2021. 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.