Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. TATHYANA MARQUES FERNANDES FENSTERER M.D.
NPI 1225337934
Surgery - Plastic and Reconstructive Surgery in Bloomington, IN

Active since March 21, 2011PECOS Enrolled
95.5/100
CMS Quality Rating
2605 E CREEKS EDGE DR, BLOOMINGTON, IN 47401(812) 676-4430 Get Directions Write a Review

NPPES record last updated: September 25, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 25, 2026, May 10, 2019 (2 updates tracked since 2019).

About Mrs. Tathyana Marques Fernandes Fensterer M.d. NPPES

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

MRS. TATHYANA MARQUES FERNANDES FENSTERER M.D. (NPI 1225337934) is an individual plastic and reconstructive surgery provider in Bloomington, Indiana, licensed in Indiana (01101069A) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Hardin, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1225337934
Entity TypeIndividualFemale
Primary Taxonomy2086S0122X
Provider Legal NameMRS. TATHYANA MARQUES FERNANDES FENSTERERCredential: M.D.
Location Address2605 E CREEKS EDGE DRBloomington, IN 47401-8368
Mailing Address2605 E Creeks Edge DrBloomington, IN 47401-8368 · (812) 676-4430
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 21, 2011
Last NPPES UpdateSeptember 25, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2026
✔ NPI 1225337934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in IN · 01101069A
Definition
A surgeon who specializes in plastic and reconstructive surgery.
2605 E CREEKS EDGE DR, Bloomington, IN 47401

Other Names 1

Professional Name (2)Tathyana Marques Fernandes Fensterer M.d.

Accepted 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

Mrs. Tathyana Marques Fernandes Fensterer 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 ID8921391368
PECOS Enrollment IDI20190523002708
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 8

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.

Graft using patient's fat removed by liposuction and inserted into trunk, breasts, scalp, arms, or legs, each additional 50.0 cc 15772
This procedure involves taking your own fat, removed via liposuction, and transplanting it to areas such as the trunk, breasts, scalp, arms, or legs. This process can help reshape or enhance these areas, using an additional 50.0 cc of fat for each treatment.
63 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.
37 services33 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 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.
18 services17 patients
Graft using patient's fat removed by liposuction and inserted into trunk, breasts, scalp, arms, or legs, 50.0 cc or less 15771
This procedure involves removing a small amount of fat from one area of your body (through liposuction) and then inserting it into another area, such as your trunk, breasts, scalp, arms, or legs. The volume of fat transferred is 50.0 cc or less.
15 services13 patients
Implantation of biologic implant to soft tissue 15777
The procedure involves placing a biological implant into soft tissue to support healing or replace damaged tissue. These implants are made from natural materials and are designed to work with your body's own healing processes. This can aid recovery and improve function.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Hardin

Acute Care Hospitals · Elizabethtown, KY
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number180012
Location913 North Dixie AvenueElizabethtown, KY 42701 · Hardin County
Emergency services

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.59
Promoting Interoperability100
Improvement Activities40

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.

Physician Assistant
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physician Assistant
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Orthopaedic Surgery
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physician Assistant (Surgical)
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physical Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Specialist/Technologist (Athletic Trainer)
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Family Medicine
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401
Physical Therapist
2605 E CREEKS EDGE DR
BLOOMINGTON, IN 47401

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 Tathyana Fernandes Fensterer's NPI number?

The NPI number for Tathyana Fernandes Fensterer is 1225337934. It was assigned to this individual provider in the NPPES registry on March 21, 2011. The provider is also known as Tathyana Marques Fernandes Fensterer M.D..

Where is Tathyana Fernandes Fensterer located?

Tathyana Fernandes Fensterer practices at 2605 E Creeks Edge Dr, Bloomington, IN 47401. The listed phone number is (812) 676-4430.

What is Tathyana Fernandes Fensterer's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Tathyana Fernandes Fensterer enrolled in Medicare?

Yes. Tathyana Fernandes Fensterer 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 Tathyana Fernandes Fensterer accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Tathyana Fernandes Fensterer 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 Tathyana Fernandes Fensterer affiliated with any hospitals?

According to CMS data, Tathyana Fernandes Fensterer is affiliated with Baptist Health Hardin.

When was this NPI record last updated?

The NPPES record for Tathyana Fernandes Fensterer was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.