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MRS. TATHYANA MARQUES F FENSTERER M.D.
NPI 1225337934
Surgery - Plastic and Reconstructive Surgery in Louisville, KY

Active since March 21, 2011PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
2507 BUSH RIDGE DR STE B, LOUISVILLE, KY 40245(502) 589-8000(502) 589-8001 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

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

MRS. TATHYANA MARQUES F FENSTERER M.D. (NPI 1225337934) is an individual plastic and reconstructive surgery provider in Louisville, Kentucky, licensed in Kentucky (52168) 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 F FENSTERERCredential: M.D.
Location Address2507 BUSH RIDGE DR STE BLouisville, KY 40245
Mailing Address2507 Bush Ridge Dr Ste BLouisville, KY 40245-5885 · (502) 589-8000 · Fax (502) 589-8001
Phone(502) 589-8000
Fax(502) 589-8001
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 21, 2011
Last NPPES UpdateMay 10, 2019
✔ 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 KY · 52168
Definition
A surgeon who specializes in plastic and reconstructive surgery.
2507 BUSH RIDGE DR STE B, Louisville, KY 40245
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Mrs. Tathyana Marques F 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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH C. BANIS JR. MD
Surgery (Plastic and Reconstructive Surgery)
2507 BUSH RIDGE DR STE B
LOUISVILLE, KY 40245
Jefferson County (502) 589-8000
PRESCOTT PLASTIC SURGERY & MED SPA PLLC
Surgery (Plastic and Reconstructive Surgery)
2507 BUSH RIDGE DR STE B
LOUISVILLE, KY 40245
Jefferson County (502) 589-8000
MS. ANGELA TE-FANG PRESCOTT M.D.
Surgery (Plastic and Reconstructive Surgery)
2507 BUSH RIDGE DR STE B
LOUISVILLE, KY 40245
Jefferson County (502) 589-8000

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 Tathyana Fensterer's NPI number?

The NPI number for Tathyana Fensterer is 1225337934. It was assigned to this individual provider in the NPPES registry on March 21, 2011.

Where is Tathyana Fensterer located?

Tathyana Fensterer practices at 2507 Bush Ridge Dr Ste B, Louisville, KY 40245. The listed phone number is (502) 589-8000.

What is Tathyana Fensterer's specialty?

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

Is Tathyana Fensterer enrolled in Medicare?

Yes. Tathyana 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 Fensterer accept?

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

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

When was this NPI record last updated?

The NPPES record for Tathyana Fensterer was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.