MR. THOMAS CLINTON PFENNIGWERTH DPM
NPI 1235130071
Podiatrist in Seneca, PA

Q: What is Thomas Pfennigwerth's NPI number?

The NPI number for Thomas Pfennigwerth is 1235130071. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Q: What is Thomas Pfennigwerth's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

3742 STATE ROUTE 257, SENECA, PA 16346(814) 677-0041(814) 676-6196 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Thomas Clinton Pfennigwerth Dpm NPPES

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

MR. THOMAS CLINTON PFENNIGWERTH DPM (NPI 1235130071) is an individual podiatrist in Seneca, Pennsylvania, licensed in Pennsylvania (SC005515) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Northwest, and is a graduate of Kent State University College Of Podiatric Medicine (1999).

NPPES Registry Identity

NPI1235130071

Entity TypeIndividualMale

Primary Taxonomy213E00000X

Provider Legal NameMR. THOMAS CLINTON PFENNIGWERTHCredential: DPM

Location Address3742 STATE ROUTE 257Seneca, PA 16346-3318

Mailing Address3742 State Route 257Seneca, PA 16346-3318 · (814) 677-0041 · Fax (814) 676-6196

Phone(814) 677-0041

Fax(814) 676-6196

Sole ProprietorYes

Medical School CMSKent State University College Of Podiatric MedicineGraduated 1999

Enumeration DateAugust 2, 2005

Last NPPES UpdateOctober 15, 2007

✔ NPI 1235130071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

License✔ Licensed in PA · SC005515

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

3742 STATE ROUTE 257, Seneca, PA 16346

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Other Identifiers 4

Medicare UPINU89604PA

Medicare NSC5050300001PA

Medicare PIN056599PA

Other1394014PA · Highmark Bc/bs

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

Mr. Thomas Clinton Pfennigwerth Dpm 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 ID42267981

PECOS Enrollment IDI20050404000481

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 11

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.

Removal of fingernails or toenails, 1-5 nails 11720

This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.

849 services228 patients

Trimming of dystrophic nails, any number G0127

Trimming of dystrophic nails involves the careful cutting and shaping of thickened or deformed nails. This is often required when nails are affected by conditions such as fungus or psoriasis. The procedure helps to reduce discomfort and improve nail health.

679 services179 patients

Removal of fingernails or toenails, 6 or more nails 11721

This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.

505 services135 patients

Removal of noncancer thickened skin growth, 2-4 growths 11056

This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.

185 services70 patients

Removal of noncancer thickened skin growth, 1 growth 11055

This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.

184 services83 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

128 services40 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

58 services58 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.

58 services50 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.

35 services24 patients

Simple separation of fingernail or toenail from nail bed, first nail 11730

This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.

23 services21 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 patients

Hospital Affiliations CMS Care Compare

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

Upmc Northwest

Acute Care Hospitals · Seneca, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390091

Location100 Fairfield DriveSeneca, PA 16346 · Venango County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16346 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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Reported Quality Measures

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%490 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

2 suppliers18 claims36 services$61.10 avg. paid by Medicare

For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5513

DME-Orthotic Devices · category DF000N

2 suppliers18 claims108 services$37.19 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 5

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

DR. DAVID M. ANDRES D.O.

Internal Medicine

3742 STATE ROUTE 257
SENECA, PA 16346

Venango County (814) 678-3343

ANDRES-BUSH INTERNAL MEDICINE, LLC

Internal Medicine

3742 STATE ROUTE 257
SENECA, PA 16346

Venango County (814) 678-3343

DR. TODD A. BUSH M.D.

Internal Medicine

3742 STATE ROUTE 257
SENECA, PA 16346

Venango County (814) 678-3343

CHAD LAUER

Nurse Practitioner

3742 STATE ROUTE 257, SUITE D
SENECA, PA 16346

Venango County (814) 678-3343

MELISSA ANN REED PA

Physician Assistant

3742 STATE ROUTE 257
SENECA, PA 16346

Venango County (814) 678-3343

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 Pfennigwerth's NPI number?

The NPI number for Thomas Pfennigwerth is 1235130071. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Thomas Pfennigwerth located?

Thomas Pfennigwerth practices at 3742 State Route 257, Seneca, PA 16346. The listed phone number is (814) 677-0041.

What is Thomas Pfennigwerth's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Thomas Pfennigwerth enrolled in Medicare?

Yes. Thomas Pfennigwerth 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 Pfennigwerth affiliated with any hospitals?

According to CMS data, Thomas Pfennigwerth is affiliated with Upmc Northwest.

When was this NPI record last updated?

The NPPES record for Thomas Pfennigwerth was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.