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DR. JAMES ADAM FENWICK M.D.
NPI 1316926769
Orthopaedic Surgery in Hanover, PA

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment
207 BLOOMING GROVE RD, HANOVER, PA 17331(717) 812-7559(717) 632-2422 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2016, Sep 28, 2015 (2 updates tracked since 2015).

About Dr. James Adam Fenwick M.d. NPPES

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

DR. JAMES ADAM FENWICK M.D. (NPI 1316926769) is an individual orthopaedic surgery provider in Hanover, Pennsylvania, licensed in Pennsylvania (MD069752L) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (1997).

NPPES Registry Identity

NPI1316926769
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. JAMES ADAM FENWICKCredential: M.D.
Location Address207 BLOOMING GROVE RDHanover, PA 17331-7917
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 812-4090 · Fax (717) 812-4092
Phone(717) 812-7559
Fax(717) 632-2422
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1997
Enumeration DateJanuary 13, 2006
Last NPPES UpdateJune 1, 20222 updates tracked since enumeration
NPPES CertifiedJune 1, 2022
✔ NPI 1316926769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · MD069752L
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
207 BLOOMING GROVE RD, Hanover, PA 17331
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Other Identifiers 4

Medicaid001882443PA
Other1376033PA · Highmark Blue Shield
Other30120301PA · Amerihealth Mercy - Wmg
Other1578277PA · Gateway

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. James Adam Fenwick 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 ID4183515380
PECOS Enrollment IDI20040324001112, I20070910000197
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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
200 services37 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.
101 services76 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.
71 services71 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.
57 services53 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
41 services41 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
38 services33 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17331 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers17 claims17 services$53.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

HANOVER ORTHOPAEDIC ASSOCIATES,INC
Orthopaedic Surgery
207 BLOOMING GROVE RD
HANOVER, PA 17331
York County (717) 632-5259
DR. JAMES H ELLISON MD
Orthopaedic Surgery
207 BLOOMING GROVE RD
HANOVER, PA 17331
York County (717) 632-5259
MR. MATTHEW THOMAS LAWRENCE ATC, PTA
Specialist/Technologist (Athletic Trainer)
207 BLOOMING GROVE RD
HANOVER, PA 17331
York County (717) 632-3431
WELLSPAN MEDICAL GROUP
Podiatrist
207 BLOOMING GROVE RD
HANOVER, PA 17331
York County (717) 757-3537
ELIZABETH BRILHART
Physician Assistant (Medical)
207 BLOOMING GROVE RD
HANOVER, PA 17331
York County (717) 812-7559
MR. CHADD LEE RUDISILL MPT
Physical Therapist
207 BLOOMING GROVE RD, SPORT CENTER PT
HANOVER, PA 17331
York County (717) 632-3431
MR. ANTHONY C SMITH ATC, PTA
Specialist/Technologist (Athletic Trainer)
207 BLOOMING GROVE RD, SPORT CENTER PHYSICAL THERAPY
HANOVER, PA 17331
York County (717) 632-3431
MR. ERIC M FLICKINGER PAC
Physician Assistant (Medical)
207 BLOOMING GROVE RD
HANOVER, PA 17331
York County (717) 632-5259

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 James Fenwick's NPI number?

The NPI number for James Fenwick is 1316926769. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is James Fenwick located?

James Fenwick practices at 207 Blooming Grove Rd, Hanover, PA 17331. The listed phone number is (717) 812-7559.

What is James Fenwick's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is James Fenwick enrolled in Medicare?

Yes. James Fenwick 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 James Fenwick accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James Fenwick 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 James Fenwick affiliated with any hospitals?

According to CMS data, James Fenwick is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for James Fenwick was last updated on June 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.