1. Home
  2. Directory
  3. Indiana
  4. Rushville
  5. Optometrist
  6. NPI Profile

DR. CRAIG A FENIMORE O.D.
NPI 1326028796
Optometrist in Rushville, IN

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
1818 N MAIN ST, RUSHVILLE, IN 46173(765) 932-4800(765) 932-2619 Get Directions Write a Review

NPPES record last updated: November 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Craig A Fenimore O.d. NPPES

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

DR. CRAIG A FENIMORE O.D. (NPI 1326028796) is an individual optometrist in Rushville, Indiana, licensed in Indiana (18002225) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Indiana University - School Of Optometry (1986).

NPPES Registry Identity

NPI1326028796
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. CRAIG A FENIMORECredential: O.D.
Location Address1818 N MAIN STRushville, IN 46173-9316
Mailing Address1818 N Main StRushville, IN 46173-9316 · (765) 932-4800 · Fax (765) 932-2619
Phone(765) 932-4800
Fax(765) 932-2619
Sole ProprietorYes
Medical School CMSIndiana University - School Of OptometryGraduated 1986
Enumeration DateJanuary 20, 2006
Last NPPES UpdateNovember 16, 2023
NPPES CertifiedNovember 16, 2023
✔ NPI 1326028796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IN · 18002225
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1818 N MAIN ST, Rushville, IN 46173
Open in Google Maps ↗

Other Identifiers 12

Other000000087303IN · Anthem Blue Cross
Other100224620ANC · Opticare Managed Vision
Other100224620AIN · Mdwise/hoosier Alliance
Other000000087303IN · Anthem Bcbs
OtherT69269IN · Dme Mac Upin
Other351734899IN · Vision Service Plan
Other351734899IN · Vision Care Incorporated
Other0138200001IN · Dme Mac
Medicaid100224620AIN
Other000000103026IN · Anthem Bcbs
Other0138200001IN · Dmerc Reg B
Other0138200001IN · Dme Mac Jurisdiction B

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Craig A Fenimore O.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 ID5890954135
PECOS Enrollment IDI20120306001011
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 10

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.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
93 services91 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.
76 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services42 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
37 services21 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
36 services33 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
31 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46173 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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 2

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

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier13 claims13 services$58.46 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier15 claims30 services$43.19 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

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

DR. CRAIG A. FENIMORE, OPTOMETRIST
Eyewear Supplier
1818 N MAIN ST
RUSHVILLE, IN 46173
Rush County (765) 932-4800

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 Craig Fenimore's NPI number?

The NPI number for Craig Fenimore is 1326028796. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is Craig Fenimore located?

Craig Fenimore practices at 1818 N Main St, Rushville, IN 46173. The listed phone number is (765) 932-4800.

What is Craig Fenimore's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Craig Fenimore enrolled in Medicare?

Yes. Craig Fenimore 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 Craig Fenimore accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Craig Fenimore 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 Craig Fenimore was last updated on November 16, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.